by Advize Admin | 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...
by Advize Admin | 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...
by Advize Admin | 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...
by Advize Admin | Mar 6, 2020 | Coding, Compliance, Fraud, FWA, Medical Record Auditing
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...
by Advize Admin | Jan 31, 2020 | Fraud, FWA, Healthcare, Medical Record Auditing
Peggy Glynn, a former OIG Field Agent returns in this week’s guest blog post. Her friendship, insights, and experiences in the OIG are incredible tools for those looking to learn more about fighting healthcare fraud, waste, and abuse. What is the USDHHS? Who is...
by Advize Admin | Jan 24, 2020 | Fraud, FWA, Healthcare, Medical Record Auditing
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...
by Advize Admin | Jan 10, 2020 | Fraud, FWA, Healthcare, Medical Record Auditing
This week’s Fraud Spotlight article was written by Peggy Glynn, a former OIG Field Agent from Buffalo, NY. Her friendship, insights, and experiences in the OIG are incredible tools for those looking to learn more about fighting healthcare fraud, waste, and...
by Advize Admin | Dec 27, 2019 | Coding, Fraud, FWA, Healthcare, Medical Record Auditing
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...
by Advize Admin | Apr 26, 2018 | Fraud, Medical Record Auditing
A 2017 audit fronted by Massachusetts State Senator Suzanne M. Bump revealed over $190 billion dollars in improper or ambiguous payments within MassHealth’s Behavioral Health program. The audit uncovered years of questionable billing practices, lack of administrative...
by Advize Admin | Apr 19, 2018 | Coding, Community, Medical Record Auditing
Continuing Education Units (CEU) for healthcare professionals who are credentialed by the AAPC are worth their weight in gold. CEUs are a necessary tool for all medical coders and auditors as they are not only required for certification maintenance, but because they...
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