by Chia Gemmato | Dec 27, 2023 | Business, Careers, Commentary, Community
Nope, at our family holiday, we were not talking about love. Yup, however, we might have been talking about that Van Halen song used on The Sopranos S3: E1. Feels like a double triple bonus of favorite things. So what exactly were we talkin’ ’bout here?...
by Chia Gemmato | Nov 15, 2023 | Advize News, Careers, Events, FWA
Last week marked one of my favorite weeks of the year—the NHCAA Annual Training Conference. This year, the conference was held in Dallas, prompting me to reflect on the past 10 years of my career in Healthcare Fraud. My first ATC was a decade ago, also in Dallas. Back...
by Chia Gemmato | Nov 10, 2023 | Advize News, Community, Events, FWA
With all the Advize bigwigs in Dallas this week at the NHCAA shindig, I am left alone to ponder my thoughts and wonder who I must have pleased not to have to schlep to Big D. As per usual, one of the things I pondered was whether there were any new, earth-shattering...
by Chia Gemmato | Oct 27, 2023 | Healthcare, Healthcare Law, OIG Files
After glancing at the Halloween-themed graphic, I was tempted to rename this blog “The ‘Fraid’ Hunter” because that picture is horrifying. However, it did inspire me to discuss a healthcare horror tragedy. In this story, there are no bad guys,...
by Chia Gemmato | Oct 27, 2023 | Advize News
Advize Health is thrilled to welcome Ashlee Heath to the Advize team as Director, Program Integrity. Ashlee is a passionate and experienced leader with more than a decade of healthcare experience in coding compliance and fraud, waste and abuse prevention, detection,...
by Chia Gemmato | Mar 4, 2022 | Compliance
Background Anyone who has taken the CRC™ (Certified Risk Adjustment Coder) curriculum can tell you that risk adjustment was first utilized in the mid-90’s for Medicaid purposes. The goal of risk adjustment has always been to collect data on patients so that money...
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