by Advize Admin | Apr 1, 2022 | FWA
For those that are movie buffs, you know the term gaslighting. For those that are not, it comes from a 1944 film where the antagonist creates an environment where he convinces his spouse (protagonist) that she is going insane. He does this by creating physical cues...
by Advize Admin | Apr 1, 2022 | Healthcare Facepalm
CELINA, Tenn. — It was about 1 a.m. on April 19, 2016, when a burglary alarm sounded at Dale Hollow Pharmacy in Celina, a tiny town in the rolling, wooded hills near the Kentucky border. Two cops responded. As their flashlights bobbed in the darkness, shining through...
by Advize Admin | Mar 25, 2022 | Healthcare
A lead investigator in the criminal case against former Tennessee nurse RaDonda Vaught testified Wednesday that state investigators found Vanderbilt University Medical Center had a “heavy burden of responsibility” for a grievous drug error that killed a patient in...
by Advize Admin | Mar 25, 2022 | Healthcare Facepalm, OIG Files
I recently needed to get a CT scan done as part of a full physical examination. The ordering doctor and the imaging center are associated with a very large group in the Central Florida area. Upon leaving the visit with the physician, I was handed a hard...
by Advize Admin | Feb 18, 2022 | OIG Files
In some of my recent posts, I have mentioned the term “carouselling,” as it pertains to the recycling of diabetic testing supplies. I have had several people inquire about this term and how the scheme works. Carouselling Is the purchasing and reselling of...
by Advize Admin | Feb 18, 2022 | Healthcare
Aneka French applied for Medicaid in October, not long after Missouri became the 38th state to expand eligibility for the program. But her application sat for months in a backlog with tens of thousands of others. While she waited, French, 45, an uninsured medical...
by Advize Admin | Feb 18, 2022 | Healthcare
Late one night in January, Jonathan Coffino, 78, turned to his wife as they sat in bed. “I don’t know how much longer I can do this,” he said, glumly. Coffino was referring to the caution that’s come to define his life during the covid-19 pandemic. After two years of...
by Advize Admin | Feb 11, 2022 | Advize News
Got a chance to hassle one of Advize’s newest team members, Mr. Joseph Croce. Here’s how the interrogation went… What were you doing before you joined Advize? I was a health care fraud investigator for UnitedHealthcare. How did you and Advize...
by Advize Admin | Feb 4, 2022 | Compliance
Providers who are lucky enough to have their fraud, waste, and abuse matters resolved through a civil settlement (either via the US Attorney’s Office or the Office of Counsel to the Inspector General-a CMPL action), can sometimes have a clause in the settlement that...
by Advize Admin | Jan 21, 2022 | Healthcare
Some health insurance brokers in the market are enrolling people into ACA (Affordable Care Act) health care plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The...
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