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Kinetik CEO Sufian Chowdhury on Fighting NEMT Fraud & Waste

HIT Consultant

However, this essential service operates within a highly fragmented landscape, often relying on antiquated technology or manual processes, making it susceptible to significant fraud, waste, and abuse a long-standing challenge nationwide. Can you elaborate on the common types of fraud and abuse that occur within the current NEMT system?

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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied claims or repayment demands due to system complexity.

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Fraud Indicators and Red Flags

AIHC

When Audit Managers Knowingly Skew Audit Results Written by Carl J Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCTCM/PCS, OHCC and CPT/03 USAR FA (Ret) Fraud cannot be eliminated. No system is completely fraud-proof, as any system can be bypassed or manipulated. Tons of information can be found on the Internet, books, articles, etc.

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Zocdoc swings back at ousted CEO's fraud allegations

Mobi Health News

The online appointment booking service called for a dismissal and re-filing of the former CEO's lawsuit, and outlined a financial rebound since his dismissal in a new blog post.

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The Future of Patient Experience: How Healthcare Providers Can Lead in 2025

HIT Consultant

The goal should not be personalization in the traditional sense but rather optimizing digital interactions so patients can easily book appointments, follow up on treatments, and access relevant resources with minimal effort. Simplifying Digital Journeys Healthcare providers must prioritize ease of use across all patient interactions.

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Court Confirms Value in Obtaining Advisory Opinion from OIG

Hall Render

In the relevant Advisory Opinions, OIG concluded that, while the fee structure implicated the AKS, it would present a low risk of fraud and abuse, and therefore OIG issued favorable Advisory Opinions. Much of Relators Complaint was based upon an argument that the booking fee was not fair market value.

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Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report

Provider Trust

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). Book a Demo This year’s report also shows greater participation from managed care organizations (MCOs) as a key trend.

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