fraud, waste, and abuse prevention

Podcast: Dr. Emad Rizk on managing telehealth concerns amid COVID-19

  • by

The extraordinary increase in telehealth usage during the COVID-19 pandemic has opened the door for potential healthcare fraud, waste, and abuse (FWA), particularly around upcoding. Cotiviti CEO Emad Rizk, M.D., recently appeared on the Healthcare Financial Management Association’s (HFMA) Voices in Healthcare Finance podcast to… Read More »Podcast: Dr. Emad Rizk on managing telehealth concerns amid COVID-19

Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemic

  • by

While the COVID-19 pandemic has challenged providers in significant ways, it unfortunately has also created new opportunities for a small handful of bad actors to take advantage of the outbreak to increase their reimbursement. Here’s how Cotiviti recently worked with MetroPlus Health Plan in New… Read More »Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemic

Q&A: Highmark’s payment integrity director on new COVID-19 claim trends

  • by

Cotiviti’s Signature Series features interviews with senior health plan leaders on how to improve clinical and financial outcomes in healthcare. During the COVID-19 pandemic, health plans have seen claim volume drop markedly, coding guidelines change regularly, and new care models such as telehealth burgeon. All… Read More »Q&A: Highmark’s payment integrity director on new COVID-19 claim trends