by Advize Admin | Feb 16, 2018 | Business, Payers
If you haven’t heard the name Dr. Jay Ken Iinuma before, you’re about to get acquainted. Iinuma is the former Medical Director of health insurance giant Aetna, and he might just be the reason yet another Aetna deal flatlines. During a recent deposition in a lawsuit...
by Advize Admin | Feb 13, 2018 | Community, Payers
Yesterday, President Donald Trump presented his $4.4 trillion FY19 budget proposal – and it looks like the Department of Health and Human Services (HHS) is going to have to tighten its fiscal belt. Trump’s proposed budget demonstrates a 21% decrease from HHS’...
by Advize Admin | Feb 7, 2018 | Coding
Late last month, Dr. Brenda Fitzgerald, Director of the Centers for Disease Control and Prevention, announced her resignation in response to a Politico report exposing an unethical conflict of interest between Fitzgerald and the tobacco industry. The report reveals...
by Advize Admin | Feb 2, 2018 | Events, FWA, Medical Record Auditing
Advize Health’s first webinar of the new year will be broadcasting live today from 2:00PM EST until 3:30pm EST. The program will break down the 2018 OIG Work Plan and provide an in-depth examination at the OIG (Office of Inspector General) and their efforts in the...
by Advize Admin | Jan 31, 2018 | Healthcare
The United States spends $3.2 trillion on healthcare each year, more than any other country in the world. Dr. Sanjay Gupta, CNN’s Chief Medical Correspondent, was recently featured in a CNN Health video that explains why healthcare in the United States is so costly....
by Advize Admin | Jan 31, 2018 | Careers, Coding
Strategy is Key Becoming a Certified Professional Coder is no easy feat, and the exam administered by the American Academy of Professional Coders (AAPC) is a long, grueling assessment. Of course, the exam will present CPCs-to-be questions on CPT codes, Evaluation and...
by Advize Admin | Jan 22, 2018 | Coding, Compliance, Cybersecurity, Fraud, FWA, Healthcare
This article is a continuation of Risky Retrievals. Walk-Ins Welcome Our medical record specialists are required to arrive at each facility with their equipment, as well as their ID badges and driver’s licenses. This is to ensure that their identities can be verified...
by Advize Admin | Jan 22, 2018 | Compliance, Fraud, FWA, Healthcare, Medical Record Auditing
For years, whenever we began launching a medical record review project, clients and physicians alike would ask us the same question: Why can’t you come onsite to pick up the requested records? The easy answer would have been to say that we simply hadn’t performed...
by Advize Admin | Dec 29, 2017 | Compliance, Healthcare, Payers
The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure...
by Advize Admin | Dec 21, 2017 | Healthcare, Payers
The Children’s Health Insurance Program (CHIP) is a program that has managed to gain (mostly) bipartisan support, as it provides low-cost healthcare to children in families that earn too much money to qualify for Medicaid; but its days may be numbered. The funding...
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