Medical fraud and abuse costs both the government and insurance companies billions of dollars each year. Some fraud and abuse is unintentional, but in other cases, it’s intentional and known to be criminal. When that happens, fines and lawsuits are filed, and sometimes, someone goes to jail. Almost daily there’s a news story somewhere about […]

Just like almost all businesses large enough to have employees pay someone to audit their businesses, hospitals sometimes need to, or should have, someone come in to audit their receivables process. It can involve looking at the charge master or how charges are captured, or a host of other things. This article is specifically going […]