Catching potential drug testing fraud

Because the opioid disaster continues to grip the nation, it leaves one other downside in its wake: drug testing fraud. For unhealthy actors, opioid drug testing is a chance to use a disaster for further reimbursement. Whereas few of those schemes are new, detection might be slowed by siloed knowledge. The excellent news is that data sharing and collaboration helps to catch these schemes quicker, as we discover in our on-demand webinar, Catching potential drug testing fraud: A case examine of profitable investigative strategies.

On this on-demand webinar, we’re joined by Shawn Mullen, director of SIU at MetroPlus Well being Plan, to debate a collaborative case examine of a New York laboratory supplier recognized via knowledge evaluation and its affiliation with a beforehand indicted ache administration supplier. By a joint effort, Cotiviti and MetroPlus Well being Plan used data sharing, hyperlink evaluation, peer comparability, and a medical assessment of information to establish an overpayment of greater than $1 million.

I hope you’ll view our on-demand webinar as we stroll via the best way to:

  • Leverage data sharing and conduct hyperlink evaluation to look at relationships and connections with identified unhealthy actors
  • Make the most of peer comparisons to establish outlier suppliers
  • Carry out a radical medical assessment to generate the audit findings report

Don’t miss this chance to find new methods to catch fraud earlier, bettering effectivity and financial savings.

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