Fraud Spotlight: Time-Based Fraud Schemes

Fraud Spotlight: Time-Based Fraud Schemes

by | Aug 29, 2019 | OIG Files

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...

3 Common Healthcare Fraud Schemes

by | Aug 28, 2019 | Compliance, Fraud, FWA, Healthcare

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...

Where CFEs Can Find CPEs

by | Aug 23, 2019 | Careers, Healthcare

Congratulations! You sat for your Certified Fraud Examiner (CFE) exam and passed! You’ve now got some shiny new letters after your name, and a LinkedIn profile to update. The only problem now – is keeping your credential! In order to maintain your CFE, you must...

Examining The Fraud Triangle

by | Aug 15, 2019 | Compliance, Fraud, FWA, Healthcare

Federal healthcare fraud recoveries totaled upwards of $2.3B in the 2018 fiscal year. This staggering sum is proof enough that healthcare fraud is here to stay as an unfortunate reality of the industry. Providers, patients, and insurers alike have all been complicit...