Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024

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  • Опубликовано: 18 сен 2024
  • The world of fraud, waste, and abuse (FWA) requires continuous education on new trends and thorough preparation in your investigative plans. In this final installment of the Cotiviti Program Integrity Pulse webinar series for 2023, as our experts explore potential FWA trends anticipated for 2024.
    We'll dive deep into how payers can fine-tune their investigative strategies by examining recent utilization trends and understanding the impact of changes in CPT codes on FWA. We’ll also share insights from our FWA Services team, highlighting how they assisted clients in developing and executing effective work plans throughout 2023. Plus, we'll provide a glimpse of what we're preparing for in the coming year.
    In this webinar you will learn about:
    -Investigative work planning in preparation for 2024 changes
    -The 2024 CPT code updates that may increase the potential for fraud, waste, and abuse
    -Potential fraud, waste, and abuse trends based on Cotiviti analysis of utilization and SIU service spikes
    00:00 Introduction
    01:36 Why should you have a work plan?
    03:02 What to include in your work plan
    09:25 2024 CPT code changes
    18:55 Ozempic and semaglutide
    28:28 COVID-19 testing
    32:53 Home Infusion Therapy (HIT)
    42:50 Key takeaways

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