Apr 30, 2026 | Forensic AI Alerts
What are skin substitutes? A skin substitute is a product that is engineered from human, animal or synthetic materials and is used to treat chronic non-healing wounds such as diabetic ulcers and venous leg ulcers. Skin substitute codes range from Q4100-Q4353 and new...
Apr 29, 2026 | Payment Integrity
A New Approach to an Old Problem Federal health programs face a persistent and growing challenge: how to safeguard critical healthcare dollars while continuing to deliver timely, high-quality care to millions of Americans. Improper payments, fraud schemes, and...
Apr 8, 2026 | Payment Integrity
Throughout 2025, payment integrity teams faced a steady stream of new billing behaviors, emerging fraud patterns, and regulatory nuance. While many industry conversations focused on high-level trends, a different story unfolded closer to operations — one revealed...