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3 Quick Tips to Avoid an Audit

by Advize Admin | Dec 9, 2020 | Fraud, FWA, Healthcare, Medical Record Auditing

Healthcare providers have a lot on their minds. Between daily rounds, patient care, and an ongoing global pandemic – it’s not easy to stay on top of administrative tasks like documentation and medical record maintenance. Even so, medical record review is a critical...

Fraud Spotlight: The OIG, Speaker Programs & Kickbacks

by Advize Admin | Nov 26, 2020 | 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...

Fraud Spotlight: Providers & The “Impossible Day”

by Advize Admin | Nov 12, 2020 | Coding, Fraud, FWA

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...

Fraud Spotlight: How Medical Record Reviews Help Providers

by Advize Admin | Oct 22, 2020 | Compliance, Fraud, FWA, Healthcare

Over the past few weeks, we have been engaging with clients on a variety of topics, the most recent being the discussion of “code rotation.” Some have asked what we mean when we discuss this term of art. We had often heard this term used by our retired OIG agents and...

Dental Fraud from a Different Perspective

by Advize Admin | Sep 9, 2020 | Compliance, Dental, Fraud, FWA

This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out a unique aspect about dental fraud that has significant impacts on...

A Frank Discussion on Dental Fraud

by Advize Admin | Sep 3, 2020 | Dental, Fraud, FWA, Medical Record Auditing

Our Founder and Managing Director Jeanmarie Loria sat down with retired OIG Special Agent Eric Rubenstein to discuss dental fraud, unscrupulous dentists, and the claims-related intricacies of the dental industry. Here’s how it went… JL: My aunt in California paid an...

Fraud Spotlight: Provider Negligence & Ignorance are Non-Compliance

by Advize Admin | Aug 20, 2020 | Compliance, Fraud, FWA, Medical Record Auditing

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...

Fraud Spotlight: Understanding Medicare as a Secondary Payer (MSP)

by Advize Admin | Aug 14, 2020 | Compliance, FWA, Healthcare, Payers

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...

Fraud Spotlight: COVID, Cross Fraud & FWA Detection

by Advize Admin | Jul 23, 2020 | Compliance, Fraud, FWA

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...

Fraud Spotlight: What We Can Learn From The Novartis Settlement

by Advize Admin | Jul 15, 2020 | 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...
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