Fraud Spotlight: Human vs Machine

by | Nov 29, 2019 | 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: Specific Deterrence

by | Nov 7, 2019 | 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: Medicare Beneficiaries

by | Sep 18, 2019 | 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...

3 Common Healthcare Fraud Schemes

by | 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...

Fraud Spotlight: Kickbacks

by | Jun 24, 2019 | 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...

HEDIS Season: The Home Stretch

by | 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...

This Month in Healthcare

by | Jul 26, 2018 | Healthcare

Healthcare is constantly in a state of transition, and it doesn’t take the summers off. July has seen several CMS announcements, innovations, and healthcare fraud busts. Hot off the digital presses, Advize has rounded up this month’s biggest stories so far. 2018-07-19...

Should All Office Visits Be Created Equal?

by | Jul 23, 2018 | Healthcare

Physicians have had no reservations making their aversion to paperwork known, as evidenced by countless essays criticizing documentation requirements and the time management hurdles imposed by these steep expectations. Many discounted the protests of physicians,...