Oct 28, 2025 | Forensic AI Alerts
The Add-On Epidemic: Fighting Fraud, Waste, and Abuse Beyond the Pandemic When COVID-19 testing became routine, some laboratories began attaching high-cost “add-on” laboratory tests. While the public health emergency may have ended, the billing patterns it created...
Oct 24, 2025 | Uncategorized
In a healthcare system drowning in over $4 trillion of annual spending and burdened by crushing administrative costs, there’s a dangerous false choice being presented: either eliminate all prior authorization and payment controls to reduce provider friction, or...
Oct 17, 2025 | FWA Prevention
In today’s healthcare fraud, waste, and abuse (FWA) landscape, Special Investigations Units face mounting pressure to do more with less—identifying sophisticated fraud schemes across exploding claims volumes while managing limited resources. At a recent industry...