The tagline from the CMS Website is “When Medicare Claims are submitted accurately, everyone benefits.” First – TPE why do we even care? Well,...
Compliance Articles
Pharmacies Face Extra Audit Burdens That Threaten Their Existence
The clock was about to strike midnight, and Scott Newman was desperately feeding pages into a scanner, trying to prevent thousands of dollars in...
HIPAA & Human Error
Many of us have visited a doctor’s office. And in many circumstances our doctors visit includes a follow up correspondence of some sort. Whether...
10 Ways to Avoid an Audit
As new technologies progress more and more payers are actively deploying AI capable systems. This shift is now producing more...
The Role of State Boards of Dentistry (Part 2)
by guest contributor, Mark R. Brengelman, JD, MA Previous: The Role of State Boards of Dentistry (Part 1) This article provides another part into...
The Role of State Boards of Dentistry
by guest contributor, Mark R. Brengelman, JD, MA This article provides an initial perspective on the role of state boards of dentistry, which...
The Corporate Practice of Medicine
Recently, we were contacted by the Chief Financial Officer (CFO) of a medical group that provides primary care, urgent care and podiatric care to...
Legal Violations Against Physical Therapists: Part II
It’s more than money when your license is on the line. This week’s Fraud Spotlight features guest contributor Mark R. Brengelman,...
Fraud Spotlight: How Medical Record Reviews Help Providers
Over the past few weeks, we have been engaging with clients on a variety of topics, the most recent being the discussion of “code rotation.” Some...
Dental Fraud from a Different Perspective
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...
MSP 101: A Brief Overview
Friend of Advize and healthcare payer expert Dino Kasdagly put together a helpful resource for healthcare professionals looking to quickly refresh...
Fraud Spotlight: Provider Negligence & Ignorance are Non-Compliance
The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and...
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