by Advize Admin | Sep 30, 2022 | Healthcare, Payers
Almost 2 million of California’s poorest and most medically fragile residents may have to switch health insurers as a result of a new strategy by the state to improve care in its Medicaid program. A first-ever statewide contracting competition to participate in the...
by Advize Admin | Apr 30, 2021 | Healthcare, Payers
Just as other industries are rolling back some consumer-friendly changes made early in the pandemic — think empty middle seats on airplanes — so, too, are health insurers. Many voluntarily waived all deductibles, copayments and other costs for insured patients...
by Advize Admin | Oct 13, 2020 | Fraud, Healthcare, Payers
Should a patient who suffers a medical condition as a result of their treatment have to pay for the resulting treatment? Should the financial responsibility go to their insurance or the facility that caused the problem? Before everyone starts hitting the comment...
by Advize Admin | Aug 21, 2020 | Compliance, FWA, Healthcare, Payers
Friend of Advize and healthcare payer expert Dino Kasdagly put together a helpful resource for healthcare professionals looking to quickly refresh their knowledge on Medicare as a Secondary Payer practices. Below you will find several popular instances in which...
by Advize Admin | Aug 14, 2020 | Compliance, FWA, Healthcare, Payers
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 | Apr 9, 2020 | Fraud, FWA, Healthcare, 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 | May 30, 2019 | Healthcare, Payers
As we approach the month of June, we also begin our downward slide towards the end of HEDIS season. HEDIS season, in all its glory, stretches through about 3 calendar seasons – and requires hard work from providers, chart reviewers, and record collection companies...
by Advize Admin | Apr 25, 2019 | Healthcare, ICD-10, Payers
UnitedHealthcare and the American Medical Association have partnered up to take the next step towards a patient-centric healthcare system. Earlier this month, the organizations announced their intent to propose a collection of 23 new ICD-10 codes associated with...
by Advize Admin | Apr 30, 2018 | Healthcare, Payers
The United States healthcare system is responsible for several crowning achievements, modern innovations, and…failures. Among those failures is the creation of helicopter patient care. You’ve heard about helicopter parenting, the overbearing, over-anxious,...
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