Fraud is evolving faster than traditional controls. Schemes are more coordinated and documentation is more engineered. Billing patterns are designed to survive first-pass reviews. And many organizations are still reacting after payment. If you lead SIU, compliance,...
“Listen, Linda!” We’ve all seen, laughed at and maybe even quoted the viral video of the little boy trying to debate his side of a disagreement with his mother. And while that clip is a source of Internet amusement, the need to listen, or rather, the...
The integrity of the entire healthcare system relies on accurate and honest billing practices, but what happens when there is improper billing? It impacts everyone – from individual patients to insurance payors to taxpayers. One area of the healthcare system...
