by Advize Admin | Sep 2, 2022 | Advize News, Commentary
My Thursday started in Philly then Maryland, DC, Atlanta for a quick layover and then ended in Orlando. What a day! The highlight of that 5 city day was going back to Maryland again this week but only this time, the area was Fort Washington and some of the...
by Advize Admin | Aug 26, 2022 | Commentary, OIG Files
A phrase that does not often come up is “medical loss ratio,” or MLR. As an OIG Agent, I spent very little time looking at the OIG Workplan (I’ve blogged and spoken about how OIG Agents follow the current frauds, and how the plan is very much used to direct the work...
by Advize Admin | Aug 12, 2022 | OIG Files
If you missed Eric opining on LinkedIn this week, here are some quick pieces of information including: an infectious disease doctor, a case in NJ, and a Bill that was signed into law. Another great case from my former OIG coworkers in NJ. This one should concern...
by Advize Admin | Aug 12, 2022 | Commentary
The National Association for Medicaid Program Integrity (NAMPI) Annual Conference brought us to Baltimore, MD just a few weeks after returning from Woodlawn, a neighboring area. It felt like the who’s who of the HHS-OIG greats and I felt lucky enough to spend a...
by Advize Admin | Aug 5, 2022 | OIG Files
While CMS reported that is collected half of the overpayments previously identified by OIG, the OIG in another recent review (full report) found that number to substantially less. The OIG is the watchdog for HHS. All OIGs serve in this role for the respective...
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