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Weekly Updates on Healthcare FWA, Insurance, Law & other (typically) Healthcare related shenanigans™.
APPex 2023 Recap: Advize Addresses APP Concerns and Trends
The Advanced Practice Provider Executives (APPex) conference was a successful gathering of some of the finest Advanced Practice Providers (APPs)...
Moment of Mindfulness
Continuing with our mindfulness series from last week, today, we bring you a quote from Jeanmarie Loria, our CEO, who became a yoga instructor...
Final Book Club Meeting: Horrifying Stats in Healthcare Spending
Our final Book Club meeting for "Never Pay the First Bill" by Marshall Allen is scheduled for this Friday. During this meeting, members will...
With Intent to Deceive: Investigating Healthcare Fraud with Intent
When people discuss the various ways in which healthcare programs are exploited, they often use the umbrella term "Fraud, Waste, and Abuse." These...
Ritual Mass Killing… No, Just a Yoga Class
Police in Lincolnshire, England, received an alarming report of a "ritual mass killing," but upon investigation, it turned out to be a yoga class....
Salt-N-Peppering: Unveiling Healthcare Fraud Through Phantom Claims
Ah, push itAh, push itOoh, baby, baby, baby, babyOoh, baby, baby, ba-baby, baby… If you read that and thought about Salt-N-Pepa, you get a point...
Handing Off to the Big Guns: Mastering Case Referrals for SIUs
Referrals to law enforcement are just one of the ways that SIUs (Special Investigation Units) resolve cases. The number and relative importance of...
Your Best Weapon: Preparation & The Art of Interviewing
Data is great. Open-source information is helpful. Surveillance can provide insight. But nothing beats a good interview for getting to the heart...
The ACA Mandate: Why Providers Need a Compliance Plan
Providers, are you aware that the Affordable Care Act (ACA), often referred to as "Obamacare," mandates a compliance plan for those participating...
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