A leading college of dentistry required an investigation into potentially inappropriate billing practices. Our expert reviewed billing practices for dental services and calculated the exposure to payers for those situations where the medical records did not support the level of services billed. The college used our professional’s work to voluntarily self-disclose to applicable payers with the confidence that their exposure had been defensibly quantified.
Compliance solutions for pandemic-related fraud risks
When the COVID-19 pandemic struck the US in March 2020, office environments, supply chains and traditional ways of doing business evaporated in mere weeks....