2021 Key Algorithms for Payment Integrity

Every year, our program integrity experts collate key fraud-fighting algorithms that can help strengthen your program, protect public resources throughout the past year of the COVID-19 pandemic and support valuable discoveries along the way. The session features algorithms for schemes such as:

DME 'Mummy' scheme
Unmatched COVID-19 specimen collection
Definitive drug test upcoding
Billing for Extractions on Deciduous (Baby) Teeth

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2021 Key Algorithms for Payment Integrity

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