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…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Human vs Machine

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 attended a CMS “listening session” hosted by the Center…

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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…

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Posted and filed under Business, Community, Healthcare.

Advize Health Obtains WBENC Certification

Advize Health is proud to announce that the Women’s Business Enterprise National Council (WBENC) has approved our application to join their exclusive network of women-owned business enterprises. WBENC is largest certifier of women-owned businesses in the U.S. and a leading advocate for women business owners and entrepreneurs. The organization believes in diversity and its ability…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: When To Use SVRS

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. Why do a statistically valid random sample (SVRS)? In my role at Advize…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Specific Deterrence

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. As some of you may have seen in a LinkedIn post I wrote,…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: The Mission of CMS & The OIG

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. Last week, the CMS Administrator made some comments that outlined some new initiatives…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Conviction, Sentencing, & Justice

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. Several weeks ago, I wrote about cases involving multiple defendants, and how people…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: CVS/Caremark Network Agreement

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. For those of you who are more involved in the fraud, waste, abuse…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Investigating BLS Transports

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. My blog on basic life support (BLS) ambulance transports triggered a lot of…

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