Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Medicaid Fraud

Detecting and Preventing Healthcare Fraud and Abuse: A Comprehensive Guide

July 5, 2023 / admin / Articles, Healthcare, Healthcare Abuse, Healthcare Fraud, Medicaid, Medicaid Fraud, Medical, Medicare, Medicare Fraud
hcc-coding-white-male-doctor-at-laptop-medical-billing

At Medwave, we are dedicated to providing valuable insights and guidance on detecting and preventing healthcare fraud and abuse. We will equip you with the knowledge and tools necessary to safeguard your organization and patients from these malicious activities. By implementing the strategies outlined below, you can enhance the integrity of your healthcare services and […]

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fraud, healthcare, Healthcare Abuse, Healthcare Fraud, medicaid, medicaid fraud, Medical, Medical Fraud, medicare, medicare fraud, Phantom billing

Medicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry

February 2, 2023 / admin / Articles, Billing, Billing Services Not Rendered, Claim Billing, False Certification, Fraud, Healthcare, Healthcare Billing, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing, Medical Claims, Medicare, Medicare Fraud, Phantom Billing, Prescription drug fraud, Supply Fraud, Unlawful Self-Referral, Upcoding, Whistleblower Protection Act
Medicare Fraud

Medicare and Medicaid Fraud is a Massive Healthcare Industry Problem Medicare and Medicaid Fraud Vulnerability The Medicare and Medicaid programs provide crucial support to millions of Americans, offering access to healthcare services for those who may not otherwise be able to afford it. Unfortunately, these programs are also vulnerable to fraud, with criminals exploiting the […]

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Billing for services not rendered, billing fraud, False certification, fraud, Kickbacks, medicaid, medicaid fraud, medical billing fraud, medicare, medicare fraud, Phantom billing, Prescription drug fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection Act

Common Examples of Medicare, Medicaid Fraud

May 8, 2021 / admin / Articles, False Claims Act, Fraud, Medicaid, Medicaid Fraud, Medicaid Fraud Examples, Medicare, Medicare Fraud, Medicare Fraud Examples, Phantom Billing, Unbundling, Upcoding
Medicare Fraud

Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It A medical doctor invoiced his patient’s Medicare insurance for both the services he actually delivered and for services that were not delivered. He fabricated his patient’s medical records to indicate office visits and treatments that never took place. A gerontologist obtained the outcomes […]

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billing fraud, false claims act, fraud, medicaid, medicaid billing, medicaid fraud, Medicaid Fraud Examples, medical billing fraud, medicare, medicare billing, medicare fraud, Medicare Fraud Examples, Upcoding

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Practices Served

  • Behavioral Health
  • DME
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • American Independence; Healthcare Business Freedom

    Healthcare Provider Freedom: Declaring Independence from Administrative Tyranny

  • Healthcare Provider Data Management

    What is Healthcare Provider Data Management?

  • Credentialing Needed Female Medical Doctor

    Medicare Modifiers: a Complete Guide

  • White Male Medical Doctor Holding Stethoscope

    Competency-Based Credentialing in Healthcare

  • White Male Medical Doctor Needs Credentialing

    The Worst Credentialing Problems and How to Solve Them

  • Asian Male Doctor in Need of Credentialing

    What are the Main Types of Medical Credentials?

  • California Medical Billing, Credentialing

    Managing California’s Medical Billing and Credentialing Needs

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