Three seemingly unrelated imaging providers based in FL were identified in a self-funded employer’s medical claims for what was later verified as phantom …
[Read more...] about Phantom billing: Can you spot it in your claims?
Reducing healthcare costs for self-funded employers
Three seemingly unrelated imaging providers based in FL were identified in a self-funded employer’s medical claims for what was later verified as phantom …
[Read more...] about Phantom billing: Can you spot it in your claims?
By Asha George
Multiple healthcare fraud schemes have been investigated over the years involving providers who misrepresent cosmetic procedures as medically necessary ones to …
SmartLight Analytics combines the best inferential analytic models with a team of analytic and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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