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Case Management

How to Spot Provider Schemes?

Provider schemes start small—an oddly inflated bill, a flurry of unnecessary diagnostics, or a durable medical equipment (DME) rental that seems to outlast the injury itself. For claims professionals and nurse case managers, these signs aren’t just red flags—they’re potential gateways into deeper, systemic provider abuse. In many cases,… Read More

May. 14, 2025 6 min. read