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...
by Blog Master | Aug 30, 2026 | MarketingBlog, Uncategorized
Thank you NAMPI 2026 and the Medicaid program integrity community for the conversations, collaboration and shared commitment to protecting critical programs....
by Blog Master | Aug 26, 2026 | MarketingBlog, Uncategorized
Prevention is getting earlier. Detection is getting smarter. Investigation still determines what’s real. As #NAMPI2026 comes to a close in Portland, one thing is clear: Medicaid program integrity is continuing to move upstream. Prepayment review. Connected data....
by Blog Master | Aug 25, 2026 | MarketingBlog, Uncategorized
Earlier detection is changing Medicaid program integrity. But detection is not the finish line. One theme coming through clearly at #NAMPI2026 is the industry’s continued move upstream. -> Prepayment review -> Advanced analytics -> AI-informed detection ->...
