by Blog Master | Jun 23, 2025 | MarketingBlog, Uncategorized
Here’s a case that hits on some longstanding areas of healthcare fraud, waste, and abuse (Durable Medical Equipment) and some newer ones (telehealth). This case also includes the anti-kickback law which is a federal law that prohibits individuals and organizations...
by Blog Master | Jun 3, 2025 | MarketingBlog, Uncategorized
The OIG has released its 2025 Semiannual report to Congress. In it they focus on the following 5 areas with management challenges: Public Health Financial Integrity Medicare and Medicaid Beneficiary Safety Data & Technology Security If you are a health plan who...
by Blog Master | May 28, 2025 | MarketingBlog, Uncategorized
What is the cost of fraud? This month a rheumatologist from Texas was accused of falsely diagnosing patients with chronic diseases to defraud the payers with false claims totaling $118 million he also administered unnecessary treatments that had potential harmful and...
by Blog Master | May 22, 2025 | MarketingBlog, Uncategorized
CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits | CMS “We are committed to crushing fraud, waste and abuse across all federal healthcare programs.” – Dr. Mehmet Oz, CMS Administrator. CMS just announced a huge expansion of...
by Blog Master | Apr 30, 2025 | MarketingBlog, Uncategorized
Recently we had a conversation that was centered around why some providers perform better in value-based contracts than others. In my opinion, there are three elements that ensure success: education, support and EMRs. 1. Education, education, education. There are...
by Blog Master | Apr 14, 2025 | Uncategorized
https://library.vbcexhibithall.com/recorded-webinar-risk-adjustment-revenue-integritythen-what/Â
by Blog Master | Mar 25, 2025 | MarketingBlog, Uncategorized
In its most recent report to Congress, MedPac projects that payments to Medicare Advantage in 2025 will be about 20% more traditional Medicare. This report along with the recent confirmation hearing of Dr. Oz has brough renewed attention to the No Upcoding Act which...
by Blog Master | Mar 20, 2025 | MarketingBlog, Uncategorized
We can be assured that the increased scrutiny on Medicare Advantage will continue. During the first day of his confirmation hearings before Senate Finance Committee on Friday Dr. Oz called out the practice of over coding in Medicare Advantage to gain additional...
by Blog Master | Mar 20, 2025 | MarketingBlog, Uncategorized
I had the privilege of attending RISE National this week. As usual, it did not disappoint. Here is a summary: The landscape of Medicare Advantage has changed significantly and the need for increased oversight and strong compliance were discussed throughout the entire...
by Blog Master | Mar 6, 2025 | MarketingBlog, Uncategorized
The growing trend towards value-based care leads to increased opportunities for Fraud, Waste, and Abuse. Our healthcare landscape continues to rapidly shift from fee-for-service to value-based care (VBC). The Center for Medicare and Medicaid Innovation wants to...
by Blog Master | Jan 3, 2025 | MarketingBlog, Uncategorized
For more than 60 years, Nationwide and The Nationwide Foundation have proudly partnered with Nationwide Children’s Hospital to raise millions in support of its critical mission of providing care for every child, regardless of the family’s ability to pay. ...
by Blog Master | Dec 2, 2024 | Uncategorized
From Our CoventBridge Group Family to Yours!
by Blog Master | Nov 2, 2024 | Uncategorized
RECORDED WEBINAR: A Payer’s Pathway to an Integrated Fraud, Waste, and Abuse Program | VBCExhibitHall Library
by Blog Master | Oct 2, 2024 | MarketingBlog, Uncategorized
Testing Laboratory Co-owner Sentenced for $3.8 Million in Fraudulent Billing “ST. LOUIS – U.S. District Judge Sarah E. Pitlyk on Tuesday sentenced a former St. Louis County health care company owner to 20 months in prison and fined him $100,000 for submitting...
by Blog Master | Sep 25, 2024 | MarketingBlog, Uncategorized
Check out our Surveillance Snapshot! https://coventbridge.com/wp-content/uploads/2024/06/Surveillance-Snapshot-Q2-Ripl_Video-a71993c3-1405-48f9-89e7-fce82715fd2d-1.mp4...
by Blog Master | Jun 13, 2024 | MarketingBlog, Uncategorized
The FIFEC – Florida Insurance Fraud Education Committee Annual Conference is just around the corner! Join Kimberly Talley, Megan Kutner, and many others from our CoventBridge Team in Orlando from June 26-28 #FIFEC2024...
by Blog Master | Jun 12, 2024 | MarketingBlog, Uncategorized
Chicago-area man charged in $60 million scheme that ordered COVID-19 test kits for dead people. https://news.yahoo.com/news/chicago-area-man-charged-60-202200302.html
by Blog Master | Jun 12, 2024 | MarketingBlog, Uncategorized
This month and every month, we want to honor & say thank you to our LGBTQ+ employees & community for everything you do to be equitable & spread respect throughout our organization. Happy #pridemonth to all! CoventBridge Group prides itself on fostering a...
by Blog Master | Jun 11, 2024 | MarketingBlog, Uncategorized
THE 2024Â RIMS (Risk and Insurance Management Society, Inc.)Â Conference is just around the corner! With more than 10,000 attendees and over 300 speakers, #RiskWorld is the largest risk and insurance event of the year. #RiskWorld #RiskWorld2024 #RIMS2024 #riskmanagement...
by Blog Master | Jun 10, 2024 | MarketingBlog, Uncategorized
Check out our Surveillance Snapshot!...
by Blog Master | Jun 3, 2024 | MarketingBlog, Uncategorized
Afternoon Briefing: Man charged in scheme to bill $6.2M to Medicare in a month – Chicago Tribune (reshare). Afternoon Briefing: Man charged in scheme to bill $6.2M to Medicare in a month ...
by Blog Master | May 15, 2024 | MarketingBlog, Uncategorized
Today The Healthcare Innovation Company (thINc) will host the thINc360 conference where our very own, Raymond Evans, will present on the most efficient ways to identify, investigate and recover FWA. #thinc360 #FWA #PaymentIntegrity #fraud #fraudmanagement...
by Blog Master | May 1, 2024 | MarketingBlog, Uncategorized
Eastern District of Kentucky | Lexington Doctor Sentenced for Kickback Conspiracy | United States Department of Justice https://www.justice.gov/usao-edky/pr/lexington-doctor-sentenced-kickback-conspiracy
by Blog Master | May 1, 2024 | MarketingBlog, Uncategorized
Join our VP of Healthcare Sales, Raymond Evans, today at The RISE Risk Adjustment Forum in New Orleans! Stop by our booth to catch up on all the trends in Fraud, Waste and Abuse solutions. #fwa #fraudwasteandabuse #riskadjustment #RISE...
by Blog Master | Apr 1, 2024 | MarketingBlog, Uncategorized
We’re less than a week away from The Health Care Compliance Association (HCCA) Annual Compliance Institute! Do you have the best partner to assist you in combating FWA? Connect with Raymond Evans, VP of Healthcare Sales, and Chandra Kuti, VP of Government Solutions...
by Blog Master | Mar 8, 2024 | MarketingBlog, Uncategorized
Happy International Women’s Day! Today we celebrate the courage of women everywhere. #CoventBridgeCares #EmbraceEquity...
by Blog Master | Mar 1, 2024 | MarketingBlog, Uncategorized
We are less than a month away from #RISENational2024 in Nashville! Visit our CEO, Doug Merriman, our VP of Healthcare Sales, Raymond Evans, CFM, and our VP of Government Solutions, Chandra Kuti, PMP, MBA, SHRM-CP, to catch up on all the new trends in Fraud, Waste and...
by Blog Master | Feb 9, 2024 | MarketingBlog, Uncategorized
We’re less than a month away from The 2024 Insurance Fraud Management (IFM) Conference! Every year we look forward to the terrific education, industry updates, and quality time with customers! Connect with Kevin Lewis, CIFI, SCLA, Amy S. Hollis, Michael Scarlett Jr.,...
by Blog Master | Jan 25, 2024 | MarketingBlog, Uncategorized
Do you have the best partner to assist you in combating FWA? Join CoventBridge Group at the Healthcare Payment & Revenue Integrity Series Congress (HPRI) South 2024. Where Raymond Evans, VP of Healthcare Sales, and Chandra Kuti, VP of Government Solutions...
by Blog Master | Jan 18, 2024 | MarketingBlog, Uncategorized
We are only a few weeks away from the 15th Annual Medicaid Innovations Forum in St. Petersburg Florida! Visit our, VP of Healthcare Sales, Raymond Evans, to catch up on all the new trends in Fraud, Waste and Abuse solutions. We look forward to seeing you Feb 5 &...
by Blog Master | Jan 18, 2024 | MarketingBlog, Uncategorized
Check out our Surveillance Snapshot!...
by Blog Master | Jan 17, 2024 | MarketingBlog, Uncategorized
Visit CoventBridge Group’s Healthcare Fraud Solutions team at the 7th Annual Medicare Advantage Leadership Innovations Conference, scheduled for January 30-31, 2024, in Scottsdale, Arizona. Discuss all the new trends in Fraud, Waste and Abuse solutions...
by Blog Master | Jan 15, 2024 | MarketingBlog, Uncategorized
On #MLKDay2024 let’s not only celebrate his legacy, but continue pursuing our learnings in honor of it. “The time is always right to do what is right” – Martin Luther King...
by Blog Master | Dec 1, 2023 | CoventBridgeCares, MarketingBlog, Uncategorized
Last but not least – we close out the year with The Coalition Against Insurance Fraud Annual Meeting! Be sure to visit with our CEO, Doug Merriman....
by Blog Master | Nov 9, 2023 | CoventBridgeCares, MarketingBlog, Uncategorized
Happy Veterans Day!
