While fraud, waste, and abuse (FWA) schemes in healthcare continuously evolve, sometimes they are just twists on the same old billing tricks, recycled time and again as bad actors attempt to inappropriately gain greater reimbursement from public and private payers. In our new blog series, Cotiviti FWA Insights, we’re partnering with our special investigative unit (SIU) to look at some of our latest investigations, break down what we uncovered, and offer practical strategies and techniques for health plans to catch and even prevent similar schemes.
In our first installment, let’s examine a recent case involving a chiropractor billing for durable medical equipment (DME).
