by Chia Gemmato | Oct 27, 2023 | Advize News
Advize Health is thrilled to welcome Ashlee Heath to the Advize team as Director, Program Integrity. Ashlee is a passionate and experienced leader with more than a decade of healthcare experience in coding compliance and fraud, waste and abuse prevention, detection,...
by Advize Admin | Oct 20, 2023 | FWA, SIU
As someone who has retired twice already but is still working, I may not be the best person to answer this question but I am aiming this query more at the fraud hunt than the job hunt. A hunter or fisherman answers this question all the time. Do we quit when it gets...
by Advize Admin | Aug 2, 2023 | Advize News
Scottsdale was hot AF (Hot As Fraud) – temperatures were way over 105, and hot Medicaid Fraud topics were discussed. The National Association for Medicaid Program Integrity (NAMPI) has an annual training conference. This conference brings together the public and...
by Advize Admin | Jul 14, 2023 | FWA
Self doubt is a necessary part of the process when making claim determinations. As a reviewer, you have the ultimate decision-making authority as to whether a re-opened claim should be denied and the money recouped. You should be asking yourself whether the...
by Advize Admin | Jun 16, 2023 | FWA, Healthcare
For those that remember Solaraze, it is one of the name brands for Diclofenac. Diclofenac is commonly known today as Voltaren. In 2018, the OIG conducted a study that reflected that there were some strong fraud indicators on the off-label use of Diclofenac (under...
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