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It has long been estimated that one in six medical claims contains errors, and the COVID-19 pandemic has added new wrinkles to the problem.

Whether it is deliberate or accidental, it is hard to deny that fraud, waste, and abuse (FWA) are running rampant in health care claims and contributing to the rising cost of health care. FWA brings real consequences to corporate benefits managers who have a responsibility to their stakeholders, including both corporate employers and their employees who demand continued quality of care options while trying to keep down costs, prevent sharp increases in rates and other out-of-pocket expenses.

Related: Report: Overbilling and upcoding by hospitals cost Medicare $1 billion

 

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