Advize Returns From NHCAA 2017

by | Nov 28, 2017 | Compliance, Fraud, FWA

Last year we had the ONE AND ONLY cheapest.booth.ever featured at NHCAA’s Annual Training Conference. This year Advize brought guacamole and cookies to the table at the Even Cheaper Cheapest Booth Ever. Advize Health had the honor of speaking with some of NHCAA’s...

Fraud Round-Up

by | Apr 28, 2017 | Dental, Fraud, FWA

If you read the news, you know that health care fraud is just as prevalent as ever. During any given time, you will be able to find a headline about a provider or care giver defrauding patients, insurance companies, or CMS in every state across the nation. This month...

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...

Are Your Eyes Deceiving You?

by | Jan 16, 2017 | Fraud, Healthcare

Are you being used by your doctor? Do you ever go to your optometrist for a routine eye exam and unknowingly leave with a medical condition? Were you asked for your medical insurance card at your visit? Why is that? Routine eye exams are covered by your vision plan....

Chiropractic Billing Red Flags

by | Sep 30, 2016 | Coding, Fraud

All insurance payers are obligated to perform routine reviews of claims submitted by providers who operate under their plans. In recent years these claims examinations have gotten more rigorous, with antifraud initiatives being pushed by private health plans and those...

Bad Reputation: Big Pharma’s Eventful Year

by | Aug 29, 2016 | Fraud, Healthcare

Thinking back to late 2015, the pharmaceutical industry was shaken by a tsunami of criticism and vitriol, all thanks to the rapacity of Big Pharma “bad boy” Martin Shkreli. You may recall Shkreli’s ill-received decision to jack up the price of Daraprim from $13.50 a...

Fraud Waste and Abuse Fact – October

by | Oct 19, 2015 | Fraud, FWA

Whistleblower Lawsuit Leads to Record Setting Settlement for Adventist Health System Adventist Health System will pay $118.7 million to the federal government and four states to settle a whistleblower lawsuit filed in December 2012. The lawsuit alleged that Adventist...