At Advize Health, we are proud of our expert team of experienced healthcare professionals who have extensive knowledge in auditing, coding and claims recovery coupled with management skills and hands-on experience with CMS, large and small payers as well as hospitals of all sizes. This enables us to deliver valuable results and increased savings. Having delivered more than 700,000 audits for over 5,500 providers across a broad spectrum of specialties, Advize is adept at servicing the Fortune 100 and yet adaptable to smaller and more cost conscious organizations. Our auditors possess a variety of related medical and auditing certifications including MD, RN, RHIT, CPC, CPC-H, CPC-I, CCS-P, CIRCC, CPCO, CPMA, CEMC, CHC, and CFE. Having employees located throughout the United States allows us to compile knowledge about industry changes and improvements from varied markets while our daily communication and commitment to unity allow us to be an efficient and effective team.
Our extensive commitment to exceptional client service is paving the way for ongoing success. The following profiles are representative of our team from a client, clinical and project delivery perspective:
Jeanmarie Loria, Managing Director
As Managing Director at Advize Health, Ms. Loria provides quality consulting and project management services that accelerate clients’ ROI and satisfaction. At Sunera Healthcare (now Advize Health), Ms. Loria streamlined operations and improved client retention resulting in a steady, ongoing stream of income. Ms. Loria‘s focus at Advize Health is to deliver the utmost quality of service in all Audit and Advisory services.
Previously with KPMG’s North Florida Advisory Practice, Ms. Loria coordinated and executed testing efforts surrounding the healthcare industry to deliver process improvement and integration with data mapping, policy and procedure design and development, and organizational analysis and alignment. She performed integrated IT audit testing and reviews specific to healthcare and insurance organizations by analyzing business processes and assessing the effectiveness of controls surrounding key financial modules, general IT controls, and interfaces.
As a skilled project manager, Ms. Loria has an acute ability to focus on data flow and business applications by interviewing companies to develop an organized process overview, drilling into areas of potential weakness and then building plans to mitigate risk. She has a MBA with a concentration in Finance, and her certifications include Project Management Professional, Six Sigma Green Belt, and Conflict Resolution Mediator.
Eric Rubenstein, Director of Litigation, Fraud, Waste and Abuse Support
Mr. Rubenstein is a retired federal law enforcement officer with over 25 years of experience in white-collar crime investigations. His wide-ranging experiences involving federal healthcare programs such as Medicare and Medicaid have demonstrated great success in complex criminal case management, planning, and convictions. Having been involved in cases resulting in over $500 million in restitution, forfeiture, damages, penalties, and fines and over 150 convictions involving healthcare fraud – Mr. Rubenstein is dedicated to the identification and prevention of fraud, waste, and abuse in the healthcare space.
As Director of Litigation, Fraud, Waste, and Abuse Support, Mr. Rubenstein brings his 20+ years of broad trial, investigative, presentation, and training experience to expand Advize Health’s impact on fraud investigations and recovery. By lending his expertise to Advize Health’s partners and clients, Mr. Rubenstein serves as a conduit of information on internal and external policies and procedures for criminal, civil, and administrative investigative matters.
Wade A. McFaul, Director of Special Projects & Investigations
McFaul retired from 24 years of Federal Service with the HHS-OIG. He spent approximately 14 years as a special agent working, planning, and coordinating complex health care fraud investigations. Mr. McFaul worked with the FBI, the DEA, the IRS, the Department of Defense, the Medicaid Fraud Control Unit, Immigrations and Customs Enforcement, and various U.S. Attorney’s Offices. He led hundreds of civil and criminal investigations which involved hospitals, clinics, physicians, laboratories, durable medical equipment suppliers, diagnostic testing facilities, pharmacies, and other healthcare sectors.
The last decade of his career he served as an Assistant Special Agent in Charge of the Los Angeles Region. In this leadership role his duties included resource allocation and staffing, case review, case assignment and referral, monitoring and overall operations of the Regional office. He supervised agents’ cases, supervised and managed large projects such as undercover operations, DEA tactical diversion task force, cases involving Title III wire taps, confidential informants and the Strike Force. He supervised agents and cases in Southern California, Arizona, Nevada, Hawaii, and Guam and worked closely with the USAOs of those geographic areas. He also worked closely with various Medicare carriers and intermediaries, District Attorney’s Offices and CMS.
After retiring he worked with the National Benefit Integrity, Medicare Drug intermediary (MEDIC) investigating Medicare Part D Prescription Drug fraud cases prior to coming on board with Advize.
Since his time with Advize, Mr. McFaul has served as a fraud investigations and audits Subject Matter Expert and helps clients understand and navigate CMS audits, audits by government intermediaries and private insurance carriers.
Previously as a member of the United States Marine Corps, Mr. McFaul served the 3rd Battalion 9th Marines of the First Marine Division before graduating from California State University with a Bachelor Degree in Criminal Justice.
Charlie Meyer, Director Healthcare Fraud & Abuse
Mr. Meyer leads the fraud waste and abuse (FWA) consulting function at Advize and is responsible for working with payers on identifying and resolving gaps in their FWA and Special Investigation Unit process. Through Advize’s industry-leading staff augmentation services, clients gain a partner to drive industry best practices and increase quality while reducing costs and risk.
In addition to his previous position as the Managing Director of Healthcare Fraud and Abuse at T&M USA, LLC, Meyer was with the Office of the New York State Attorney General’s Medicaid Fraud Control Unit, as well as Senior Investigator for Anthem and Investigator at Fidelis Care of New York.
Amanda Czysz, Senior Associate
As a Senior Associate with Advize Health, Ms. Czysz has more than nine years of experience in healthcare, compliance and data analysis. Ms. Czysz possesses strong problem-solving skills that enable her to play a crucial role in client delivery and project management. She has a proven ability to determine client and project needs and to prepare corresponding reports and analysis for presentation. Furthermore, she works closely with management to improve privacy safeguards and trains internal and external teams on security measures, privacy controls, and processes to protect PHI and PII according to HIPAA rules.
Prior to joining Advize Health, Ms. Czysz was a medical underwriter for a large health plan. Her acute ability to perform analysis of large physician and patient datasets to derive detailed and summary-level reports, including written interpretation of analytic results, has created a lasting impact on Advize Health’s clients. Her consistent approach to improving performance and commitment to quality management with years of detail-oriented analysis have contributed to her outstanding healthcare knowledge base, allowing her to successfully master the Certified Professional Coder examination. Ms. Czysz has a Bachelor’s degree from the University of South Florida and a Master’s from the University of Florida.
Erik Consorsha, Chief Information Officer (CIO)
As the Chief Information Officer at Advize Health, Mr. Consorsha is a driven professional with more than 15 years in the technology industry, as well as 10 years of web and application development experience. He maintains a solid record of team leadership and quality business process automation, and he delivers custom development solutions on time and under-budget. Mr. Consorsha has demonstrated success in building strong, effective teams through positive communication and leadership. He also continues to focus on best practices and creating quality enterprise solutions.
Prior to joining Advize Health, Mr. Consorsha was a Senior System Architect at Pegasystems, Inc. and consulted with healthcare companies across North America. Mr. Consorsha also led the Application Development department for the largest privately owned Medicare/Medicaid health insurance provider in America. His ability to link technology with all aspects of operations and to leverage resources help improve clients’ revenues and performance.