by Advize Admin | Jan 11, 2022 | OIG Files
For those of you who have been keeping up with the Elizabeth Holmes/Theranos trial, you likely have seen that there was a very mixed verdict. Holmes was convicted on some counts, acquitted on some and the jury was deadlocked on others. From a reader’s perspective, it...
by Advize Admin | Oct 1, 2021 | Commentary
Close to 500,000 people are dead because of opioid overdoses in the USA from 1999 to 2019, according to the U.S. Centers for Disease Control and Prevention. Last week, we likened an overprescribing doctor to Elizabeth Holmes. This week, we are excited to see a...
by Advize Admin | Sep 24, 2021 | FWA
When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are...
by Advize Admin | Sep 24, 2021 | Commentary, FWA
What is most important: identify, eliminate, recover or (PLOT TWIST) prevent? Coming off of a strong week of meetings with my clients and listening to their real pain points coupled with listening to hours of the podcast Do You Know This Man, and incessant Elizabeth...
by Advize Admin | Aug 27, 2021 | Commentary
Thank you Scott Rosenbaum, Wine & Spirit Business Advisor, who is one of our most well read and insightful/thought provoking collaborator shared this New York Times article with us: Hospitals and Insurers Didn’t Want You to See These Prices. Here’s why. Scott...
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 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 | Aug 6, 2021 | Commentary
When things don’t work out with your treatment, you can cry to your doctor or insurance, you can complain, but nothing will change. Similar to sitting on the tarmac for close to three hours because people were not available to unload bags from your plane. I should...
by Advize Admin | May 7, 2021 | Commentary
Does anyone really know how our healthcare system works? There is so much discussion on the issues about our healthcare system and how it can be fixed that it is overwhelming. Generally, articles and books are written in a language or style that makes it difficult to...
by Jeanmarie Loria | Jan 29, 2021 | COVID19
I’ve always had a dream that when I turned 50 I would move to Paris and take up smoking. But lately I have been thinking, why wait? I want the COVID19 vaccine ASAP, but I can’t get it. It turns out smokers are eligible for the vaccine without even needing proof....
Recent Comments