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 20, 2021 | FWA, Healthcare
When the coronavirus hit Martha Leland’s Connecticut nursing home last year, she and dozens of other residents contracted the disease while the facility was on lockdown. Twenty-eight residents died, including her roommate. “The impact of not having friends and family...
by Advize Admin | Jul 30, 2021 | Healthcare
Three years ago, pharma giant Pfizer paid $24 million to settle federal allegations that it was paying kickbacks and inflating sales by reimbursing Medicare patients for out-of-pocket medication costs. By making prohibitively expensive medicine essentially...
by Advize Admin | Jul 9, 2021 | OIG Files
Actual Loss is defined as “reasonably foreseeable pecuniary harm that resulted from the offense.” Intended Loss is defined as “the pecuniary harm that the defendant purposefully sought to inflict.” For us that do not have a law degree, what does this all...
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 | Mar 19, 2021 | Business
Here is the scenario: a provider sells a large, and very profitable practice to another provider looking to either establish themselves in an area or grow an existing practice to another location or expanded patient base. The types of law firms we see that...
by Advize Admin | Dec 3, 2020 | Fraud, FWA, Healthcare
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 experts. This article begins a multi-part series covering...
by Advize Admin | Oct 27, 2020 | Dental, Fraud, FWA
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 experts. This article rounds out lessons in dental misconduct...
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...
by Advize Admin | Dec 29, 2017 | Compliance, Healthcare, Payers
The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure...
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