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:…
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…
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…
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…
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…
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…
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…
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…
Assess your knowledge of Evaluation and Management while taking our free E/M Calculator for a test drive! Review the below patient notes and plug the appropriate information into our audit tool. History of Present Illness (HPI) A 12 year old female patient is experiencing auditory hallucinations, severe head pain, and is presenting with abnormal posture. …
In honor of Breast Cancer Awareness Month, we’ve decided to release a brief reminder to not only schedule a routine mammogram, but to recall the 2017 Mammogram Coding Changes. Mammography Coding The Centers for Medicare and Medicaid Services (CMS) announced in November 2016’s final rule that they would not be able to accommodate the new…