by Steve Nesnidal, MD, CPC, AHFI A common Fraud, Waste and Abuse (FWA) pattern detection involves monitoring for and analyzing…

A pain management practice will pay $625k from a False Claims Act violation. Similar cases give an importance to Fraud, Waste, and Abuse (FWA) protection, and the use of E/M codes would have detected an abnormality on similar claims. Read more to find out how.

by Steve Nesnidal, MD, CPC, AHFI Starting January 27, 2020, in response to the Novel Coronavirus pandemic, the Department of…

by Cindy Gallee, JD, RHIA, CHC The Office of Inspector General (OIG) Work Plan for Fiscal Year 2017 provides useful…