Something Smells Phishy

by | Mar 6, 2018 | Compliance, Cybersecurity

Phishing is a common fraudulent practice that involves, “sending emails purporting to be from reputable companies in order to induce individuals to reveal personal information, such as passwords and credit card numbers”. Phishing is an example of deceptive social...

Don’t Get Ghosted by Your DME Supplier

by | Dec 18, 2017 | Compliance, Fraud, FWA

Medicare fraud maintains its position among the fastest growing crimes in the United States. The government loses nearly $75 billion a year to Medicare fraud; which has led to the conception of several anti-fraud initiatives, including the OIG’s Operation Whack-A-Mole...

Keep Your Holiday Season Fraud-Free

by | Nov 29, 2017 | Community, Fraud

As the holiday season nears its zenith it can become extremely difficult to maintain your defenses against the myriad of fraud schemes that plague our capitalistic society. Luckily, Florida Attorney General Pam Bondi has your back! In her presentation, “2017 Holiday...

Advize Returns From NHCAA 2017

by | Nov 28, 2017 | Compliance, Fraud, FWA

Last year we had the ONE AND ONLY cheapest.booth.ever featured at NHCAA’s Annual Training Conference. This year Advize brought guacamole and cookies to the table at the Even Cheaper Cheapest Booth Ever. Advize Health had the honor of speaking with some of NHCAA’s...

Pre-Litigation Considerations

by | May 15, 2017 | Coding, Compliance, FWA, Healthcare

Law firms have been known to enlist the help of a third-party when dealing with healthcare fraud cases. This is because in addition to investigating the allegations against one party, there is a myriad of additional pre-litigation considerations. In multi-faceted...

Fraud Round-Up

by | Apr 28, 2017 | Dental, Fraud, FWA

If you read the news, you know that health care fraud is just as prevalent as ever. During any given time, you will be able to find a headline about a provider or care giver defrauding patients, insurance companies, or CMS in every state across the nation. This month...

From ECC to IASIU

by | Apr 26, 2017 | Coding, Cybersecurity, Events, Fraud, FWA

Advize Health kicked off the month of April by diving headfirst into Conference Season, and attending the Eastern Claims Conference in Boston, MA. The Eastern Claims Conference, recently relocated from New York to Massachusetts was an impressive assembly of insurance...

Upcoding vs. Downcoding

by | 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...

Bad Reputation: Big Pharma’s Eventful Year

by | Aug 29, 2016 | Fraud, Healthcare

Thinking back to late 2015, the pharmaceutical industry was shaken by a tsunami of criticism and vitriol, all thanks to the rapacity of Big Pharma “bad boy” Martin Shkreli. You may recall Shkreli’s ill-received decision to jack up the price of Daraprim from $13.50 a...