by Advize Admin | Sep 18, 2020 | Coding, Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out some basics of dental misconduct – fraud. A dentist who...
by Advize Admin | 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...
by Advize Admin | Jan 30, 2017 | Coding, ICD-10
Since the 2014 Patient Protection and Affordable Care Act (ACA), physicians can be reimbursed for the preventative services of tobacco use screening and cessation counseling. It is a well-known fact that smoking has negative effects on your healthy,but did you know...
by Advize Admin | Jan 9, 2017 | Coding, Medical Record Auditing
If you’re reading this article, chances are you already know what HCC Coding is – but we’ll give you a refresher anyway. Hierarchical Condition Category (HCC) and Risk Adjustment Coding is a CMS-mandated payment model. This particular model works to identify those...
by Advize Admin | Oct 4, 2016 | Dental
You know the story well. In fact, you’ve probably experienced it at some point in your life. That excruciating, brain-rattling pain that overwhelms you while you’re drinking hot coffee or taking a bite of ice cream. The pain and hyper sensitivity that a...
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