FWA Briefs

Find news and solutions for healthcare payers and providers. Recognize and avoid potential fraud, waste, and abuse scenarios. Real-time clinical claim editing are analyzed to maximize provider reimbursements.

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NPI Guidance Can Help Your FWA Detection

  • John Danza
  • Jul 24, 2023
  • Comments
telehealthfraud-small

The Centers for Medicare & Medicaid Services (CMS) recently released new guidance that may affect certain providers wanting to obtain an NPI if they don’t already have one. These guidelines are important for you and your health plan to have protection against fraud, waste, or abuse (FWA) in your claims.

CMS, Fraud, Fraud, Waste and Abuse, FWA, Health Claims, Healthcare Compliance, Healthcare Fraud, NPI, Payment Integrity,

Why Fraud Analytics Are Important to You

  • John Danza
  • Oct 17, 2022
  • Comments
Man Working on Computer

A multi-million dollar scheme serves as a prime example to the benefits of Fraud, Waste, and Abuse (FWA) protection. The story of a doctor performing an alarmingly high amount of surgeries not typically conducted by their specialty is awakening to the need for robust safeguarding solutions.

Fraud, Fraud, Waste and Abuse, FWA, Medical Coding, Psychotherapy,

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