Posted and filed under .

AAPC Local Chapter Meeting: Home Visit & Podiatry Fraud Schemes

Join Advize Health’s Director of Litigation, FWA Support in an interactive session on home visit and podiatry fraud schemes. This session, available to AAPC members local to the Manhattan NY chapter will have the opportunity to earn 2 AAPC approved CEUs with content delivered by a retired OIG Special Agent. The session will: Review the…

Read the full article

Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Medicare Beneficiaries

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 a blog post about a case that I…

Read the full article

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

3 Common Healthcare Fraud Schemes

Scroll through any law enforcement or OIG newsroom, and you’ll quickly learn that healthcare fraud comes in many shapes and sizes. There is no one-size-fits-all fraud scheme adopted by those looking to exploit the system for a buck (or a few million). This is what makes healthcare fraud such a persistent problem. Fraud examiners, enforcement…

Read the full article

Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Kickbacks

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. People inherently trust their healthcare provider.  You go to your practitioner and expect…

Read the full article

Posted and filed under Healthcare, Payers.

HEDIS Season: The Home Stretch

As we approach the month of June, we also begin our downward slide towards the end of HEDIS season. HEDIS season, in all its glory, stretches through about 3 calendar seasons – and requires hard work from providers, chart reviewers, and record collection companies from December through October – depending on program enrollment, measures, and…

Read the full article

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

What Do You Hate Most About Healthcare?

Last night, Advize Health had the opportunity to present before one of the largest chapters of its kind in the United States. The audience, comprised largely of credentialed medical coders and billers who assemble to discuss their professional and issues within the industry, were given the opportunity to explore healthcare fraud from two different perspective….

Read the full article

Posted and filed under Healthcare.

This Month in Healthcare

Healthcare is constantly in a state of transition, and it doesn’t take the summers off. July has seen several CMS announcements, innovations, and healthcare fraud busts. Hot off the digital presses, Advize has rounded up this month’s biggest stories so far. 2018-07-19 – IHS Launches Opioids Website The Indian Health Services launched their new opioid…

Read the full article

Posted and filed under Healthcare.

Should All Office Visits Be Created Equal?

Physicians have had no reservations making their aversion to paperwork known, as evidenced by countless essays criticizing documentation requirements and the time management hurdles imposed by these steep expectations. Many discounted the protests of physicians, attributing their disdain to laziness; or something even more sinister: a scapegoat for non-compliance, errors, and even fraud. As the…

Read the full article

Posted and filed under Compliance, Payers.

Meet Your New MBI

If you’re covered by Medicare, or if your patients are covered by it – you’re about to start feeling more of the effects of The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Most organizations have been preparing for MACRA’s ripple effects for years, so this wave of change may just be another to…

Read the full article

Posted and filed under Cybersecurity, Events, Technology.

Sound Bites From HIMSS18

HIMSS 2018 returned to the bustling city of Las Vegas for the first time since 2016 determined to keep their promise of being “where the world connects for health”.  Drawing in guests from around the world, HIMSS is the premiere conference for those working in the healthcare technology space. With a focus on innovation, interoperability,…

Read the full article