by Advize Admin | Sep 24, 2021 | FWA
When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are...
by Advize Admin | Sep 24, 2021 | Commentary, FWA
What is most important: identify, eliminate, recover or (PLOT TWIST) prevent? Coming off of a strong week of meetings with my clients and listening to their real pain points coupled with listening to hours of the podcast Do You Know This Man, and incessant Elizabeth...
by Advize Admin | Sep 10, 2021 | FWA
A Florida orthopedic surgeon and designer of costly spinal surgery implants was arrested Tuesday and charged with paying millions of dollars in kickbacks and bribes to surgeons who agreed to use his company’s devices. Dr. Kingsley R. Chin, 57, of Fort Lauderdale,...
by Advize Admin | Aug 20, 2021 | FWA, Healthcare
When the coronavirus hit Martha Leland’s Connecticut nursing home last year, she and dozens of other residents contracted the disease while the facility was on lockdown. Twenty-eight residents died, including her roommate. “The impact of not having friends and family...
by Advize Admin | Aug 13, 2021 | FWA, Healthcare
Cristina Martinez’s spinal operation in Houston was expected to be routine. But after destabilizing her spine, the surgeon discovered the implant he was ready to put in her back was larger than he wanted to use — and the device company’s sales rep didn’t have a...
by Advize Admin | Aug 13, 2021 | Compliance, FWA
The clock was about to strike midnight, and Scott Newman was desperately feeding pages into a scanner, trying to prevent thousands of dollars in prescription payments from turning into a pumpkin. As the owner of Newman Family Pharmacy, an independent drugstore in...
by Advize Admin | Jul 16, 2021 | FWA
Stephen Matthew Shumaker counted on in-home, in-person demonstrations to drive his water filtration business, which serves the Atlanta area. So when covid-19 hit and no one was inviting people indoors, he turned to the air-cleaning part of his operation. He sent cards...
by Advize Admin | Jul 16, 2021 | FWA, Healthcare
The care was ordinary. A hospital in Modesto, California, treated a 30-year-old man for shoulder and back pain after a car accident. He went home in less than three hours. The bill was extraordinary. Sutter Health Memorial Medical Center charged $44,914 including an...
by Advize Admin | Jun 18, 2021 | FWA
Dr. Kingsley R. Chin was little more than a decade out of Harvard Medical School when sales of his spine surgical implants took off. Chin has patented more than 40 pieces of such hardware, including doughnut-shaped plastic cages, titanium screws and other products...
by Advize Admin | May 28, 2021 | FWA, Healthcare Facepalm
The pandemic has highlighted poor care in America’s nursing homes, where nearly 175,000 people have died of covid-19 — a third of all deaths from the disease nationwide. Even before the pandemic, patient advocates pointed to dangerous conditions in U.S....
Recent Comments