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

Examining The Fraud Triangle

Federal healthcare fraud recoveries totaled upwards of $2B in the first half 2017’s fiscal year. This staggering sum is proof enough that healthcare fraud is here to stay as an unfortunate reality of the industry. Providers, patients, and insurers alike have all been complicit in various scams and schemes – which brings to mind the…

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Posted and filed under Compliance, Fraud, FWA.

Advize Returns From NHCAA 2017

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…

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Posted and filed under Cybersecurity, FWA, Technology.

Jeanmarie Loria Talks to ITSP Magazine for Diverse IT Podcast

Advize Health Managing Director Jeanmarie Loria chats with ITSPmagazine’s Selena Templeton for the Diverse IT podcast about their E/M Calculator, a free tool which is revolutionizing medical record auditing and billing for the healthcare industry. Tune in to hear about this software application that can be used by any healthcare worker regardless of coding experience…

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

Pre-Litigation Considerations

Law firms have been known to enlist the help of a third-party when dealing with healthcare fraud cases. This is because in addition to investigating the allegations against one party, there is a myriad of additional pre-litigation considerations. In multi-faceted cases in which health plan overpayments are being pursued within the judicial system an audit…

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Posted and filed under Coding, FWA.

Investigating Health Plan Overpayments

Picture yourself balancing on top of a fence with vast expanses of land, each with their own set of governance, visible to you from both sides. You’re straddling the fence, your legs occupying each of the divided spaces. Where do you stand? It depends on which way the wind blows. Such is the case with…

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Posted and filed under Dental, Fraud, FWA.

Fraud Round-Up

If you read the news, you know that health care fraud is just as prevalent as ever. During any given time, you will be able to find a headline about a provider or care giver defrauding patients, insurance companies, or CMS in every state across the nation. This month we’ve seen quite a few colorful…

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Posted and filed under Coding, Cybersecurity, Events, Fraud, FWA.

From ECC to IASIU

Advize Health kicked off the month of April by diving headfirst into Conference Season, and attending the Eastern Claims Conference in Boston, MA. The Eastern Claims Conference, recently relocated from New York to Massachusetts was an impressive assembly of insurance professionals. Catering to life, disability, medical, legal, and insurance claims; the Eastern Claims Conference has…

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Posted and filed under FWA.
april fools cat wedding

Advize Owner and CIO Elope, Universe Jealous

Join Advize Health Managing Director, Jeanmarie Loria, and CIO, Erik Consorsha, at NHCAA’s ATC in Orlando this year as the couple celebrates their recent choice to elope. In January the couple escaped to secretly tie the knot. According to an article in the New York Times: “An extravagant elopement might strike some as a contradiction….

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Posted and filed under FWA, Medical Record Auditing.

How to Deliver Quality Litigation Support Services

If you were an attendee at last month’s webinar on arbitration and litigation support for medical coders and auditors, you’re aware of the fact that legal support is a growing need in the healthcare industry. It may come as no surprise given the alarming numbers associated with Medicare fraud in the United States, that more…

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Posted and filed under Community, FWA.
nhcaa booth

What We Learned at Our $500 Conference Booth

Advize Health had the honor of attending NHCAA’s Annual Training Conference (ATC) in Atlanta, GA earlier this month. The ATC is widely-regarded as the most important assembly against healthcare fraud, where attendees explore fraud schemes, trends, and best practices for identification, investigation, and prosecution of fraud-related offenses. The conference, which was in operation over the…

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