by Advize Admin | Mar 3, 2023 | Compliance, Providers
BUTTE, Mont. — Jennifer Mitchell remembered getting a call nearly two years ago that her 69-year-old husband, Bill, had crashed his car and had been committed to the Montana State Hospital, the state-run psychiatric hospital for adults about 20 miles from their home...
by Advize Admin | Feb 10, 2023 | Healthcare Facepalm, Technology
In early 2020, as they tried to fight covid-19 across two rural counties in North Carolina, the staff of Granville Vance Public Health was stymied, relying on outdated technology to track a fast-moving pandemic. Lisa Macon Harrison, the agency’s health...
by Advize Admin | Feb 3, 2023
OIG Roundtable (Formerly Retro Fraud) Episode 20: SIU & MCO Implications Resulting from the New NYS OMIG rules on Staffing & FWA with Jim Cox Play Episode Pause Episode 1x 00:00 / 40:40 Subscribe Share Spotify RSS Feed Share Link Embed <blockquote...
by Advize Admin | Jan 27, 2023
OIG Roundtable (Formerly Retro Fraud) Episode 19: How CMS FWA Directives Can Help Operationalize an SIU Play Episode Pause Episode 1x 00:00 / 38:35 Subscribe Share Spotify RSS Feed Share Link Embed <blockquote class="wp-embedded-content"...
by Advize Admin | Jan 20, 2023 | OIG Files
We work very closely in the payor and provider space to ensure that fraud, waste, abuse (FWA) and compliance are at the forefront of the payment integrity continuum. This is particularly the case when working to conduct medical record reviews and identify over...
by Advize Admin | Jan 20, 2023
OIG Roundtable (Formerly Retro Fraud) Episode 18: Trials & Tribulations of Trials & Tribulations with Sean "The Compliance Guy" Weiss Play Episode Pause Episode 1x 00:00 / 52:16 Subscribe Share Spotify RSS Feed Share Link Embed <blockquote...
by Advize Admin | Jan 13, 2023
OIG Roundtable (Formerly Retro Fraud) Episode 17: Fraud Predictions for 2023 Play Episode Pause Episode 1x 00:00 / 33:08 Subscribe Share Spotify RSS Feed Share Link Embed <blockquote class="wp-embedded-content" data-secret="WhZOduvLcL"><a...
by Advize Admin | Dec 2, 2022 | Compliance, FWA, Medical Record Auditing, OIG Files
When you first open this article, the most glaring of things is the time frame from which the audit was derived. 2011-2013 data is at this point so aged, the calculation of $1,000 per patient enrolled in a Medicare Advantage (MA) as the overcharged amount is simply...
by Advize Admin | Dec 2, 2022 | Coding, FWA, Medical Record Auditing
Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some plans overbilling the government more than $1,000 per patient a year on average. Summaries of the 90 audits, which...
by Advize Admin | Oct 28, 2022
OIG Roundtable (Formerly Retro Fraud) Episode 9 - UPIC Challenges in Medicare and Medicaid investigations Play Episode Pause Episode 1x 00:00 / 25:55 Subscribe Share Spotify RSS Feed Share Link Embed <blockquote class="wp-embedded-content"...
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