1/3/2025 - 1 min read
We have developed two new reason codes that flag providers who appear on government watchlists and are excluded from participation in government-sponsored programs such as Medicare and Medicaid. Medicaid and Medicare fraud result in nearly $100 billion in losses annually. This potentially includes activities such as billing for unprovided services and…
12/3/2024 - 2 min read
We have implemented several updates to the landing page, modernizing its overall design and functionality. These enhancements include new KPIs, links to intelligence liveboards, and metrics at various levels of granularity, designed to fit varying needs, all aimed at equipping investigators with the tools needed to effectively address provider fraud, waste and…