SIU Survival Guide
Surviving in the world of FWA is somewhat like surviving in the wild. Without some essential elements, your shot at success decreases. Don’t go on the journey alone. Download Integrity Advantage’s SIU Survival Guide and read about ten critical elements that you can implement to set up your FWA program for success. In it, we share tips and lessons learned from many years of hands-on experience working with payers of various sizes and different lines of business. Take our guide with you on your journey and reimagine the value of your FWA Program!
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How to Measure an Organizational Risk Goal
When holding your FWA team accountable for identifying enterprise risks, setting the goal is only the first step. Many leaders struggle with step 2 - which is "how" do we measure this? In this video, Jala talks about the key components to include when considering the goal of risk identification.
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Inviting the Conversation: What to Keep In Mind
When we say "invite the conversation" there are some things that you should keep in mind and prepare to share about the FWA Program and how it contributes to the organization. Do you know what those are? In this video, Jess let's you in on a few things that you should be ready for when you invite the conversations.
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Introduce Your FWA Team to the Organization by Inviting the Conversation
Many FWA leaders wonder how to get their company to reimagine the value of their team. This video provides some quick tips on ways to make your organization aware of the value found on your FWA team. It could be as simple as inviting the conversation and questions!
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Top 5 Goals Every Fraud Waste and Abuse Team Should Have
Read our goal setting guide to learn 5 key goals your FWA program should have, how to set them up for your team and tips for measuring them throughout the year. We describe individual and team goals, provide examples of each and share ideas about how to best implement them for the success of your program.
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What does "Reimagine the Value of Your FWA Program" mean?
Does your organization fully realize the value of the FWA program or SIU team? Many organizations do not leverage the wealth of knowledge and skill that is housed within your FWA team to make improvements across the organization. There are a number of business units within a payer that can benefit from what is learned from investigating healthcare FWA.
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FWA Committee
There are a number of best practices across the healthcare payer space that improve overall collaboration of fraud, waste and abuse efforts. In this video, Jess shares one of those best practices and some things to think about when deciding whether to implement this at your organization.
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SIU Outsourcing - Friend or Foe? 4 Outsourcing Myths Debunked
SIU Outsourcing has a ton of flexibility and can help the SIU unlock tremendous efficiency.. However, some perceive it as a threat. Read our article to understand the 4 most common myths of SIU outsourcing and how dispelling these myths can greatly benefit your organization.
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COVID related fraud, waste and abuse claims are going to impact your health plan.
What should you do if you haven't prepared for COVID's impact to your claims related to fraud, waste and abuse (FWA)? Jala Attia takes us through three things that your health plan can do to minimize the impact of the pandemic related FWA on health payers claims.
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3 Key Criteria to Consider When Navigating the Maze of Fraud Detection Options
When health plans are looking for new technology capabilities to fight fraud, waste and abuse, specialized consulting can be a great help. This article outlines three key criteria to consider when navigating the maze of fraud detection options.
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