by Advize Admin | Feb 4, 2022 | Healthcare Facepalm
Jamie Taylor received two letters from the Missouri Department of Social Services Family Support Division that began, “Good news,” before stating that she was denied Medicaid coverage. Her income exceeded the state’s limits for the federal-state public health...
by Advize Admin | Feb 4, 2022 | Commentary
Do you think 15M people will lose Medicaid when the pandemic ends? The Medicaid market has been changing in unprecedented rates since the start of the Pandemic and there are some good things to come from such a terrible time. This week, I attended the Medicaid...
by Advize Admin | Feb 4, 2022 | Compliance
Providers who are lucky enough to have their fraud, waste, and abuse matters resolved through a civil settlement (either via the US Attorney’s Office or the Office of Counsel to the Inspector General-a CMPL action), can sometimes have a clause in the settlement that...
by Advize Admin | Jan 21, 2022 | Commentary
Is it your favorite thing yet? Yeah, us too as we get into the fraud piece of this. Last week we shared New Covid Home Testing Reimbursement Rule Could Cause Surge in FWA and a reader messaged us with some extra insight… “Best option appears to be...
by Advize Admin | Jan 21, 2022 | Healthcare
Americans keep hearing that it is important to test frequently for covid-19 at home. But just try to find an “at-home” rapid covid test in a store and at a price that makes frequent tests affordable. Testing, as well as mask-wearing, is an important measure if the...
by Advize Admin | Jan 21, 2022 | Healthcare
Some health insurance brokers in the market are enrolling people into ACA (Affordable Care Act) health care plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The...
by Advize Admin | Jan 21, 2022 | Advize News
Got a chance to hassle one of Advize’s newest team members, Melissa Dupre. Here’s how the interrogation went… What were you doing before you joined Advize? I was a Registered Nurse at Cleveland Clinic in Florida, and because my husband is active duty...
by Advize Admin | Jan 14, 2022 | Healthcare
Click here for a transcript of the episode. In this episode of What the Health: Medicare officials have preliminarily decided to restrict reimbursement for Aduhelm, the controversial Alzheimer’s drug, to only patients participating in the approved clinical trials. The...
by Advize Admin | Jan 14, 2022 | Healthcare
The Supreme Court on Thursday blocked a key Biden administration covid-19 initiative — putting a stop, for now, to a rule requiring businesses with more than 100 workers to either mandate that employees be vaccinated against covid or wear masks and undergo weekly...
by Advize Admin | Jan 14, 2022 | Healthcare
A new rule took effect recently that requires commercial payors to provide reimbursement for in-home COVID-19 testing, at a rate of eight (8) test kits per person, per month. Although well intended, the process for seeking reimbursement from commercial payors...
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