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MCOL Blog | Fraud, Waste & Abuse Continuum in Healthcare

By Claire Thayer, December 6 , 2013

This week, Verisk Health posted a blog that identifies these three specific opportunities to help control costs and eliminate fraud, waste and abuse in healthcare:

  1. Tracking Durable Medical Equipment (DME)
  2. Assessing Lab National Coverage Determinations
  3. Improving Payment Accuracy on Modifiers 59 and 25

There's an interesting supportive infographic on the Verisk Health site that shows fraud, waste and abuse existing on a continuum and the level of intent a provider has to deceive – here’s a screen shot identifying the behaviors within the FWA continuum:

More details on these payment accuracy solutions are here.

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