The booming demand for GLP-1 receptor agonists such as Ozempic, Wegovy, and Mounjaro, used for weight loss and Type 2 diabetes, has sparked a surge in fraudulent activity across Medicare,…
Insights Hub
Highlighting Public Tools That Advance Medicaid Transparency and Oversight
Let’s talk about…the power of public data tools. Public data dashboards are vital tools for strengthening accountability in healthcare programs. In Medicare and Medicaid, they equip beneficiaries, agencies, and policymakers…
What Is Statistical Extrapolation and Why Does It Matter?
Extrapolation is a statistical method used to estimate values for an entire population based on a smaller, randomly selected sample. In healthcare audits, this technique allows auditors to review a…
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We offer solutions as a trusted & reliable program integrity partner. With 30+ years of proven expertise, we deliver successful results for government agencies like CMS and the commercial sector….
Combating Fraud with Data Analytics: The Fight for Healthcare Fraud Continues
News on an addiction treatment facility operator caught paying $2.9M in kickbacks underscores the urgent need for robust fraud prevention. The fight for healthcare integrity continues at IntegrityM. Here, we unlock the…
“Outsized Returns” in Combating Healthcare Fraud!
Last week, the U.S. Department of Justice presented several cases highlighting how “the department’s investment in data analytics produces outsized returns” in its fight against healthcare fraud. Learn more about the…
Signs of Fraud in Payment Arrangements!
Fraud in Medicare Advantage often operates under the radar, but relationships or subtle patterns can reveal its presence. To uphold program integrity, look beyond obvious data anomalies and consider these…
