Fraud, waste, and abuse (FWA) audits play a crucial role in ensuring healthcare payment integrity by identifying improper payments and enforcing correct coding standards. However, the audit process can also create tension between health plans and providers, particularly when approaches feel overly rigid or punitive. A more collaborative and transparent strategy can help health plans maintain compliance while fostering productive provider relationships.
Fraud, waste, and abuse (FWA) audits play a crucial role in ensuring healthcare payment integrity by identifying improper payments and enforcing correct coding standards. However, the audit process can also create tension between health plans and providers, particularly when approaches feel overly rigid or punitive. A more collaborative and transparent strategy can help health plans maintain compliance while fostering productive provider relationships.
