by Advize Admin | Sep 11, 2024
OIG Roundtable (Formerly Retro Fraud) Episode 94: Is Adding a Diagnoses to a Medicare Advantage Patient FWA or a Positive Step in Social Determinants of Health (SDOH) Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 30 seconds 00:00 /...
by Advize Admin | Mar 10, 2023 | FWA
Leigh Fava wound up in the emergency room after injuring her thumb at her New Orleans home. She said she received a tetanus shot and a badly wrapped bandage — and an unexpectedly high bill. Her experiences trying to dispute the hospital’s charges left her feeling...
by Advize Admin | Mar 3, 2023 | Compliance, Providers
BUTTE, Mont. — Jennifer Mitchell remembered getting a call nearly two years ago that her 69-year-old husband, Bill, had crashed his car and had been committed to the Montana State Hospital, the state-run psychiatric hospital for adults about 20 miles from their home...
by Advize Admin | Mar 3, 2023 | Compliance, Healthcare
MIAMI — In hindsight, Nikki Ruston said, she should have recognized the red flags. The office in Miami where she scheduled what’s known as a Brazilian butt lift had closed and transferred her records to a different facility, she said. The price she was quoted — and...
by Advize Admin | Oct 14, 2022 | Healthcare
It is the annual fall season of Medicare sales pitches and we have seen a rise in Celebrity Medicare Sales pitches. We are happy to see CMS creating tighter rules around the sales pitches and confusion. We have seen seniors fall victim to different Medicare...
by Advize Admin | Mar 18, 2022 | FWA
Last spring, Lags Medical Centers, a sprawling chain of pain clinics serving more than 20,000 patients in California, abruptly shuttered amid a cloaked state investigation into “credible allegations of fraud.” Tens of thousands of patients were left scrambling for...
by Maggie Stankiewicz | Jan 5, 2021 | Fraud, FWA, Healthcare
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...
by Advize Admin | Dec 30, 2020 | Community, Fraud, FWA, Healthcare
The year 2020 was ripe with unprecedented challenges. Between a global pandemic, civil unrest, and rampant socio-political uncertainty…there was a lot to deal with. The healthcare industry was thrust into the spotlight, first for its heroes on the frontlines, then for...
by Advize Admin | Dec 22, 2020 | Fraud, FWA, Healthcare
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...
by Advize Admin | Dec 3, 2020 | Fraud, FWA, Healthcare
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud experts. This article begins a multi-part series covering...
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