Billing and Upcoding: How Physicians Can Stand Up to Managed Care Organizations
As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)
As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)
Medicare Advantage is a type of health insurance plan offered by private companies contracted by the government. Also known as Medicare Part C, Medicare Advantage
Has healthcare fraud crossed your path at work and made you want to take action? Understanding the “first to file” rule can be critical to
Whistleblowing in the healthcare sector goes beyond a moral choice; it acts as a catalyst for substantial positive changes, promoting cost savings and enhanced integrity.
As the healthcare sector continues to evolve, so do the challenges it faces, with healthcare fraud being a significant concern. With billions of dollars lost
When you’re faced with a crucial decision on whether or not to expose healthcare fraud, your path forward may be filled with many questions. Luckily,
Have you ever wondered about the financial rewards whistleblowers earn when they report healthcare fraud? These rewards are more than just a token of appreciation.
Blowing the whistle on healthcare fraud often comes with its own set of misconceptions, causing unnecessary hesitation among those who witness wrongdoing. It’s time to
In navigating the complexities of healthcare, where intricate billing systems meet the essential care for individuals, one might come across practices that don’t quite align
Genetic testing, once heralded for its promise in healthcare innovation, is now confronted with a disconcerting reality – the rise of sponsored genetic testing fraud.
Navigating the complexities of healthcare referrals is crucial for maintaining the integrity of patient care. Understanding the concept of kickbacks is an essential part of