Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: COVID-19 Fraud Schemes & Paradigm Shifts

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. With every single social media post out there is about Coronavirus (and just…

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Posted and filed under Compliance, Fraud, FWA, Healthcare.

Fraud Spotlight: Phantom Billing & Services Not Rendered Schemes

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Two phrases that are common in the healthcare fraud world are: phantom billing…

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Posted and filed under Community.

Make a Difference: Put Your Money Where Your Conference Is

That’s exactly what Advize Health vowed to do in last week’s newsletter. The coronavirus pandemic has rattled industries across the world. With social isolation as the primary effort the population can make to flatten the curve, so to speak, conferences such as HIMSS2020 were cancelled, or postponed. This got us thinking about cost. The cost…

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Posted and filed under Fraud, FWA, Healthcare.

COVID-19’s Impact on Telemedicine & Reimbursements

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Under Medicare rules, telemedicine, or telehealth as it is also commonly known, required…

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Posted and filed under Compliance, Fraud, FWA, Healthcare.

Fraud Spotlight: You Can’t Cut Corners in Compliance

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. We have all heard the phrase “a penny wise, but a pound foolish,”…

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Posted and filed under Fraud, FWA, Healthcare, Waste.

Healthcare Fraud Prevails Around the World

Friend of Advize Dr. Simon Peck kindly stepped in as guest blogger this week to discuss healthcare fraud from an international perspective. Last month, the biggest health story in the United Kingdom was not about coronavirus but the conclusion of the long-awaited inquiry into breast surgeon Ian Paterson, who is currently serving a 20-year jail…

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Posted and filed under Coding, Compliance, Fraud, FWA, Medical Record Auditing.

Fraud Spotlight: Understanding the 3 Types of BLS Transport

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Previously, I wrote a couple of blogs about the continued fraud in the…

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Posted and filed under Community.

The Cure For Conferenceitis

Even if you’ve never heard of Conferenceitis, chances are that you’ve experienced it. Conferenceitis is characterized by fatigue, irritability, blistered feet, and an acute dependence on hand sanitizer – all caused by one common denominator: conference attendance. You might love conferences, but you know what we’re talking about. The travel, the business attire, the obligation…

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Posted and filed under Community, Healthcare.

Take Your Next Meeting to These Orlando Destinations

Next week, the Orange County Convention center will be loud and bustling for HIMSS20. It’s no surprise, considering 40,000 people will be attending the enormous conference, which just so happen to be the place to be for HIT. HIMSS20 will undoubtedly prove to be at the center of some incredible thought leadership and innovation –…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Evaluation & Management and Home Visits

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Are you, as a provider of services and submitter of claims, ready for…

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