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...
May 21, 2021 | Forensic AI Alerts
New Prolonged Service Codes Effective Jan 1, 2021 The CPT coding guidelines indicate that the new CPT code, 99417, effective 1/1/2021, is to be used in association with 99215 or 99205. Due to these changes, it is recommended that you monitor for continued use of...
Apr 19, 2021 | Forensic AI Alerts
Behavioral Analysis Treatment Codes Autism Spectrum Disorder (ASD) is a developmental disability that can cause significant social, communication, and behavioral challenges. The differences in how ASD affects each person means that people with ASD have distinct...
Jan 11, 2021 | Forensic AI Alerts
Changes to Payments for High Throughput COVID-19 Tests HCPCS Codes U0003 and U0004 The expediency and accuracy of COVID-19 test results are a public health issue that can affect everyone in the social network of the person potentially exposed to coronavirus. In...
