by Advize Admin | Apr 1, 2021 | FWA
The Pennsylvania Insurance Fraud Prevention Association (IFPA) recently published their 2020 annual report. While reading through it, were really excited to see some of the great work that the SIU investigators at Highmark did on a case involving a physical...
by Advize Admin | Jun 11, 2020 | Fraud, FWA, Healthcare
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 Chia Gemmato | Apr 24, 2024
Catch Up with Your Fraud Metrics We’re not here to point fingers. We’re here to offer solutions. Advize Health saw this industry-wide challenge as an invitation to ideate and create a new framework for measuring, communicating and improving the ROI of Special...
by Chia Gemmato | Jan 24, 2024 | Business, SIU
The implementation of advanced data analytics tools has opened up new avenues for generating leads within Special Investigation Units (SIUs). While this influx of data is a positive development, managing and leveraging these leads effectively presents a unique...
by Advize Admin | Aug 11, 2023 | Compliance, FWA
The biggest mistake a healthcare investigator can make is to forget what their mission is. It is not to solve a crime; it is to follow the facts to determine if a crime has been committed. Healthcare fraud investigative work is the opposite of detective work. A...
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