by Advize Admin | Oct 21, 2022 | Advize News, Compliance, Events
This week two of Advize Health’s own former HHS-OIG experts, Matt Kochanski and Wade McFaul presented a conversational webinar on Organized Fraud. Matt and Wade discussed their experiences with the types of fraud and various ways they investigated these cases. ...
by Advize Admin | Oct 14, 2022 | Advize News, Community
I was grounded in the Bronx (rather than my typical travel around to different cities), I drove over to one of my favorite boroughs and watched some scary movies to get ready for Halloween. Thinking about this spooky time of year, I love to read up on the scary...
by Advize Admin | Oct 14, 2022 | Healthcare
Health Outcomes and Insurance This week our CEO posted her thoughts on LinkedIn regarding some recent studies and the current state of health insurance for the individual and the outcomes of care. Health Outcomes: How are We Doing? We spend more but achieve less....
by Advize Admin | Oct 14, 2022 | Advize News
Last week we shared that fraud is always in fashion and that our thesis was for emerging trends in healthcare fraud, like fashion, retro is where it is at – what is old is new and often fraud schemes are recycled over and over again. Our own Eric Rubenstein has been...
by Advize Admin | Oct 14, 2022 | Healthcare
It is the annual fall season of Medicare sales pitches and we have seen a rise in Celebrity Medicare Sales pitches. We are happy to see CMS creating tighter rules around the sales pitches and confusion. We have seen seniors fall victim to different Medicare...
by Advize Admin | Oct 7, 2022 | Commentary
I am not one for forest or outdoors but I do love a city and a concert. This past week I enjoyed both the city and a concert around a bunch of work meetings. Forest Hills is a mostly residential neighborhood in the central portion of the borough of Queens...
by Advize Admin | Oct 7, 2022 | OIG Files
We are proud to bring a new fashion of fraud your way. You might ask yourself, what is the difference between Vintage, Antique, and Retro? Let’s start here, vintage is something that is too old to be considered used and is often related to past pop culture, junk...
by Advize Admin | Sep 30, 2022 | Healthcare, Payers
Almost 2 million of California’s poorest and most medically fragile residents may have to switch health insurers as a result of a new strategy by the state to improve care in its Medicaid program. A first-ever statewide contracting competition to participate in the...
by Advize Admin | Sep 30, 2022 | Advize News
Back to Baltimore This week was the American Health Law Association (AHLA) Fraud and Compliance Forum and a HHS CMS Happy Hour in Baltimore. Rather than going home to the hurricane, I stayed in Baltimore another day. Thank you to everyone who sent the Advize team...
by Advize Admin | Sep 30, 2022 | Compliance, FWA
Massachusetts has become the latest state to settle with health insurance giant Centene Corp. over allegations that it overbilled the state’s Medicaid program for pharmacy services, KHN has learned. Centene, the nation’s largest Medicaid managed-care insurer, will pay...
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