Things You May Not Know About Fraud, Waste, and Abuse

The National Health Care Anti-Fraud Association estimates that healthcare fraud costs the nation about $68 billion annually. That's about 3 percent of the nation's $2.26 trillion in healthcare spending. However, many believe that this amount is actually closer to $900…
June 1, 2020

The Problems Associated with Modifier 25

FWA issues associated with modifier 25 are not new, Use of Modifier 25 guidance was published by the Office of the Inspector General (OIG) in 2005. ( The report concluded of the roughly $2 billion allowed for evaluation and management…
February 28, 2020
FraudHealthcare ClaimsWaste & Abuse

Managing Telehealth Claims

Telemedicine has significantly grown over recent years, primarily due to evolving technology and consumer demand. It’s anticipated that by 2025, the telemedicine market will have grown to $113.1 billion. In 2018, around 7 million patients in the U.S. accessed telemedicine…
April 5, 2019