Posted and filed under Healthcare, Payers.

Is This The End of CHIP?

The Children’s Health Insurance Program (CHIP) is a program that has managed to gain (mostly) bipartisan support, as it provides low-cost healthcare to children in families that earn too much money to qualify for Medicaid; but its days may be numbered.  The funding for CHIP ended on September 30th, 2017…and unfortunately, Congress has not yet…

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Posted and filed under Compliance, Fraud, FWA.

Don’t Get Ghosted by Your DME Supplier

Medicare fraud maintains its position among the fastest growing crimes in the United States. The government loses nearly $75 billion a year to Medicare fraud; which has led to the conception of several anti-fraud initiatives, including the OIG’s Operation Whack-A-Mole (WAM). Medicare fraud comes in many shapes and forms, with the three most popular including:…

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Posted and filed under Compliance, Healthcare.

Is OurNotes the Future of Documentation?

OurNotes is the name of an experimental, collaborative approach to clinical documentation that encourages providers and patients to co-produce medical notes. Researchers at the University of California, Los Angeles (UCLA) suggest that this kind of participation in the healthcare life cycle will improve overall engagement for patients, while freeing up time for their physicians. Taking…

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Posted and filed under Compliance, Healthcare, Payers.

HHS Retracts Support For Financial Assistance Charity

In an unexpected, albeit responsible move, Health and Human Services has retracted their support for a Patient Assistance Program. The Caring Voice Coalition (CVC) is a patient assistance charity that provides financial support to Medicare beneficiaries and other patients. Found in 2003 with seemingly noble intentions, the CVC was founded in 2003 to support patients…

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

Examining The Fraud Triangle

Federal healthcare fraud recoveries totaled upwards of $2B in the first half 2017’s fiscal year. This staggering sum is proof enough that healthcare fraud is here to stay as an unfortunate reality of the industry. Providers, patients, and insurers alike have all been complicit in various scams and schemes – which brings to mind the…

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Posted and filed under Community, Fraud.

Keep Your Holiday Season Fraud-Free

As the holiday season nears its zenith it can become extremely difficult to maintain your defenses against the myriad of fraud schemes that plague our capitalistic society. Luckily, Florida Attorney General Pam Bondi has your back! In her presentation, “2017 Holiday Consumer Protection Guide”, she outlines a number of safety precautions, product safety information, and…

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Posted and filed under Compliance, Fraud, FWA.

Advize Returns From NHCAA 2017

Last year we had the ONE AND ONLY cheapest.booth.ever featured at NHCAA’s Annual Training Conference. This year Advize brought guacamole and cookies to the table at the Even Cheaper Cheapest Booth Ever. Advize Health had the honor of speaking with some of NHCAA’s Annual Training Conference (ATC) attendees right in our backyard. The ATC is widely-regarded…

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Posted and filed under Community, Events, Healthcare.

Guide to NHCAA 2017 Meeting Spots in Orlando FL

This week, from November 14th to the 17th, Orlando’s Rosen Shingle Creek will be the epicenter of healthcare fraud’s biggest conference, NHCAA’s Annual Training Conference. ATC will undoubtedly unveil some incredible thought leadership and innovation – but is it the right place to build a last business relationship? Conferences have a proven track record of…

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Posted and filed under Compliance, Cybersecurity, Technology.

HITRUST Community Extension Program

We would like to thank HITRUST, our friends Schellman & Company, LLC, as well as today’s host, Orlando Health, for inviting us to join them in the HITRUST Community Extension Program Orlando. We’ve discussed HITRUST in previous blog posts and presentations, but we find that it’s important to revisit this topic as the year comes…

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Posted and filed under Coding, Compliance.

Clinical Documentation vs. Patient Care

The keystone of Clinical Documentation Improvement is that quality documentation often results in quality continuum of care, and while this is true, many physicians report that paying too much attention to documentation actually leads to poor patient care. This poses a dilemma for some providers; do they care for the chart or for the patient…

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