An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …
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abusive billing
Widespread COVID testing is susceptible to fraud schemes
While the government works to prosecute COVID-related fraud schemes, employers have ways to eliminate those lost dollars too As the pandemic lingers …
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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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