Within the past few weeks, we have seen at least two of the large payors seek to institute policies that would require providers to submit their...
Coding Articles
Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges
Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some...
Christmas ICD-10 Codes
Wew, it's Christmas time, and you know what that means! Christmas related ICD-10 codes! Ok, ok, maybe Christmas time is about forgetting about...
Fraud Spotlight: Providers & The “Impossible Day”
The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and...
Dental Fraud: Isolated or a Pattern?
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of...
Celebrating National Medical Coder Day
May 23rd is National Medical Coder Day to celebrate YOU and your unrelenting dedication to the field and endless hard work. ...
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...
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...
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...
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...
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...
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...
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