How to Write an Effective Healthcare Fraud Investigative Report

Posted by IntegrityM | | Integrity, Medical Claim Review

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 complicated, creating a long and technical process for investigating potential fraud, waste, and abuse. Investigative reports…

Healthcare Secret Shopping: An Effective Tool for Detecting Fraud and Abuse

Posted by IntegrityM | | Audit, Government Evaluation, Integrity, Medicare

The Government Accountability Office (GAO) made headlines recently when sharing news that 11 of 12 fictitious applicants obtained coverage for health insurance through the Federal marketplace. GAO targeted the Federal marketplace with secret shopping – constructing fictitious applicants who should not have received health insurance. The secret shopping applicants provided invalid Social Security information or…

Copyright © 2019 Integrity Management Services, Inc. All Rights Reserved.

GLȲD(Σ)TM and the GLȲD(Σ)TM Logo are registered trademarks of Integrity Management Services, Inc. in the United States and other countries.

Privacy Policy | Sitemap