Nov 30, 2021 | Forensic AI Alerts
Know Your Mohs – Part 1 Mohs micrographic surgery is performed by a dermatologist or a plastic surgeon to treat skin cancers, such as basal cell, squamous cell, and melanomas. A dual specialty aspect exists during Mohs micrographic surgery because the surgeon also...
Nov 3, 2021 | Forensic AI Alerts
Covid-19 Vaccine Updates and What to Know There have been many reports of the manufacturers of Covid-19 vaccines submitting additional requests for Emergency Use Authorization (EUA) for children’s dosing and boosters for those fully vaccinated. Codoxo thought it was...
Sep 28, 2021 | Forensic AI Alerts
Identifying Common Allergy & Immunology Billing Schemes An allergy is a form of exaggerated sensitivity or hypersensitivity to a substance that is either inhaled, ingested, injected or comes in contact with the skin or eye. Allergic or hypersensitivity disorders...
Aug 30, 2021 | Forensic AI Alerts
Identifying Schemes within Personal Care Services When billing fraud schemes, abuse, and neglect of vulnerable Medicaid beneficiaries, there are things to look for regarding Personal Care Services (PCA) attendants (hereinafter referred to as attendants). PCA services...
Jul 29, 2021 | Forensic AI Alerts
Metformin: Stay Informed on High Generic Costs and FDA Recalls Metformin: Background When we talk about prescription Fraud, Waste, and Abuse (FWA), we think of emerging schemes such as topical pain/scar creams, compounds, ingredients for foot baths, high-cost wellness...
Jun 8, 2021 | Forensic AI Alerts
Foot Baths are ‘Afoot’ Foot Baths: Background One of the biggest emerging schemes within healthcare prescription fraud is drugs involving foot baths. The Centers for Medicare and Medicaid Services (CMS) in collaboration with the Investigations Medicare Drug Integrity...
