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115 Results for Fraud Focus

Prime Therapeutics offers enhanced feature to help keep members safe

Care Management feature offers holistic assessment that helps support members by mitigating fraud, waste and abuse and patient safety concerns

PA Sub-Categories: Technology Products Prime Article: Perspectives
April Fraud Focus: 3 tips to prevent health care fraud

Jessica Johnson, clinical consultant at Prime Therapeutics, shares some ways to avoid common fraud schemes

Prime Article: Perspectives
Prime Therapeutics identifies, addresses misuse of asthma inhaler prescription with $174K impact

An individual obtained more than a dozen inhalers from scores of pharmacies and prescribers. Here’s how Prime took a collaborative approach to intervene.

Prime Article: Perspectives
Prime Therapeutics identifies misuse of diabetic supplies prescription

When a member obtained diabetic supplies from 73 unique pharmacies and 53 prescribers, here’s how Prime worked closely with the insurance company to intervene

Prime Article: Perspectives