Advize Health, a WBENC certified woman owned small business, is a healthcare advisory company headquartered in Orlando, Florida. We employ a mixture of Subject Matter Experts (SMEs) ranging from clinicians to medical record auditors and program integrity professionals as well as a variety of healthcare consultants (IT security, Project Management, Training/Education). Established in 2003, Advize Health has been recognized for our extensive relationships with health systems, payers, record management organizations, and thousands of providers across the nation.

Our highly skilled team has abstracted, reviewed, and delivered results on medical records and clinical documentation for clients both commercial and federal. Advize’s audit practice is committed to accurate reviews and technological advancement, and has released a free Evaluation and Management Calculator as just one of many solutions to improving the industry’s expenditure. Advize synthesizes audit best practices across payer clients to provide advisory services with the quality found within larger consulting firms without the associated cost.

  • Leverage Technology
    • Robust, Faster, More Cost effective audits
  • Reduce IT Risk
    • Cybersecurity
  • Education
    • Provider community and members
  • Partner with Special Investigation Units
    • Determine audit strategy
    • Targeted onsite record retrieval (look for billed equipment)
  • Staff Augmentation
    • Statistician
    • Peer-to-Peer

Our team has expanded our model of coding and billing audits focused on waste and abuse to also examine fraud through Data Analytics and OIG best practices. Taking our proven track record and experience spanning more than 15 years, we have offered our clients services based on supporting the audit life-cycle, including:

  • Record Retrieval
    • Onsite record retrieval
    • Send request letters and other communications with providers
    • Secure file upload (SFU)
  • Record Storage
    • Records are stored securely
    • Minimum necessary PHI accessed
  • Record Purge
    • Record files are securely returned with audit result delivery
  • Provider Communication
  • Audit Management and Quality Assurance Support
  • Reporting and Results Delivery
  • Overpayment Recovery
  • Legal Support
    • Expert witness, audit, reporting and testimony