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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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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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…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: What About the “Other” Guys?

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 who follow healthcare fraud have likely read, the CEO…

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Posted and filed under Compliance, Fraud, Healthcare.

Fraud Spotlight: Fraud Fighters Love Data

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. Recently, there has been an unbelievable amount of bandwidth spent discussing telemedicine as…

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Fraud Spotlight: Time-Based Fraud Schemes

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 past few days, I have spent time speaking to industry and government…

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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…

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