There is no question employers across the nation with self-funded healthcare plans will see increases in the cost of covering sick employees during the COVID-19 …
[Read more...] about Mitigating costs and avoiding fraud, waste & abuse in a pandemic
Pass-through billing schemes
“Healthleaders Media” recently reported on a case involving pass-through billing in Florida which highlights how such schemes can grow if undetected during …
CASE STUDY: Uncovering potential abusive billing
June 2019 During monthly monitoring of a client's claims, the SmartLight Analytics’ team identified potential abusive billing by a licensed …
[Read more...] about CASE STUDY: Uncovering potential abusive billing