Adult day care programs provide vital care for seniors and other vulnerable adults, offering them both physical and mental stimulation while also providing respite for their caregivers. So, when Cotiviti’s fraud, waste, and abuse (FWA) team noticed several red flags in one clinic’s claims for these services, we initiated an investigation—ultimately leading to the discovery of an overpayment of approximately $1 million.
In this third installment of our Cotiviti FWA Insights blog series, our special investigations unit (SIU) will walk through a recent case of inappropriate billing for these adult day care services.
