Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Specific Deterrence

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 may have seen in a LinkedIn post I wrote,…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: The Mission of CMS & The OIG

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. Last week, the CMS Administrator made some comments that outlined some new initiatives…

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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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Posted and filed under Fraud, FWA, Healthcare.

Advize Health Featured in Law360 Article

Advize Health’s very own Eric Rubenstein has been featured in a recent Law360 article after participating in a series of discussions on healthcare fraud, waste, and abuse across the NY Metropolitan area this week. Rubenstein spoke candidly about his experience as an OIG Special Agent dealing with the fraud schemes associated with genetic testing and…

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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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Posted and filed under Uncategorized.

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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