by Advize Admin | Jan 14, 2022 | Healthcare
A new rule took effect recently that requires commercial payors to provide reimbursement for in-home COVID-19 testing, at a rate of eight (8) test kits per person, per month. Although well intended, the process for seeking reimbursement from commercial payors...
by Advize Admin | Jan 11, 2022 | OIG Files
For those of you who have been keeping up with the Elizabeth Holmes/Theranos trial, you likely have seen that there was a very mixed verdict. Holmes was convicted on some counts, acquitted on some and the jury was deadlocked on others. From a reader’s perspective, it...
by Advize Admin | Jan 4, 2022 | Commentary
What a Week of Women from this Women-Owned Business Lions and tigers and tigers and bears – yes, I love me some Judy. A woman who was a talent and a trailblazer. If you know me, you know that I love Judy’s daughter Liza more than most things and I often...
by Advize Admin | Dec 23, 2021 | Commentary
The time has come for federal and state leaders to come to a mutual understanding that the use of the hard copy CDC vaccination record is no longer a viable solution to tracking and proving vaccination status. As we have all seen in the press, the proliferation...
by Advize Admin | Dec 17, 2021 | FWA
SACRAMENTO, Calif. — About 1 in 8 Californians who have died of covid lived in a nursing home. They were among the state’s most frail residents: nearly 9,400 mothers, fathers, grandparents, aunts and uncles whom Californians entrusted to a nursing home’s...
by Advize Admin | Oct 15, 2021 | Commentary
Two weeks ago, we featured a personal story of mine and related it to Elizabeth Holmes and a Mount Carmel doctor who was found to deliver inappropriate medications in a deadly way. Thank you for those of you who responded. Interestingly enough, one person...
by Advize Admin | Oct 11, 2021 | Commentary
….and all the sinners saints. Yup, I love that Stones song too. Arguably one of the best rock bands ever, The Rolling Stones came from London which is where the doctor on my mind practiced his career in oncology at The Royal Marsden and then St...
by Advize Admin | Oct 8, 2021 | Commentary
Swoosh! – 18 former NBA players allegedly engaged in a scheme to defraud the NBA Players’ Health and Welfare Benefit Plan – sending it home for $4M. How did they do it? Glad you asked. Well, the way everyone does it (well almost everyone), is by...
by Advize Admin | Oct 1, 2021 | Commentary
Close to 500,000 people are dead because of opioid overdoses in the USA from 1999 to 2019, according to the U.S. Centers for Disease Control and Prevention. Last week, we likened an overprescribing doctor to Elizabeth Holmes. This week, we are excited to see a...
by Advize Admin | Sep 24, 2021 | FWA
When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are...
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