The NHCAA estimates that financial losses due to health care fraud are in the tens of billions of dollars each year. A conservative estimate is 3% of total health care expenditures, while some government agencies place the loss as high as 10% of our annual health outlay, which could mean more than $300 billion. The NHCAA Annual Training Conference is recognized as the single-most important health care anti-fraud event, spotlighting trends and emerging schemes. MedReview will be a Platinum Sponsor at this year’s in-person event, and our team looks forward to seeing you there!
- Spencer Young, MD, Chief Executive Officer
- Ted Pitynski, V.P. Growth & Strategy
- Lorenzo Jackson, Sales Account Director
Premium Prize Drawing
Be sure to stop by booth #325 to enter a drawing for the chance to win a bottle of Pappy Van Winkle!
Wednesday, November 16
Presentation – DRGs: Historical Review, Current Upcoding, and Future Technology Advancements
1:45 PM – 2:45 PM EST
Presenters: Spencer Young, CEO, MedReview Inc., Michael Menen, MD, CMO, MedReview Inc.
Bourbon Tasting – Booth #325
Starts at 4:30 PM EST at the Reception in the Anti-Fraud Expo Hall
Thursday, November 17
Fraudside Chat: Bullet Proof Your DRG Clinical Validation
12:50 PM – 1:10 PM EST
Stop Fraudulent Billing and Start Saving More with MedReview
The federal government won or negotiated more than $5 billion in healthcare fraud judgements and settlements in its 2021 fiscal year, the largest amount ever in the 25-year history of the HHS and Department of Justice’s fraud and abuse enforcement program.
MedReview has been working with payors to identify billing inaccuracies and ensure claims fairly represent the care provided for nearly 50 years. Backed by advanced technology and extensive clinical expertise, MedReview is unique among payment integrity vendors. While most offer DRG reviews, MedReview goes much further by conducting clinical validation.
Every claim we reassign is reviewed and approved by a board-certified physician, which is why 95% or more of our reassignments are upheld at appeal. Stop paying too much for healthcare with physician-approved payment integrity from MedReview.
- DRG Coding Reviews
- DRG Clinical Validation
- HBA Cost Outlier/Charge Audits
- Itemized Bill Reviews
- High Dollar Claim Audits
- Short Stay Claim Audits
- Short Stay Claim Reviews
- Place of Service Reviews
- Outpatient Facility Claims
Contact Ted Pitynski at firstname.lastname@example.org. To schedule a meeting with the MedReview team at NHCAA booth #325, click below.