COVID-19 Update

While other organizations rely heavily on overseas solutions that are now experiencing new obstacles as a result of the COVID-19 pandemic, Advize Health's infrastructure and day-to-day workflow was designed from inception to subvert the effects of natural disaster and operate almost entirely in a remote/virtual capacity, which has minimized many of the challenges facing other organizations today in this time of uncertainty and change.

Advize Health is online, running at full capability, and ready to assist. Stay safe!

Advize Health provides a full suite of services to healthcare organizations of all sizes, from government entities to commercial payers, group practices, hospitals, and clinics. Focused on reducing the cost of healthcare and improving the quality of delivery, our client approach is uniquely straightforward and effective. We hire and manage the subject matter experts (SMEs) to best serve you without having the marked up price of our competitors. We have strong legal experience and are called upon to provide guidance on cases as well and transitional work such as Mergers and Acquisitions. Rather than hiring expensive resources, our clients have contracted with us to provide staff augmentation services to leverage our SMEs in a Part-time to Full-time capacity.

OIG Files: Health Plans, Cherry Picking & Lemon Dropping

When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA)…

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Fraud Power Struggle: Detecting vs Eliminating vs Preventing

What is most important: identify, eliminate, recover or (PLOT TWIST) prevent? Coming off of a strong week of meetings with my clients…

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Killing People: Mount Carmel Doctor & Elizabeth Holmes

“Justice delayed is justice denied” by William Gladstone is a quote that comes to mind when I think about fraudulent providers and…

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Justice Department Targets Data Mining in Medicare Advantage Fraud Case

The Justice Department has accused an upstate New York health insurance plan for seniors and its medical analytics company of cheating the…

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Do All Medical Records Have Errors?

“One-hundred percent of medical records have errors,” Heather Gantzer, MD, immediate past chair of the American College of Physicians’ Board of Regents,…

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Retired Sr. Special Agent HHS-OIG’s Weekly Vignettes

This week our commentary on our favorite articles.  We are excited to see that the issues we know are important are becoming…

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