by Advize Admin | Apr 1, 2022
OIG Roundtable (Formerly Retro Fraud) Episode 8: Prepay Reviews with Laurie McMillan Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 30 seconds 00:00 / 33:32 Subscribe Share Spotify RSS Feed Share Link Embed Download file | Play in new...
by Advize Admin | Feb 25, 2022 | Healthcare
The Comprehensive Error Rate Testing (CERT) program is a CMS initiative that seeks to identify national error rates in a variety of areas. Temporarily suspended due to COVID-19, the CERT program came back into action in August 2020. The program, in a...
by Advize Admin | Jan 21, 2022 | Advize News
Got a chance to hassle one of Advize’s newest team members, Melissa Dupre. Here’s how the interrogation went… What were you doing before you joined Advize? I was a Registered Nurse at Cleveland Clinic in Florida, and because my husband is active duty...
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...
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...
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...
by Advize Admin | Jun 25, 2018 | Careers, Coding
The following blog post was written by one of Advize Health’s most experienced auditors; Dawn Landry. No matter what we do in life, only experience makes us better. None of us walked, rode a bike, or swam perfectly the first time we tried. We had to invest time...
by Advize Admin | Apr 26, 2018 | Fraud, Medical Record Auditing
A 2017 audit fronted by Massachusetts State Senator Suzanne M. Bump revealed over $190 billion dollars in improper or ambiguous payments within MassHealth’s Behavioral Health program. The audit uncovered years of questionable billing practices, lack of administrative...
by Advize Admin | Mar 30, 2018 | Coding, Payers
Earlier this week, Advize Health partnered with Grassi Healthcare Advisors to host a webinar on transgender healthcare. This webinar sought out to educate the healthcare community not only on coding for transgender patients, but on every aspect of care for this...
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