by Advize Admin | Sep 24, 2021 | Commentary
“Justice delayed is justice denied” by William Gladstone is a quote that comes to mind when I think about fraudulent providers and Elizabeth Holmes. I am obsessed with the podcast The Drop Out, featuring the trial of Elizabeth Holmes, and this week’s episode was...
by Advize Admin | Sep 17, 2021 | Healthcare
The Justice Department has accused an upstate New York health insurance plan for seniors and its medical analytics company of cheating the government out of tens of millions of dollars. The civil complaint of fraud, filed late Monday, is the first by the federal...
by Advize Admin | Sep 10, 2021 | Compliance
The tagline from the CMS Website is “When Medicare Claims are submitted accurately, everyone benefits.” First – TPE why do we even care? Well, simple answer, it is a lovely little gift from CMS designed to help reduce claim denials and appeals through one-on-one...
by Advize Admin | Sep 10, 2021 | Commentary
We talk to you every week about trials and cases that are in our rearview mirror. Often what we worked on directly. Sometimes we talk about areas of interest like healthcare cost and changing policy. Sometimes we bring you best practices based on our clients. ...
by Advize Admin | Aug 27, 2021 | Medical Record Auditing
A little background, one of areas where Advize provides consulting services is in the medical record review space. We have been providing this service to clients for over 20 years, both proactively, and reactively. Our CEO, Jeanmarie Loria, was actually a...
by Advize Admin | Aug 20, 2021 | Retro Fraud Podcast
In this episode of Retro Fraud, Eric brings Matt Lawhon back for another great discussion. Since Matt has a unique background as both a healthcare fraud investigator, and now as a healthcare lawyer, Eric brought Matt back for some continued discussions on fraud,...
by Advize Admin | Aug 6, 2021 | Retro Fraud Podcast
As we hit the ground running on our second episode of Retro Fraud, Eric interviews Wade McFaul, a retired HHS-OIG Supervisory Special Agent, who worked out of the Los Angeles Field Office. Wade now works with Advize as the Director of Special Projects and...
by Advize Admin | Jul 9, 2021 | Healthcare Facepalm
A federal price transparency rule that took effect this year was supposed to give patients, employers and insurers a clearer picture of the true cost of hospital care. When the Trump administration unveiled the rule in 2019, Seema Verma, then chief...
by Advize Admin | Jul 9, 2021 | Compliance
Many of us have visited a doctor’s office. And in many circumstances our doctors visit includes a follow up correspondence of some sort. Whether it was a medical assistant contacting a patient to set up his/her next doctor’s visit, or in some cases a follow up...
by Advize Admin | Jun 18, 2021 | FWA
Dr. Kingsley R. Chin was little more than a decade out of Harvard Medical School when sales of his spine surgical implants took off. Chin has patented more than 40 pieces of such hardware, including doughnut-shaped plastic cages, titanium screws and other products...
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