by Advize Admin | Oct 27, 2020 | Dental, Fraud, FWA
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 experts. This article rounds out lessons in dental misconduct...
by Advize Admin | Jul 15, 2020 | Fraud, FWA, Healthcare
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 | Aug 28, 2019 | Compliance, Fraud, FWA, Healthcare
Scroll through any law enforcement or OIG newsroom, and you’ll quickly learn that healthcare fraud comes in many shapes and sizes. There is no one-size-fits-all fraud scheme adopted by those looking to exploit the system for a buck (or a few million). This is what...
by Advize Admin | Apr 28, 2017 | Dental, Fraud, FWA
If you read the news, you know that health care fraud is just as prevalent as ever. During any given time, you will be able to find a headline about a provider or care giver defrauding patients, insurance companies, or CMS in every state across the nation. This month...
by Advize Admin | May 21, 2021 | FWA
In 1993, Dr. David Silber, a dentist now practicing in Plano, Texas, was fired from the first dental clinic he worked for. He’d been assigned to a patient another dentist had scheduled for a crown preparation — a metal or porcelain cap for a broken or decayed tooth....
by Advize Admin | Feb 12, 2021 | FWA
Do you feel blog posts are all the same? There are some truths and useful information, and some hyperbole. In 2020, I took my family’s dental fraud story public and then performed a deep dive into dental fraud, including issues around standards of...
by Advize Admin | Nov 28, 2017 | Compliance, Fraud, FWA
Last year we had the ONE AND ONLY cheapest.booth.ever featured at NHCAA’s Annual Training Conference. This year Advize brought guacamole and cookies to the table at the Even Cheaper Cheapest Booth Ever. Advize Health had the honor of speaking with some of NHCAA’s...
by Advize Admin | Jul 21, 2016 | Coding, FWA, Medical Record Auditing
A medical record audit can reveal over-payments for up-coding, incorrect numbers of units billed, and the abuse of modifiers – just to list a few. Given the popularity of such indiscretions, what is being done after the money is recovered? Do you intend on data mining...
by Chia Gemmato | Mar 31, 2024
We Are Your Premier Choice for Ensuring Accurate Payment Processes. | Consulting and Staffing Support | | DRG and Readmission Audits/Appeals | | Short-term Audit Backlog Support | | Risk Adjustment | | ESDR Premium Payments | We understand the critical importance of...
by Advize Admin | Mar 24, 2023 | Healthcare
A year after private equity-backed Noble Health shuttered two rural Missouri hospitals, patients and former employees grapple with a broken local health system or missing out on millions in unpaid wages and benefits. The hospitals in Audrain and Callaway counties...
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