by Advize Admin | Oct 9, 2020 | Dental, Fraud, FWA, Medical Record Auditing
Even more than money … what about the standard of care? This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud...
by Advize Admin | Sep 30, 2020 | Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud experts. …What do the records say? This article points out...
by Advize Admin | Sep 24, 2020 | Dental, Fraud, FWA
Over the past few weeks, we have been blogging and posting about the “red-headed step-child” of healthcare fraud, dental fraud. One of our retired OIG agents recently heard this tale, which bears repeating: At a recent visit, his mother was told by the treating...
by Advize Admin | Sep 18, 2020 | Coding, Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out some basics of dental misconduct – fraud. A dentist who...
by Advize Admin | Sep 9, 2020 | Compliance, Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out a unique aspect about dental fraud that has significant impacts on...
by Advize Admin | Sep 3, 2020 | Dental, Fraud, FWA, Medical Record Auditing
Our Founder and Managing Director Jeanmarie Loria sat down with retired OIG Special Agent Eric Rubenstein to discuss dental fraud, unscrupulous dentists, and the claims-related intricacies of the dental industry. Here’s how it went… JL: My aunt in California paid an...
by Advize Admin | Aug 28, 2020 | Dental, Fraud, FWA, Uncategorized
Next Week On The Blog: Jeanmarie Loria sits down with her partner Eric Rubenstein, retired OIG Agent, to ask him why he had more cases on pharmacy pain management and DME than dental fraud. Dental fraud stinks worse than the most severe case of halitosis. Picture...
by Advize Admin | May 26, 2016 | Dental, FWA
As an auditing firm, we are well aware that dental fraud is alive and well in the American healthcare system. With so many American children covered by Medicaid, dentists have taken it upon themselves to begin offering unnecessary and Al-La-Carte services in order to...
by Advize Admin | Oct 8, 2021 | Commentary
Swoosh! – 18 former NBA players allegedly engaged in a scheme to defraud the NBA Players’ Health and Welfare Benefit Plan – sending it home for $4M. How did they do it? Glad you asked. Well, the way everyone does it (well almost everyone), is by...
by Advize Admin | Dec 30, 2020 | Community, Fraud, FWA, Healthcare
The year 2020 was ripe with unprecedented challenges. Between a global pandemic, civil unrest, and rampant socio-political uncertainty…there was a lot to deal with. The healthcare industry was thrust into the spotlight, first for its heroes on the frontlines, then for...
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