by Blog Master | Sep 10, 2026 | MarketingBlog, Uncategorized
AI and analytics are transforming healthcare investigations. But one question still matters: Who picks up the case after the system finds something? For some organizations, field investigation is outsourced only when a case reaches a certain threshold. That model can...
by Blog Master | Sep 4, 2026 | MarketingBlog, Uncategorized
Some healthcare fraud can’t be fully investigated from behind a computer. Home health is a perfect example. Federal enforcement continues to focus heavily on this sector. On August 4, DOJ announced charges against 19 defendants in Medicaid home health aide...
by Blog Master | Sep 2, 2026 | MarketingBlog, Uncategorized
A provider identifier can be valid. The person using it may not be. DOJ recently announced charges in a Kentucky Medicaid case that illustrates why provider identity deserves attention as a program-integrity issue. According to the August 27 indictment, a medical...
by Blog Master | Sep 1, 2026 | MarketingBlog, Uncategorized
The most expensive fraud investigation may be the one that starts after the money is already gone. Healthcare program integrity has traditionally relied heavily on a familiar model: Pay → Detect → Investigate → Recover But regulators are increasingly emphasizing...
by Blog Master | Aug 31, 2026 | MarketingBlog, Uncategorized
“Our SIU has a full staff of investigators.” But what does “investigator” actually mean? In healthcare SIU work, that distinction matters. Many organizations use the term broadly — sometimes referring to analysts, researchers, or desk-based investigators who work...
