Catching Potential Drug Testing Fraud: A Case Study of Successful Investigative Techniques
Sponsored by: Cotiviti (registration to this event is strictly limited by the sponsor)
Specialty drugs are in a complex area of claims processing. Almost half of specialty drug claims occur under a plan’s medical benefit rather than the pharmacy benefit. They’re also typically drugs that are administered by the provider—often intravenously—and are used for treating chronic and complex diseases. And they can be notoriously expensive.
This complexity and expense make specialty drug claims especially prone to inaccurate billing, or worse, fraud and abuse. While many plans use prior authorization to handle these claims, relying solely on this process can result in limited details that can leave plans open to inappropriate claims.
Join our Cotiviti experts as we walk through solving the complex challenges of specialty drug claims in our webinar, Beyond prior authorization: Ensuring accuracy of specialty drug claims.
In this webinar, our specialty claim experts will discuss:
- The latest trends in specialty drug spending
- Common areas of claim errors, waste, abuse, and fraud
- Concepts to improve claim accuracy and reduce patterns of fraud and abuse
Please note: Please note: This event is sponsored by Cotiviti, an NHCAA Platinum Supporting Member. Registration is limited and determined by Cotiviti, and NHCAA cannot circumvent or alter Cotiviti’s registration policies. Registration from personal email addresses and some organizations are not permitted. Please accept our apologies if you are unable to register for this particular event, however, NHCAA does offer other educational programs. Please click here to view upcoming educational opportunities.
Presenters
Jonathan Starr, PharmD
Senior Consultant, Cotiviti
Matthew Herbein
Director, Audit Operations, Cotiviti
