Posted and filed under Community.

Healthcare Can Help Animals, Too

This week we celebrate #LoveYourPetDay, but last week Advize celebrated the pets who don’t have homes to call their own. Earlier this month we hosted our Happy Hour Giving, involved crafting Valentine’s Day cards for under-served seniors, and a food drive for homeless animals. We first reached out to the Humane Society of Tampa Bay,…

Read the full article

Posted and filed under Business, Payers.

Aetna Faces Uphill Battle

If you haven’t heard the name Dr. Jay Ken Iinuma before, you’re about to get acquainted. Iinuma is the former Medical Director of health insurance giant Aetna, and he might just be the reason yet another Aetna deal flatlines. During a recent deposition in a lawsuit between Aetna and Gillen Washington, a young adult with…

Read the full article

Posted and filed under Community, Payers.

Is HHS About to Lose Funding?

Yesterday, President Donald Trump presented his $4.4 trillion FY19 budget proposal – and it looks like the Department of Health and Human Services (HHS) is going to have to tighten its fiscal belt. Trump’s proposed budget demonstrates a 21% decrease from HHS’ 2017 budget. That means the agency may be facing a cut as steep…

Read the full article

Posted and filed under Coding.

Coding for Tobacco Cessation Counseling

Late last month, Dr. Brenda Fitzgerald, Director of the Centers for Disease Control and Prevention, announced her resignation in response to a Politico report exposing an unethical conflict of interest between Fitzgerald and the tobacco industry. The report reveals that the Trump administration’s top public health official purchased shares in Japan Tobacco, an organization that…

Read the full article

Posted and filed under Events, FWA, Medical Record Auditing.

ICYMI: 2018 OIG Work Plan Webinar

Advize Health’s first webinar of the new year will be broadcasting live today from 2:00PM EST until 3:30pm EST. The program will break down the 2018 OIG Work Plan and provide an in-depth examination at the OIG (Office of Inspector General) and their efforts in the fight against fraud. From mandatory requirements, to laws and…

Read the full article

Posted and filed under Healthcare.

The High Cost of Healthcare

The United States spends $3.2 trillion on healthcare each year, more than any other country in the world. Dr. Sanjay Gupta, CNN’s Chief Medical Correspondent, was recently featured in a CNN Health video that explains why healthcare in the United States is so costly. His high-level analysis of the ecosystem broke healthcare costs into these…

Read the full article

Posted and filed under Careers, Coding.

5 Things You Need to Know About Becoming a CPC

Strategy is Key Becoming a Certified Professional Coder is no easy feat, and the exam administered by the American Academy of Professional Coders (AAPC) is a long, grueling assessment. Of course, the exam will present CPCs-to-be questions on CPT codes, Evaluation and Management, the bodily systems, and the application of multiple code sets – but…

Read the full article

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

Your Data Will Be Stolen

This article is a continuation of Risky Retrievals. Walk-Ins Welcome Our medical record specialists are required to arrive at each facility with their equipment, as well as their ID badges and driver’s licenses. This is to ensure that their identities can be verified by office staff and reporting in the event of an incident. What…

Read the full article

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

Risky Retrievals

For years, whenever we began launching a medical record review project, clients and physicians alike would ask us the same question: Why can’t you come onsite to pick up the requested records? The easy answer would have been to say that we simply hadn’t performed record retrievals before, but we had vested interest in doing…

Read the full article

Posted and filed under Compliance, Healthcare, Payers.

The Road to Compliance

The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure the efficacy of Compliance Programs. From this roundtable came…

Read the full article