Recognizing the Signals for Potential DME Referral Schemes
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)...
AI Alert October 2023
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...
AI Alert September 2023
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...
AI Alert August 2023
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...