Constellation Quality Health
  • Who We Are
    • About Us
    • Careers
  • Expertise
    • Behavioral Health
    • External Quality Review
    • Fraud, Waste, and Abuse
    • Outpatient Specialized Therapies
    • Chronic Disease
    • Post-Acute Care
    • QIN-QIO
    • Workforce Development
  • Solutions
    • Vega
    • Constellation Regional Collaborative
    • Project ECHO
    • Constellation Community Care Hub
  • Consulting
    • Post-Acute Care
  • Center of Innovation
  • Foundation
  • News & Resources
    • News & Blog
    • Physician Awards
  • Contact Us
Select Page
Using AI to Close the Provider Knowledge Gap and Reduce Improper Payments

Using AI to Close the Provider Knowledge Gap and Reduce Improper Payments

by Sarah Banyai | Jun 30, 2025 | Fraud, Waste and Abuse

Using AI to Close the Provider Knowledge Gap and Reduce Improper Payments By Richard Mennuti, MBA, Associate Vice President, Fraud, Waste & Abuse   Introduction Improperly submitted medical claims cost health care payors billions of dollars annually, while...
Leveraging Awareness Campaigns to Combat Fraud, Waste, and Abuse in Dental Care

Leveraging Awareness Campaigns to Combat Fraud, Waste, and Abuse in Dental Care

by Sarah Banyai | Mar 17, 2025 | Fraud, Waste and Abuse

Leveraging Awareness Campaigns to Combat Fraud, Waste, and Abuse in Dental Care By Janet Ellis, CFE, RDH, CPC, CPCO   March is recognized as Fraud Prevention Month, an annual campaign dedicated to raising awareness about fraud, scams, and identity theft,...
Case Study: Red Flags and Real Findings

Case Study: Red Flags and Real Findings

by susanarrington | Jan 10, 2024 | Fraud, Waste and Abuse, Investigations

Read and Download the Case Study Here: Red Flags and Real Findings Presented by Robyn Winters, RN, BSA, AHFI, Director of Payment Integrity. Robyn recently presented this case study to 50+ federal law enforcement, prosecutors, and commercial health care fraud, waste,...

Recent Posts

  • Using AI to Close the Provider Knowledge Gap and Reduce Improper Payments
  • South Carolina Physician Receives Outstanding Achievement Award
  • Understanding Health Equity in Health Care Planning
  • CCME Foundation Now Accepting Grant Applications from Nonprofits Improving Health Care 
  • Leveraging Awareness Campaigns to Combat Fraud, Waste, and Abuse in Dental Care

Recent Comments

No comments to show.

Sitemap

About us

Careers

PROGRAM SOLUTIONS

external quality review

fraud, waste & abuse

outpatient specialized therapies

behavioral health

title

quality improvement

qin-qio

chronic disease

POST-ACUTE care

workforce development

CONSULTING

CENTER OF INNOVATION

FOUNDATION

News & Blog

Let’s Get in Touch

CONTACT US

  • info@constellationqh.org
  • 919-461-5500

facebook

linkedin

  • Facebook
  • X
  • Instagram
  • RSS
Copyright © 2024 constellation quality health All rights reserved.

Privacy Policy