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Auditing Medical Records for Medical Necessity

by Erik Consorsha | Aug 27, 2021 | Medical Record Auditing

A little background, one of areas where Advize provides consulting services is in the medical record review space.  We have been providing this service to clients for over 20 years, both proactively, and reactively. Our CEO, Jeanmarie Loria, was actually a...

3 Quick Tips to Avoid an Audit

by Erik Consorsha | Dec 9, 2020 | Fraud, FWA, Healthcare, Medical Record Auditing

Healthcare providers have a lot on their minds. Between daily rounds, patient care, and an ongoing global pandemic – it’s not easy to stay on top of administrative tasks like documentation and medical record maintenance. Even so, medical record review is a critical...

Dental Fraud: Standard of Care Violations

by Erik Consorsha | Oct 9, 2020 | Dental, Fraud, FWA, Medical Record Auditing

Even more than money … what about the standard of care? This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud...

A Frank Discussion on Dental Fraud

by Erik Consorsha | Sep 3, 2020 | Dental, Fraud, FWA, Medical Record Auditing

Our Founder and Managing Director Jeanmarie Loria sat down with retired OIG Special Agent Eric Rubenstein to discuss dental fraud, unscrupulous dentists, and the claims-related intricacies of the dental industry. Here’s how it went… JL: My aunt in California paid an...

Fraud Spotlight: Provider Negligence & Ignorance are Non-Compliance

by Erik Consorsha | Aug 20, 2020 | Compliance, Fraud, FWA, Medical Record Auditing

The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...

Fraud Spotlight: Document Now, Ace an Audit Later

by Erik Consorsha | May 15, 2020 | Compliance, FWA, Medical Record Auditing, Payers

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
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