by Erik Consorsha | Apr 9, 2021 | Providers
“Providers who may be reluctant to submit a claim for a higher level code, may in fact be taking an overly conservative approach, and submitting claims with a much lower code. ” Recently, former US Attorney for the Southern District of New York and...
by Erik Consorsha | Feb 21, 2020 | Coding, 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 Erik Consorsha | 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...
by Erik Consorsha | Mar 17, 2017 | Coding, Compliance, Fraud
Physicians and their billing/coding staff have an established history with, and an acute awareness of upcoding and overpayments. In fact, unless they’re operating within a fraudulent billing scheme, they’re avoiding the practice of upcoding all together. Upcoding is...
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