by Chia Gemmato | Aug 23, 2024
Healthcare Fraud: A Closer Look at the Dangers of Off-Label Prescribing Healthcare fraud manifests in various forms, from improper documentation to unnecessary medical procedures. Among the most concerning types is the misuse of medications, where the line between...
by Chia Gemmato | Nov 15, 2023 | Advize News, Careers, Events, FWA
Last week marked one of my favorite weeks of the year—the NHCAA Annual Training Conference. This year, the conference was held in Dallas, prompting me to reflect on the past 10 years of my career in Healthcare Fraud. My first ATC was a decade ago, also in Dallas. Back...
by Advize Admin | Sep 15, 2023 | FWA, SIU
When people discuss the various ways in which healthcare programs are exploited, they often use the umbrella term “Fraud, Waste, and Abuse.” These terms have been employed interchangeably for many years, but the spectrum of behaviors they encompass is...
by Advize Admin | Sep 8, 2023 | Commentary, FWA
Ah, push itAh, push itOoh, baby, baby, baby, babyOoh, baby, baby, ba-baby, baby… If you read that and thought about Salt-N-Pepa, you get a point for the day. If you thought about The 50th Anniversary of Hip Hop, you get two points. It’s a very special time for...
by Advize Admin | Aug 18, 2023 | Commentary, FWA, Technology
In the short story “The Most Dangerous Game” by Richard Connell (and the movies based on the story), a big game hunter traps humans on an island because he is bored with hunting animals and wants, instead, to hunt “the most dangerous game,” humans. Well, with...
by Advize Admin | Mar 31, 2023
OIG Roundtable (Formerly Retro Fraud) Episode 27: The Intersection of Drug Diversion and Healthcare Fraud Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 30 seconds 00:00 / 37:11 Subscribe Share Spotify RSS Feed Share Link Embed...
by Advize Admin | Oct 8, 2021 | Commentary
Swoosh! – 18 former NBA players allegedly engaged in a scheme to defraud the NBA Players’ Health and Welfare Benefit Plan – sending it home for $4M. How did they do it? Glad you asked. Well, the way everyone does it (well almost everyone), is by...
by Advize Admin | Sep 10, 2021 | Commentary
We talk to you every week about trials and cases that are in our rearview mirror. Often what we worked on directly. Sometimes we talk about areas of interest like healthcare cost and changing policy. Sometimes we bring you best practices based on our clients. ...
by Advize Admin | Apr 9, 2021 | FWA
Yes, the quote is the opening of A Tale of Two Cities. On the one hand, the healthcare fraud Subject Matter Experts are enjoying the small wins; while on the other hand, the new to healthcare fraud interns are struggling to understand the yoke of healthcare fraud....
by Advize Admin | Mar 19, 2021 | Advize News
We have a new member of our team who you’re going to want to get to know. Charlie Meyer has recently joined our team as the Director of Healthcare Fraud and Abuse. He is a career Healthcare Fraud Investigator, with experience in the Medicaid/Medicare/Commercial...
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