Expert Snippets

Understanding the context of “Suspect Payments” 

In Medicare Advantage, payment practices work best when they are clear, consistent, and aligned wi...

Medicare loses an estimated $60 billion annually to fraud, waste, and abuse (FWA), a serious drain on critical health resources that directly affects the care and well-being of millions of beneficiaries. These losses not o...

We offer solutions as a trusted & reliable program integrity partner.

With 30+ years of proven expertise, we deliver successful results for government agencies like ...

News on an addiction treatment facility operator caught paying $2.9M in k...

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 th...