Posted and filed under Fraud, FWA, Healthcare.

COVID-19’s Impact on Telemedicine & Reimbursements

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Under Medicare rules, telemedicine, or telehealth as it is also commonly known, required…

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The Legalities of Telemedicine: Licensing, Reimbursement, Liability & Other Issues

Advize Health’s Director of Litigation, FWA Support Eric Rubenstein will be joining fellow expert Margaret J. Davino (Fox Rothschild LLP) in a breakfast program dedicated to exploring the many legalities of telemedicine and telehealth. As telehealth expands to (among other uses) ambulatory settings, EDs and psychiatry, unique legal concerns must be addressed, including providing services…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Telehealth & Telemedicine

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. The topic of telemedicine and telehealth has been a very hot topic in…

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Posted and filed under Healthcare.

The Future of Healthcare Embraces Telemedicine

The future of healthcare is changing rapidly, with the Affordable Care Act (ACA), an aging baby boomer population, and a predicted shortage of primary care providers, especially in remote and rural areas. As a result of the increased demand for healthcare delivery, especially in populations with limited mobility and access to quality care – telemedicine…

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Posted and filed under Healthcare.

AMA Encourages Medical Schools to Teach Telemedicine

At the forefront of patient-centered medical technology, telemedicine has been gaining traction for quite some time, but its emergence as the future of patient care is only now crystallizing. In an industry as transformative as healthcare it is difficult to create a consistent curriculum that is also congruent with the times – which may be…

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Posted and filed under Compliance, Fraud, FWA, Healthcare.

Fraud Spotlight: How Crises Can Impact Fraud Investigations

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Hurricane Katrina and COVID-19, what do these two very different things have in…

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Posted and filed under Fraud, FWA, Healthcare.
Posted and filed under Compliance, FWA, Medical Record Auditing, Payers.

Fraud Spotlight: Document Now, Ace an Audit Later

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Every day, we read another article or another news release about the ever-changing…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Telehealth & the Medicare Population

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Over the past several weeks, we have seen unprecedented changes to rules, edits…

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covid-19 fwa fraud

COVID-19 FWA Support

On March 30th, 2020, the Secretary of the Department of Health and Human Services (HHS) issued nationwide blanket waivers of sanctions under the federal physician self-referral law (Stark Law) for “COVID-19 Purposes” (Blanket Waivers). While fraud waste and abuse laws are being relaxed, definitions of typical fraud areas such as referrals have become even more…

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