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

Fraud Spotlight: You Can’t Cut Corners in Compliance

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. We have all heard the phrase “a penny wise, but a pound foolish,”…

Read the full article

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

Healthcare Fraud Prevails Around the World

Friend of Advize Dr. Simon Peck kindly stepped in as guest blogger this week to discuss healthcare fraud from an international perspective. Last month, the biggest health story in the United Kingdom was not about coronavirus but the conclusion of the long-awaited inquiry into breast surgeon Ian Paterson, who is currently serving a 20-year jail…

Read the full article

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

Fraud Spotlight: Understanding the 3 Types of BLS Transport

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. Previously, I wrote a couple of blogs about the continued fraud in the…

Read the full article

Posted and filed under Community.

The Cure For Conferenceitis

Even if you’ve never heard of Conferenceitis, chances are that you’ve experienced it. Conferenceitis is characterized by fatigue, irritability, blistered feet, and an acute dependence on hand sanitizer – all caused by one common denominator: conference attendance. You might love conferences, but you know what we’re talking about. The travel, the business attire, the obligation…

Read the full article

Posted and filed under Community, Healthcare.

Take Your Next Meeting to These Orlando Destinations

Next week, the Orange County Convention center will be loud and bustling for HIMSS20. It’s no surprise, considering 40,000 people will be attending the enormous conference, which just so happen to be the place to be for HIT. HIMSS20 will undoubtedly prove to be at the center of some incredible thought leadership and innovation –…

Read the full article

Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Evaluation & Management and Home Visits

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. Are you, as a provider of services and submitter of claims, ready for…

Read the full article

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

Fraud Spotlight: The Use & Abuse of Modifier 25

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.  Modifier 25.  It has been the bane of existence for fraud, waste and…

Read the full article

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

Fraud Spotlight: Providers & Deferred Prosecution Agreements

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 few weeks, I have been discussing the investigative process.  From…

Read the full article

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

Fraud Spotlight: Subpoenas, Complaints, & Indictments

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, I discussed the different types of investigations that…

Read the full article

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

The 3 Ws of USDHHS OIG OI

Peggy Glynn, a former OIG Field Agent returns in this week’s guest blog post. Her friendship, insights, and experiences in the OIG are incredible tools for those looking to learn more about fighting healthcare fraud, waste, and abuse. What is the USDHHS? Who is the OIG? Why do you care about the OI? What: USDHHS…

Read the full article