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…

Read the full article

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…

Read the full article

Posted and filed under Fraud, FWA.

Fraud Spotlight: Chronic Care Management Fraud

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. Recently, I was speaking with a client regarding Chronic Care Management (CCM), and…

Read the full article

Posted and filed under Community, Compliance, Fraud.

5 Common COVID-19 Fraud Schemes

Relaxed Doesn’t Mean Right …and it certainly doesn’t imply safe. First, we are seeing it with Cybersecurity. Then, we will see more leniency with HIPAA and FWA around the practices and procedures that are occurring. We have seen unprecedented allowances in the past two months. CMS is relaxing the rules, telehealth is being set up to work…

Read the full article

Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Provider Credentials, Fraud, & COVID-19

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 From a resource perspective, we as a nation, and those in the law…

Read the full article

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

Fraud Spotlight: Advance Directives Prevent Healthcare Fraud

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. I’m going to preface this by saying what I’m about to write about…

Read the full article

Posted and filed under Community, Healthcare, Technology.

Healthcare Heroes: Industry Disrupters

A pandemic is wreaking havoc across the globe. The healthcare system is layered in bureaucracy that stagnates progress and stonewalls idealism. Sometimes, it seems like the fight is futile…but it’s not. What healthcare needs is a disrupter (or disruptor, depending on your preference), and lucky for us, there are already several making waves in the…

Read the full article

Posted and filed under Cybersecurity, Technology.

The Power of Mindfulness at Work

Chances are, you’re no stranger to the term “mindfulness”. In the past few years, mindfulness has snowballed from a seed of change into a full-fledged and fortified pillar of wellness. Mindfulness is defined as, “a mental state achieved by focusing on one’s awareness on the present moment, while calmly acknowledging and accepting one’s feelings, thoughts,…

Read the full article

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

Fraud Spotlight: The Consequences of Relaxed Billing Regulations

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. Although I had strongly thought about not discussing anything COVID-19 related in this…

Read the full article

Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: COVID-19 Fraud Schemes & Paradigm Shifts

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. With every single social media post out there is about Coronavirus (and just…

Read the full article