How it Works: Health Insurance Fraud Investigation 

Posted by IntegrityM | | Investigations,
The U.S. government won over $5 billion in healthcare fraud cases in 2021 according to the HHS Annual Report. That’s a huge number—but it only covers the dollar amount of fraud successfully found through investigations and reporting. Combatting the billions of dollars in fraud each year is the w...
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How the Inflation Reduction Act will impact Medicare drug prices 

Posted by IntegrityM | | Medicare,
The signing of the Inflation Reduction Act in August of 2022 brought some immediate relief for Americans with Medicare prescription drug coverage and will continue to drastically impact drug prices as implementation continues.  Already in effect as of January 2023: a $35 cap per month on...
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#TechTalk: “Why the “sprint” to Agile?”

Posted by IntegrityM | | Technology & AI,
Technology doesn’t have to be complicated. IntegrityM CTO Swathi Young’s #TechTalk series is designed to provide quick, digestible explanations of the latest trends in healthcare technology and innovation so that you can stay ahead of the game before you finish your morning coffee. The Agile ...
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#TechTalk: What is Artificial Intelligence, Anyway?

Posted by IntegrityM | | Technology & AI,
Technology doesn’t have to be complicated. IntegrityM CTO Swathi Young’s #TechTalk series is designed to provide quick, digestible explanations of the latest trends in healthcare technology and innovation so that you can stay ahead of the game before you finish your morning coffee. Artificia...
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Four Schemes to be Wary of Amid Soaring COVID-19 Fraud Reports

Posted by IntegrityM | | Hot Topics,
While combating fraud, waste, and abuse is a federal initiative upheld by each state, administrators achieve this through various means. Some state OIGs report that their work is primarily focused on beneficiary fraud, while some work in both beneficiary and provider fraud.  Furthermore, st...
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IntegrityM Audit Guide Template

Posted by IntegrityM | | Company,
Author: Jennifer Tryder, RHIA, CHC, Audit Program Director, IntegrityM An audit guide is a documented step-by-step method for conducting an audit focusing on objectives and scope. An audit guide supports many functions including serving as the primary source for the audit process, assi...
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“Excellence as the Bottom Line”: How to Leverage Quality Management for Tangible Business Success (Part II of IV)

Posted by IntegrityM | | Company,
A well-known truism from philosopher Aristotle, is: “We are what we repeatedly do. Excellence is not an act, but a habit.” When running a small business, your world is governed by commitment to excellence and continuous improvement of employee engagement, customer service, operations, prog...
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