A PRIVATE-PUBLIC PARTNERSHIP AGAINST HEALTH CARE FRAUD
Fraud, waste and abuse (FWA) in healthcare comes in all forms—from collusion to unnecessary treatment; from intentional over-coding to honest coding mistakes. As the industry continues to explore prepay interventions, discussions must be had about thoughtful approaches that use both current data and past results to conquer the many aspects of FWA. The goal is to make investigations and recoveries as efficient as possible while progressing beyond simply placing providers on prepay review. Cotiviti subject matter experts on FWA and prepay claims analysis will use recent claim scenarios and case examples to illustrate thoughtfully marrying postpay results with traditional claim-by-claim review and FWA pattern recognition.
After this session you will:
Platinum & Premier Supporting Members
National Health Care Anti-Fraud Association Headquarters
1220 L Street, NW, Suite 815 | Washington, DC 20005 | Phone: 202.659.5955 | Fax: 202.785.6764