by Advize Admin | Oct 14, 2022 | Advize News
Last week we shared that fraud is always in fashion and that our thesis was for emerging trends in healthcare fraud, like fashion, retro is where it is at – what is old is new and often fraud schemes are recycled over and over again. Our own Eric Rubenstein has been...
by Advize Admin | Oct 14, 2022 | Healthcare
It is the annual fall season of Medicare sales pitches and we have seen a rise in Celebrity Medicare Sales pitches. We are happy to see CMS creating tighter rules around the sales pitches and confusion. We have seen seniors fall victim to different Medicare...
by Advize Admin | Oct 7, 2022 | OIG Files
We are proud to bring a new fashion of fraud your way. You might ask yourself, what is the difference between Vintage, Antique, and Retro? Let’s start here, vintage is something that is too old to be considered used and is often related to past pop culture, junk...
by Advize Admin | Sep 30, 2022 | Compliance, FWA
Massachusetts has become the latest state to settle with health insurance giant Centene Corp. over allegations that it overbilled the state’s Medicaid program for pharmacy services, KHN has learned. Centene, the nation’s largest Medicaid managed-care insurer, will pay...
by Advize Admin | Sep 23, 2022 | FWA, Healthcare
Health insurance giant Centene Corp. has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. It’s the biggest known payout by the nation’s largest Medicaid insurer over its drug pricing...
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