604 - Providers, Fraud, Waste, and Abuse
Various analyses continue to show that there is unnecessary overutilization, upcoding, and waste in the US healthcare system. While some unnecessary spend is related to the fragmented nature of our existing system, others can come from provider profit targets or downright fraud. Join us to better understand how various healthcare entities are targeting, tracking, and mitigating unnecessary spend through payment integrity programs to ensure accurate payments to providers and manage overall financial risk for health plans, employer groups and government programs.
Speakers:

Jeremy Hill

Thomas Edward Persichetti

Tim Stawicki
Credits:
CPD Credit: 1.50 EA Core Credit: EA Ethics Credit: EA Non-Core Credit: EA Formal Credit:-
November 12
Ethics – Everyday Decisions and Balancing Differing Objectives (100 minutes)
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November 19
Emerging Trends in Provider Actuarial Work
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December 03
Professionalism Revisited
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December 10
Hot Topics in the Pharmacy Regulatory Landscape