by Advize Admin | Jun 18, 2021 | OIG Files
We provide a lot of advisory and consulting services for the legal community. Our Former HHS-OIG Special Agents have that very niche experience in the ability to speak healthcare fraud, waste and abuse as well as legalese. In working with the various law firms on...
by Advize Admin | Jun 11, 2021 | OIG Files
Recently, Advize Health was involved in a matter pertaining to some medical record audits and investigations that were ongoing with a Social Adult Day Care (SADC), located on the West Coast. For a five year period, this SADC was the subject of audits,...
by Advize Admin | Mar 19, 2021 | Healthcare
Granted our high school intern is smarter than most and has a brain for economics but still, we like to see what the younger generation thinks about the cost of healthcare…By Sophie Kowalewski Taking care of your body seems like an easy task, however, it’s not...
by Advize Admin | Mar 12, 2021 | Healthcare
Since the start of the pandemic, the most terrifying task in health care was thought to be when a doctor put a breathing tube down the trachea of a critically ill covid patient. Those performing such “aerosol-generating” procedures, often in an intensive care unit,...
by Advize Admin | Mar 5, 2021 | OIG Files
In 2012, the National Council on Prescription Drug Programs (NCPDP) made a change to the manner in which a compounded medication should be submitted to a Pharmacy Benefit Manager (PBM) for reimbursement. Previously, the requirement was to only list the most expensive...
by Advize Admin | Jan 29, 2021 | FWA, Healthcare
…co-owner of numerous compounding pharmacies and pharmaceutical distributors, was sentenced today on his guilty plea to one count of conspiracy to commit health care fraud and one count of conspiracy to commit money...
by Advize Admin | Jan 22, 2021 | Fraud, Healthcare
At the last minute, President Donald Trump granted pardons to several individuals convicted in huge Medicare swindles that prosecutors alleged often harmed or endangered elderly and infirm patients while fleecing taxpayers. “These aren’t just technical financial...
by Maggie Stankiewicz | Jan 5, 2021 | Fraud, FWA, Healthcare
The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
by Advize Admin | Dec 30, 2020 | Community, Fraud, FWA, Healthcare
The year 2020 was ripe with unprecedented challenges. Between a global pandemic, civil unrest, and rampant socio-political uncertainty…there was a lot to deal with. The healthcare industry was thrust into the spotlight, first for its heroes on the frontlines, then for...
by Advize Admin | Dec 16, 2020 | Compliance, Fraud, FWA, Healthcare
It’s more than money when your license is on the line. This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud...
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