September 2021 AI Alert
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...
August 2021 AI Alert
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...
July 2021 AI Alert
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...
June 2021 AI Alert
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...