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Fraud Spotlight: Invest in Compliance – All Providers Are Audited

by Erik Consorsha | Aug 6, 2020 | Compliance, 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...

Fraud Spotlight: You Can’t Cut Corners in Compliance

by Erik Consorsha | Mar 13, 2020 | Compliance, 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...

Fraud Spotlight: Economic Healthcare Fraud Perspectives

by Erik Consorsha | 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...

Fraud Spotlight: Provider Awareness & Compliant Billing

by Erik Consorsha | Nov 22, 2019 | Coding, Compliance, 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...

OIG Medi-Cal Audit Reveals $70M in Incorrect Payments

by Erik Consorsha | May 21, 2019 | Compliance, Healthcare

Earlier this month, the Office of Inspector General released a 29-page audit report of an investigation conducted on the California Department of Health Care Services. The audit, which covered the review of more than 112,000 Medicaid capitation payments amounting to...
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