Fraud Waste and Abuse Fact – October

Whistleblower Lawsuit Leads to Record Setting Settlement for Adventist Health System Adventist Health System will pay $118.7 million to the federal government and four states to settle a whistleblower lawsuit filed in December 2012. The lawsuit alleged that Adventist...

Top 10 ICD-10 Codes

Although the transition to ICD-10 has been difficult, due to the large amount of codes that have been added with the implementation, coders are beginning to see how beneficial this transition will be in the future. Now that ICD-10 has officially been implemented for...

Advize Health ICD-10 Tip Sheet

ICD-10 is officially here and Advize Health has provided you with the top 10 ICD-10 tips when going through this transition! Be sure to keep these tips in mind when facing this implementation and learning to transition from ICD-9 to ICD-10. Download...

Why Are Medical Professionals Panicking?

This is an actual experience from one of our Advize Health employees. This morning I went to the doctor’s office and the entire mood of the office was different. The staff including the nurses, doctors, and PA’s was panicking and many of them appeared to be upset. Why...

Fraud, Waste and Abuse Fact: September

Affordable Care Act Fraud Criminals Facing Tougher Sentences Due to the Affordable Care Act, criminals convicted of fraud now face tougher sentences and more jail time. Criminals will receive 20 to 50 percent longer sentences for crimes that involve more than $1...

Clearing Up Some Eye Exam Confusion

How are eye exam codes defined? CPT includes four codes that specifically describe eye exams: 92002:  Medical exam and evaluation with initiation of diagnostic and treatment program; intermediate, new patient. 92004:  Medical exam and evaluation with initiation of...

What to Watch Out For With Credit Balance

In May 2014, the Department of Health and Human Services, Office of Inspector General (OIG) published a proposed rule updating its regulations. The proposed rule will authorize civil monetary penalties for “failure to report and return a known overpayment,” among...

Are you Ready for the Shift to ICD-10?

On July 31st, 2014, the U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct.1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the...