by Advize Admin | Aug 26, 2022 | Commentary, OIG Files
A phrase that does not often come up is “medical loss ratio,” or MLR. As an OIG Agent, I spent very little time looking at the OIG Workplan (I’ve blogged and spoken about how OIG Agents follow the current frauds, and how the plan is very much used to direct the work...
by Advize Admin | Aug 26, 2022 | Advize News, Commentary
This past week I had the opportunity to visit, albeit briefly, Pittsburgh. To be fair, I pop in and out of this fantastic city several times a year for client meetings and I never feel like I’ve had enough time to take in the sights and sounds. My first trip years...
by Advize Admin | Aug 19, 2022 | Business, Healthcare
Terri Logan practices music with daughter Amari Johnson at their home in Spartanburg, South Carolina. Logan’s newfound freedom from medical debt is reviving a long-dormant dream to sing on stage. (JUAN DIEGO REYES FOR KHN AND NPR) Soon after giving birth to a daughter...
by Advize Admin | Aug 19, 2022 | Commentary
Ahoy Tampa, Land HO! Said in the Jim Morrison scream. Did you know that Pirates say Land Ho to express surprise or joy, to attract attention to something sighted, or to urge onward? Well I learned that and viewed an entire list of terms on piratesonline.fandom.com...
by Advize Admin | Aug 19, 2022 | Compliance, Healthcare
Kyle Kopec, Braden Health’s chief compliance officer, holds up a sample of diagnostic images left behind at a Tennessee hospital. As the company takes over abandoned hospitals, a major task is figuring out what to do with old medical records stacked in...
by Advize Admin | Aug 12, 2022 | Business, Healthcare
For decades, the drug industry has yelled bloody murder each time Congress considered a regulatory measure that threatened its profits. But the hyperbole reached a new pitch in recent weeks as the Senate moved to adopt modest drug pricing negotiation measures in the...
by Advize Admin | Aug 12, 2022 | Healthcare
The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription...
by Advize Admin | Aug 12, 2022 | OIG Files
If you missed Eric opining on LinkedIn this week, here are some quick pieces of information including: an infectious disease doctor, a case in NJ, and a Bill that was signed into law. Another great case from my former OIG coworkers in NJ. This one should concern...
by Advize Admin | Aug 12, 2022 | Commentary
The National Association for Medicaid Program Integrity (NAMPI) Annual Conference brought us to Baltimore, MD just a few weeks after returning from Woodlawn, a neighboring area. It felt like the who’s who of the HHS-OIG greats and I felt lucky enough to spend a...
by Advize Admin | Aug 5, 2022 | Commentary
This week Consumer Reports posted “How to Save Money Now” which shared tactics that can help all of us spend less on everything. Inflation has been rising faster now than it has in 40 years and this has caused many of us to work hard to lower our monthly bills from...
Recent Comments