by Advize Admin | 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...
by Advize Admin | 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...
by Advize Admin | 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...
by Advize Admin | Apr 1, 2017 | FWA
Join Advize Health Managing Director, Jeanmarie Loria, and CIO, Erik Consorsha, at NHCAA’s ATC in Orlando this year as the couple celebrates their recent choice to elope. In January the couple escaped to secretly tie the knot. According to an article in the New...
by Advize Admin | Mar 23, 2017 | FWA, Medical Record Auditing
If you were an attendee at last month’s webinar on arbitration and litigation support for medical coders and auditors, you’re aware of the fact that legal support is a growing need in the healthcare industry. It may come as no surprise given the alarming numbers...
by Advize Admin | Nov 30, 2016 | Community, FWA
Advize Health had the honor of attending NHCAA’s Annual Training Conference (ATC) in Atlanta, GA earlier this month. The ATC is widely-regarded as the most important assembly against healthcare fraud, where attendees explore fraud schemes, trends, and best practices...
by Advize Admin | Sep 8, 2016 | FWA
Last week, Advize Health returned to Florida after fighting fraud in Baltimore during NAMPI 2016. This annual National Association for Medicaid Program Integrity took place from August 28-31st, and was held at the Baltimore Marriott Waterfront Hotel. This conference...
by Advize Admin | Jul 26, 2016 | FWA, Medical Record Auditing
Commercial Health Plans The act of tailoring medical record audit procedures to the needs of a particular health plan is not a novel concept. Different commercial healthcare payers maintain requirements unique to their served populations, and audits are consistently...
by Advize Admin | Jul 21, 2016 | Coding, FWA, Medical Record Auditing
A medical record audit can reveal over-payments for up-coding, incorrect numbers of units billed, and the abuse of modifiers – just to list a few. Given the popularity of such indiscretions, what is being done after the money is recovered? Do you intend on data mining...
by Advize Admin | Jun 6, 2016 | FWA, Healthcare
On May 31, 2016 the US Attorney’s Office for the District of New Jersey published a press release regarding the latest settlement for health care fraud in the state involving Saint Michael’s Medical Center and four individual physicians who submitted false claims for...
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