by Blog Master | Sep 17, 2026 | MarketingBlog, Uncategorized
Great conversations. Strong connections. Important work ahead. Thank you to the Ohio Association of Health Plans and everyone who joined us in Columbus for the 2026 OAHP Annual Convention & Trade Show! Identify. Investigate. Protect. #OAHP #OAHP2026 #HealthPlans...
by Blog Master | Sep 15, 2026 | MarketingBlog, Uncategorized
Our CoventBridge Combination is Where Stronger Program Integrity Begins! #ProgramIntegrity #HealthcareAI #FraudAnalytics #SchemeDetection #Medicare #SIU #FraudInvestigations #HealthcareFraud #PaymentIntegrity #RevenueIntegrity #FWA #FraudWasteAndAbuse #Investigations...
by Blog Master | Sep 14, 2026 | MarketingBlog, Uncategorized
Healthcare fraud is becoming harder to detect through isolated claims alone. CMS recently announced that its enforcement actions stopped more than $1.6 billion in potentially improper Medicare laboratory payments, including $732 million tied to the revocation of 157...
by Blog Master | Sep 11, 2026 | MarketingBlog, Uncategorized
Payment integrity is moving upstream. Our thinking has to move with it. As HPRI wraps up in Chicago, one theme stands out: stronger payment integrity increasingly means identifying risk earlier, connecting the right data, and acting before issues become more costly....
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...
