Pre-Litigation Considerations

by | May 15, 2017 | Coding, Compliance, FWA, Healthcare

Law firms have been known to enlist the help of a third-party when dealing with healthcare fraud cases. This is because in addition to investigating the allegations against one party, there is a myriad of additional pre-litigation considerations. In multi-faceted...

Investigating Health Plan Overpayments

by | May 12, 2017 | Coding, FWA

Picture yourself balancing on top of a fence with vast expanses of land, each with their own set of governance, visible to you from both sides. You’re straddling the fence, your legs occupying each of the divided spaces. Where do you stand? It depends on which way the...

From ECC to IASIU

by | Apr 26, 2017 | Coding, Cybersecurity, Events, Fraud, FWA

Advize Health kicked off the month of April by diving headfirst into Conference Season, and attending the Eastern Claims Conference in Boston, MA. The Eastern Claims Conference, recently relocated from New York to Massachusetts was an impressive assembly of insurance...

Safeguard Your EHR

by | Apr 24, 2017 | Coding, Compliance, Cybersecurity, Fraud

If healthcare was a chemical solution, and relevant technologies were solutes – the mixture would quickly become a fragmented clump of, well…various technologies. The healthcare market is over-saturated with technology designed to “fix” the present problems plaguing...

Upcoding vs. Downcoding

by | Mar 17, 2017 | Coding, Compliance, Fraud

Physicians and their billing/coding staff have an established history with, and an acute awareness of upcoding and overpayments. In fact, unless they’re operating within a fraudulent billing scheme, they’re avoiding the practice of upcoding all together. Upcoding is...