Payer organizations are responsible for making payments toward their members’ healthcare services. They have to ensure that payments are accurate, resolve any under- or overpayments, and detect patterns of fraud, waste, and abuse (FWA)….
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Theja Birur, Chief Technology Officer & Founder, 4L Data IntelligenceIn 2020, the Department of Justice estimated that fraudulent, wasteful, and abusive (FWA) billing practices account for more than $100 billion of the nation’s healthcare…
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The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti
In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often…
