Feb 2, 2024 | Forensic AI Alerts
The Fight Against Fraud in HIV Prevention Medications According to the Centers for Disease Control (CDC) there is a federal initiative to end the HIV epidemic by 2030. One such effort to meet this initiative is to provide these medications to at least 50% of the...
Dec 18, 2023 | Forensic AI Alerts
Fraud, waste, and abuse related to referral schemes remains prevalent in the news with record claim volumes and dollars impacting the bottom line of health plans and health agencies. Fraud alerts from the Office of Inspector General-Health and Humas Services (OIG-HHS)...
Oct 31, 2023 | Forensic AI Alerts
Don’t Get Burned: Prepare for Superficial Radiation Therapy Claims With each passing year, the number of individuals diagnosed with skin cancer continues to escalate at an alarming rate. According to available estimates, approximately 5.4 million individuals...
Sep 27, 2023 | Forensic AI Alerts
Navigating the Changing Landscape of Colonoscopy Billing: New Guidelines, Challenges, and Opportunities As colorectal cancer rates continue to rise among younger adults, new guidelines recommend that colon cancer screenings begin at age 45 instead of the previous age...
Aug 30, 2023 | Forensic AI Alerts
Identifying leads related to REMS program medications REMS and Medical Claims The risk evaluation and mitigation strategies (REMS) program is not new to the medical field. However, debates regarding the requirements to fill these medications have been making news...
Aug 29, 2023 | Forensic AI Alerts
Educating Today’s Healthcare Executives with Game-Changing Knowledge Cost containment is a major priority for healthcare executives who face challenges like high prescription costs, staff shortages, and an ever-changing landscape of treatments and billing protocols....
