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Fraud Artificial Intelligence Fraud Abuse and Waste

Fraud is the making of false representations or engaging in deceptive behavior in order to unlawfully secure financial or personal gain. 
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New Changes to Medicare and Private Prior Authorization Processes

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Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to their prior authorization processes. These changes aim to reduce the prevalence...more

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