Targeting the Gray Zone: A Smarter FWA Strategy for Payment Integrity
Why Healthcare Payers Must Address the Space Between Errors, Fraud, Waste & Abuse When it comes to payment integrity, not all claims fall neatly into categories. Some are clear-cut cases of fraud. Others stem from mistakes—miscoded services, missing documentation, or confusing policy changes. And then there’s the “Gray Zone”—the space between errors, waste, abuse, and […]
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