by Chia Gemmato | Mar 5, 2024 | FWA
As I look out the window, the sky looks grey and ominous that a storm is on the way, but it is still almost 50 degrees outside. All things point to spring, but the sky hints of yet another storm before it too goes out like a lamb and hopefully not out like a lion....
by Chia Gemmato | Nov 15, 2023 | Advize News, Careers, Events, FWA
Last week marked one of my favorite weeks of the year—the NHCAA Annual Training Conference. This year, the conference was held in Dallas, prompting me to reflect on the past 10 years of my career in Healthcare Fraud. My first ATC was a decade ago, also in Dallas. Back...
by Chia Gemmato | Nov 10, 2023 | Advize News, Community, Events, FWA
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 to have to schlep to Big D. As per usual, one of the things I pondered was whether there were any new, earth-shattering...
by Advize Admin | Oct 20, 2023 | FWA, SIU
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 more at the fraud hunt than the job hunt. A hunter or fisherman answers this question all the time. Do we quit when it gets...
by Advize Admin | Sep 29, 2023 | FWA, SIU
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? But the biggest question is – Who has the most important job? Is it the Data Analyst whose work...
by Advize Admin | Sep 15, 2023 | FWA, SIU
When people discuss the various ways in which healthcare programs are exploited, they often use the umbrella term “Fraud, Waste, and Abuse.” These terms have been employed interchangeably for many years, but the spectrum of behaviors they encompass is...
by Advize Admin | Sep 8, 2023 | Commentary, FWA
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 for the day. If you thought about The 50th Anniversary of Hip Hop, you get two points. It’s a very special time for...
by Advize Admin | Sep 8, 2023 | FWA, SIU
Referrals to law enforcement are just one of the ways that SIUs (Special Investigation Units) resolve cases. The number and relative importance of such referrals vary, but one thing is constant – the referrals should be reserved for only those cases where resolution...
by Advize Admin | Sep 1, 2023 | FWA, SIU
Data is great. Open-source information is helpful. Surveillance can provide insight. But nothing beats a good interview for getting to the heart of it. But what does it take to make it a good interview? In a word, what it takes is preparation. Preparation is...
by Advize Admin | Aug 18, 2023 | Commentary, FWA, Technology
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 because he is bored with hunting animals and wants, instead, to hunt “the most dangerous game,” humans. Well, with...
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