by Chia Gemmato | Oct 27, 2023 | Healthcare, Healthcare Law, OIG Files
After glancing at the Halloween-themed graphic, I was tempted to rename this blog “The ‘Fraid’ Hunter” because that picture is horrifying. However, it did inspire me to discuss a healthcare horror tragedy. In this story, there are no bad guys,...
by Chia Gemmato | Oct 27, 2023 | Advize News
Advize Health is thrilled to welcome Ashlee Heath to the Advize team as Director, Program Integrity. Ashlee is a passionate and experienced leader with more than a decade of healthcare experience in coding compliance and fraud, waste and abuse prevention, detection,...
by Advize Admin | Jun 16, 2023 | FWA, Healthcare
For those that remember Solaraze, it is one of the name brands for Diclofenac. Diclofenac is commonly known today as Voltaren. In 2018, the OIG conducted a study that reflected that there were some strong fraud indicators on the off-label use of Diclofenac (under...
by Advize Admin | Mar 10, 2023 | FWA
Leigh Fava wound up in the emergency room after injuring her thumb at her New Orleans home. She said she received a tetanus shot and a badly wrapped bandage — and an unexpectedly high bill. Her experiences trying to dispute the hospital’s charges left her feeling...
by Advize Admin | Mar 3, 2023 | Compliance, Providers
BUTTE, Mont. — Jennifer Mitchell remembered getting a call nearly two years ago that her 69-year-old husband, Bill, had crashed his car and had been committed to the Montana State Hospital, the state-run psychiatric hospital for adults about 20 miles from their home...
by Advize Admin | Feb 10, 2023 | Healthcare Facepalm, Technology
In early 2020, as they tried to fight covid-19 across two rural counties in North Carolina, the staff of Granville Vance Public Health was stymied, relying on outdated technology to track a fast-moving pandemic. Lisa Macon Harrison, the agency’s health...
by Advize Admin | Dec 2, 2022 | Compliance, FWA, Medical Record Auditing, OIG Files
When you first open this article, the most glaring of things is the time frame from which the audit was derived. 2011-2013 data is at this point so aged, the calculation of $1,000 per patient enrolled in a Medicare Advantage (MA) as the overcharged amount is simply...
by Advize Admin | Oct 28, 2022
OIG Roundtable (Formerly Retro Fraud) Episode 9 - UPIC Challenges in Medicare and Medicaid investigations Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 10 seconds 00:00 / 25:55 Subscribe Share Spotify RSS Feed Share Link Embed...
by Advize Admin | Jul 8, 2022 | COVID19, Healthcare
The grinding two-plus years of the pandemic have yielded outsize benefits for one company — Pfizer — making it both highly influential and hugely profitable as covid-19 continues to infect tens of thousands of people and kill hundreds each day. Its success in...
by Advize Admin | Apr 29, 2022 | Commentary, Community
Are you looking for some great women-owned businesses? Timeout is featuring these 16 businesses that are hot in the city right now. Why did I say 17? Because we are a bunch of New Yorkers here at Advize and we are woman-owned. Well that’s not all, this week, the New...
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