by Advize Admin | Aug 4, 2023 | Community, FWA
On a recent trip to South Florida, I came across some very interesting sights that gave me pause. The first was the combination of an Adult Day Care/Auto Garage, as pictured. The second was a similar combo of Home Health Care in the same storefront as a Guns/Ammo...
by Advize Admin | Aug 2, 2023 | Advize News
Scottsdale was hot AF (Hot As Fraud) – temperatures were way over 105, and hot Medicaid Fraud topics were discussed. The National Association for Medicaid Program Integrity (NAMPI) has an annual training conference. This conference brings together the public and...
by Advize Admin | Jul 28, 2023 | FWA, Medical Record Auditing
There is absolutely nothing in this report that should be interesting, shocking, or otherwise reflective of surprise. $784 million in improper payments is estimated to have been made to providers as it relates to COVID-19. Claims were submitted to the uninsured...
by Advize Admin | Jul 28, 2023 | Healthcare, Healthcare Law
The only government program that I can think of that did not authorize price negotiations for prescription medications was the Medicare Part D program. In its inception in 2006, price negotiations were not part of the law, and drug manufacturers were essentially at...
by Advize Admin | Jul 21, 2023 | Compliance, OIG Files
Every investigator knows that keeping your focus on the allegation is the key to efficiently conducting your investigation. There are times, however, when keeping those blinders on will result in the investigator not seeing the bigger picture. While investigating what...
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