Join Ashlee Heath, for a journey through NHCAA ATC’s highlights—a celebration of hard work and relentless pursuit in the fight against healthcare fraud.
FWA Articles
It’s like sweeps week at Advize, but instead of the characters of SVU appearing on Law and Order, Eric and Matt blend their respective blogs into a new theme – the Fraud Hunters’ Union.
Everything Old is New Again
With all the Advize bigwigs in Dallas this week at the NHCAA shindig, I am left alone to ponder my thoughts and wonder who I must have pleased not...
Fraud Hunter: When do You Call it Quits?
As someone who has retired twice already but is still working, I may not be the best person to answer this question but I am aiming this query...
Fraud Hunters: Don’t Let This Piece Puzzle You
In SIUs, just like in any other organization, eternal questions always come up: When do I get my raise? What time is lunch? Where's the "Any" key?...
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...
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 New “Most Dangerous Game”: How Artificial Intelligence is Changing the Landscape of Healthcare Fraud
In the short story “The Most Dangerous Game” by Richard Connell (and the movies based on the story), a big game hunter traps humans on an island...
Just the Facts, Ma’am: Navigating Healthcare Investigations with Precision
The biggest mistake a healthcare investigator can make is to forget what their mission is. It is not to solve a crime; it is to follow the facts...
Fraud Hunters: Keep Your Eyes Open – Peculiar Business Pairings in South Florida
On a recent trip to South Florida, I came across some very interesting sights that gave me pause. The first was the combination of an Adult Day...
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