by Advize Admin | Mar 25, 2022 | Healthcare Facepalm, OIG Files
I recently needed to get a CT scan done as part of a full physical examination. The ordering doctor and the imaging center are associated with a very large group in the Central Florida area. Upon leaving the visit with the physician, I was handed a hard...
by Advize Admin | Feb 18, 2022 | OIG Files
In some of my recent posts, I have mentioned the term “carouselling,” as it pertains to the recycling of diabetic testing supplies. I have had several people inquire about this term and how the scheme works. Carouselling Is the purchasing and reselling of...
by Advize Admin | Feb 11, 2022 | FWA, OIG Files
I spent about 25 years in federal law enforcement, and most of that time was as a Senior Special Agent at HHS-OIG. I loved working there, and I loved doing healthcare fraud investigations. When I was exploring retirement, and what I was interested in doing...
by Advize Admin | Feb 4, 2022 | Compliance
Providers who are lucky enough to have their fraud, waste, and abuse matters resolved through a civil settlement (either via the US Attorney’s Office or the Office of Counsel to the Inspector General-a CMPL action), can sometimes have a clause in the settlement that...
by Advize Admin | Jan 14, 2022 | Healthcare
A new rule took effect recently that requires commercial payors to provide reimbursement for in-home COVID-19 testing, at a rate of eight (8) test kits per person, per month. Although well intended, the process for seeking reimbursement from commercial payors...
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 | Sep 17, 2021 | Commentary
This week our commentary on our favorite articles. We are excited to see that the issues we know are important are becoming more mainstream. A Florida chiropractor signed hundreds of mask exemption forms for students. Now, the district has tightened its mask...
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 | Jul 30, 2021
OIG Roundtable (Formerly Retro Fraud) Episode 1: Retired HHS-OIG Senior Special Agent Peggy Glynn Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 30 seconds 00:00 / 43:44 Subscribe Share Spotify RSS Feed Share Link Embed Download file...
Recent Comments