Books Fraud Medicaid 
HIT Consultant
MAY 6, 2025
Sufian Chowdhury, Co-Founder and CEO of Kinetik Non-Emergency Medical Transportation (NEMT) provides a critical lifeline for millions of Medicaid recipients across the United States, ensuring access to vital medical care. The NEMT current system often results in fraud and abuse with drivers taking a route that adds extra time or mileage.
AIHC
FEBRUARY 17, 2025
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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Provider Trust
APRIL 30, 2024
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). for every $1 spent How ProviderTrust Can Help With nearly 80 million individuals covered by Medicaid, every data point counts.
HIT Consultant
MAY 2, 2023
Modern NEMT solutions streamline the ride booking and scheduling process, introduce new modalities, improve the overall experience for patients, and decrease fraud, waste and abuse (FWA). As Medicare Advantage and Medicaid plans continue to grow, NEMT partners will play an increasingly important role in scaling transportation benefits.
Healthcare IT Today
DECEMBER 30, 2024
The challenge is that access to quality care isn’t always easy to come by, with appointments often booked out for months. This API-first approach will be driven by health plans needing to perform with Medicare Advantage and managed Medicaid. Government-funded capitation has to ensure care is adequate.
Provider Trust
JANUARY 18, 2023
In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.
Healthcare IT Today
MARCH 26, 2023
Researchers detected behavior consistent with fraud and abuse by identifying excess expenditures in hospitalization claims from 2017 and validated their methods based on Department of Justice data. Partnerships Castle Connolly Top Doctors has integrated ZocDoc ‘s appointment booking features into select doctors’ profiles.
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