FWA Insights: Preventing overbilling in therapeutic home services

The risk of overbilling for therapeutic services remains a pressing concern for health plan special investigative units (SIUs) and compliance teams. Excessive or inappropriate billing not only drives up costs but can also undermine the integrity of care delivery. Identifying outlier procedure codes—like those billed at unusually high rates compared...

• Published date: 26-01-2026 02:30 PM