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

Fraud Spotlight: Economic Healthcare Fraud Perspectives

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.  This past week, while having lunch with a friend who knew about my…

Read the full article

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

Fraud Spotlight: Another Ophthalmologist Fraud Bust

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. This past week, the US Attorney’s Office in the Southern District of NY…

Read the full article

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

Fraud Spotlight: Provider Awareness & Compliant Billing

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. This past week, I had the pleasure of presenting a webinar to approximately…

Read the full article

Posted and filed under Coding.

6 Ways to Drop Your “A”

You did it. You put in the hours. You’ve tabbed your code books until they couldn’t be tabbed anymore. You completed practice questions ad nauseum. You’ve even passed your Certified Professional Coder exam. But you’re not there yet. The “CPC” credential you were promised is accompanied by an uninvited guest. The kind of visitor who…

Read the full article

Posted and filed under Careers, Coding.

You’re Credentialed – So What?

The following blog post was written by one of Advize Health’s most experienced auditors; Dawn Landry. No matter what we do in life, only experience makes us better. None of us walked, rode a bike, or swam perfectly the first time we tried. We had to invest time and effort into first learning and then…

Read the full article

Posted and filed under Coding, Community, Medical Record Auditing.

Where To Find Free CEUs

Continuing Education Units (CEU) for healthcare professionals who are credentialed by the AAPC are worth their weight in gold. CEUs are a necessary tool for all medical coders and auditors as they are not only required for certification maintenance, but because they keep professionals current on industry trends. The AAPC has a set of guidelines…

Read the full article

Posted and filed under Coding, Payers.

We Need to Talk About Transgender Healthcare

Earlier this week, Advize Health partnered with Grassi Healthcare Advisors to host a webinar on transgender healthcare. This webinar sought out to educate the healthcare community not only on coding for transgender patients, but on every aspect of care for this critically underserved population, from claims denials to the cost of transitioning. The convergence of…

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 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