Posted and filed under FWA, Healthcare.

10 Terrifying Healthcare Statistics

The Texas Medical Center surveyed 5,000 people across the United States and found that the #1 reason for poll participation in the upcoming midterm elections will be, you guessed it, healthcare. While this interest in healthcare is certainly encouraging, there’s more to the healthcare picture than just cost to patients. In the spirit of Halloween…

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Posted and filed under Compliance, Cybersecurity.

Something Smells Phishy

Phishing is a common fraudulent practice that involves, “sending emails purporting to be from reputable companies in order to induce individuals to reveal personal information, such as passwords and credit card numbers”. Phishing is an example of deceptive social engineering, one that exploits cybersecurity weaknesses held across most industries, including healthcare. Phishing attempts are typically…

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Advize Health’s 2018 OIG Work Plan Webinar

Advize is here to advise you! Join us for an exclusive webinar on the 2018 OIG Work Plan. Free to the first 500 participants, this webinar will be available on AdvizeU after the live broadcast for those who miss the cut off. This session will provide an overview of the 2018 OIG Work Plan responsibilities,…

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Posted and filed under Compliance, Healthcare, Payers.

The Road to Compliance

The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure the efficacy of Compliance Programs. From this roundtable came…

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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 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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Third Annual Orlando Health Care Forum

Join our Managing Director, Jeanmarie Loria, as she participates on the panel, “Compliance from the Top: Board Responsibility for Compliance Oversight” at the Third Annual Orlanda Health Care Forum.

Posted and filed under Compliance, Healthcare.

OCR Cracking Down on HIPAA Violations

The Health Insurance Portability and Accountability Act (HIPAA) has a primary goal of protecting the confidentiality and security of healthcare in formation, and has established standards for electronic data interchange (EDI). HIPAA is celebrating its twenty-first anniversary this year, after its enactment on August 21, 1996. HIPAA was groundbreaking at the time, with standards in…

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Posted and filed under Compliance.

Compliance Corner – October

If a patient is deceased, may a covered entity disclose to a family member who was involved in the patient’s care or payment for healthcare prior to the death, PHI of the deceased? Answer: Yes, unless there is an expressed statement to the contrary. (45CR 164.510)

Posted and filed under Compliance, Healthcare.

What to Watch Out For With Credit Balance

In May 2014, the Department of Health and Human Services, Office of Inspector General (OIG) published a proposed rule updating its regulations. The proposed rule will authorize civil monetary penalties for “failure to report and return a known overpayment,” among other issues.   The rule has outlined the penalty for failure to report and return overpayments…

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