IntegrityM Blog

What is Contact Tracing? Contact Tracing is not new.  It has been used to control infectious disease for decades. Contact Tracing is one of the oldest public health tactics and has been used with smallpox, Ebola, tuberculosis, and AIDS. So what exactly is contact tracing? It is the proce...

Did you know that nurses don’t just defend public health through direct patient care – they’re also crucial team members on the front lines fighting fraud, waste and abuse? Their knowledge represents an irreplaceable asset in any solid medical review team. Medical review is the clinical revi...

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 critical warning signs: Unusual referral patterns between providers/suppliers Frequent turn...

Artificial Intelligence (AI) applications are at our fingertips every day – think Siri, Alexa, Netflix recommendations, and spam filters. Most AI algorithms use large quantities of data to learn about human behavior (called machine learning). Machine learning is increasingly used in decision mak...

IntegrityM is a wholehearted supporter of the current public effort to minimize the spread of COVID-19 through social distancing and self-isolation. We know that while these practices are good for public health - they aren't always easy. Fortunately, the online world is stepping up to help u...

One good way to measure the effectiveness and efficiency of a Special Investigative Unit (SIU) is to determine its return on investment (ROI). While some companies may conduct routine evaluations of their SIUs, one area that is hidden and thus difficult to measure is the existence of wasted inv...

Working remotely allows people a certain amount of autonomy, but being less engaged with the day-to-day routines and culture of the office can reduce an employee’s productivity and sense of belonging. How do you know what’s too much or too little? It’s important to keep your remote team members ...

A well-written healthcare fraud investigative report can help to identify and prevent improper payments – having a significant impact on individuals and organizations, including federal and state government agencies. The regulations and requirements that govern the healthcare industry are co...

When accidents or weather delays cause traffic to stall for miles, it’s easy to understand the appeal of working remotely. According to FlexJobs, more than 3.9 million Americans reported working from home occasionally or full-time in 2018, with healthcare among the top industries for telecommuti...

According to the National Eye Institute, by 2050, the estimated number of people with age-related macular degeneration (AMD) in the United States is expected to more than double from 2.07 million to 5.44 million. With the influx of patients expected and healthcare expenditures nearing 18% of the ...