Posted and filed under Fraud, Healthcare, Payers.

High Cost of Healthcare: When Treatment Goes Wrong

Should a patient who suffers a medical condition as a result of their treatment have to pay for the resulting treatment? Should the financial responsibility go to their insurance or the facility that caused the problem? Before everyone starts hitting the comment button and mentioning hospital-acquired conditions, let us set the stage for the scenario:…

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Posted and filed under Dental, Fraud, FWA, Uncategorized.

Rinse & Spit: Investigating Dental Fraud

Next Week On The Blog: Jeanmarie Loria sits down with her partner Eric Rubenstein, retired OIG Agent, to ask him why he had more cases on pharmacy pain management and DME than dental fraud.  Dental fraud stinks worse than the most severe case of halitosis.    Picture this.   Brooklyn NY 1960. All 5 of…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Examining The Audacity & Prosecution of Fraudsters

The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. We here at Advize are always monitoring the press releases that are coming out of the…

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

Fraud Spotlight: Compliance & The Reluctant Provider

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. Every compliance professional hopes that their employer buys into the suggestions, recommendations and…

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Posted and filed under Compliance, Fraud, FWA, Healthcare.
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: The Role of Training & Education

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. Training and education.  We in the fraud, waste and abuse world just can’t…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Emergency Transport Services

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. The Office of Evaluations and Inspections (OEI) at the OIG does some great…

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

Fraud Spotlight: Self-Disclosure Protocol

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. I am surprised sometimes at the number of people in the healthcare field…

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Podcast: Medicare For All

Our very own Eric Rubenstein (Director of Litigation, Fraud, Waste, and Abuse Support) will be sitting down with progressive democrat Ron Rivers to discuss the divisive concept of Medicare For All in an upcoming podcast. Rivers will lead the discussion by exploring the social implications and infrastructure needed with such an expansion. Rubenstein will then…

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