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

Fraud Spotlight: Phantom Billing & Services Not Rendered 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. Two phrases that are common in the healthcare fraud world are: phantom billing…

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Posted and filed under Fraud, FWA, Healthcare.

COVID-19’s Impact on Telemedicine & Reimbursements

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. Under Medicare rules, telemedicine, or telehealth as it is also commonly known, required…

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

Fraud Spotlight: You Can’t Cut Corners in Compliance

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. We have all heard the phrase “a penny wise, but a pound foolish,”…

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

Healthcare Fraud Prevails Around the World

Friend of Advize Dr. Simon Peck kindly stepped in as guest blogger this week to discuss healthcare fraud from an international perspective. Last month, the biggest health story in the United Kingdom was not about coronavirus but the conclusion of the long-awaited inquiry into breast surgeon Ian Paterson, who is currently serving a 20-year jail…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Evaluation & Management and Home Visits

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. Are you, as a provider of services and submitter of claims, ready for…

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

Fraud Spotlight: Providers & Deferred Prosecution Agreements

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. Over the past few weeks, I have been discussing the investigative process.  From…

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

Fraud Spotlight: Subpoenas, Complaints, & Indictments

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. Over the past several weeks, I discussed the different types of investigations that…

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Posted and filed under Uncategorized.

Fraud Spotlight: The 3 Subpoenas of Healthcare Fraud

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 You are a provider, and one day while seeing patients, agents from the…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: The Truth About 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. With the New Year, comes more of the usual news about unscrupulous providers…

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Posted and filed under Coding, Fraud, FWA, Healthcare, Medical Record Auditing.

Fraud Spotlight: Economic Healthcare Fraud Perspectives

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.  This past week, while having lunch with a friend who knew about my…

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