Fraudulent claims from rehab facilities that function more as resorts, recruiting patients and even paying commissions for admissions, seems to be a growing …
fraud
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 …
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