by Advize Admin | May 26, 2023 | Coding, FWA
Within the past few weeks, we have seen at least two of the large payors seek to institute policies that would require providers to submit their medical records when an Evaluation and Management (E&M) is appended with Modifier 25. While not having a discussion on...
by Advize Admin | Dec 2, 2022 | Coding, FWA, Medical Record Auditing
Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some plans overbilling the government more than $1,000 per patient a year on average. Summaries of the 90 audits, which...
by Advize Admin | Dec 15, 2021 | Coding
Wew, it’s Christmas time, and you know what that means! Christmas related ICD-10 codes! Ok, ok, maybe Christmas time is about forgetting about ICD-10 codes!? But sometimes you have to remember something in order to forget it. Right? Just nod your head. Sooooo,...
by Advize Admin | Nov 12, 2020 | Coding, Fraud, FWA
The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
by Advize Admin | Sep 18, 2020 | Coding, Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out some basics of dental misconduct – fraud. A dentist who...
by Advize Admin | May 22, 2020 | Careers, Coding, Community
May 23rd is National Medical Coder Day to celebrate YOU and your unrelenting dedication to the field and endless hard work. From educating providers to helping keep protected health information safe and secure — YOU are a compliance...
by Advize Admin | Mar 6, 2020 | Coding, Compliance, Fraud, FWA, Medical Record Auditing
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...
by Advize Admin | Feb 21, 2020 | Coding, Fraud, FWA, Healthcare
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...
by Advize Admin | Feb 14, 2020 | Coding, Fraud, FWA, Healthcare
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...
by Advize Admin | Dec 27, 2019 | Coding, Fraud, FWA, Healthcare, Medical Record Auditing
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...
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