Insurance Providers
Upcoding, a Common Medical Fraud Exposed
Upcoding is a fraudulent medical billing practice that takes various forms, but typically involves inflating the complexity or severity of a patient's condition.
Top 5 Ways Smaller Health Plans Can Realize Big Savings
In today’s increasingly complex healthcare landscape, small- to medium-sized health plans may lack the scope and depth of clinical resources to fully establish a proven payment integrity solution.