by Advize Admin | Oct 21, 2022 | Advize News, Compliance, Events
This week two of Advize Health’s own former HHS-OIG experts, Matt Kochanski and Wade McFaul presented a conversational webinar on Organized Fraud. Matt and Wade discussed their experiences with the types of fraud and various ways they investigated these cases. ...
by Advize Admin | Sep 8, 2022 | FWA, OIG Files
Open enrollment will be upon us in the coming month. With it will come a slew of fraud complaints as it relates to managed care enrollment. Brokers work to enroll eligible members into plans that are supposed to be the best suited for the member. ...
by Advize Admin | Sep 2, 2022 | Advize News, Commentary
My Thursday started in Philly then Maryland, DC, Atlanta for a quick layover and then ended in Orlando. What a day! The highlight of that 5 city day was going back to Maryland again this week but only this time, the area was Fort Washington and some of the...
by Advize Admin | Aug 26, 2022 | Commentary, OIG Files
A phrase that does not often come up is “medical loss ratio,” or MLR. As an OIG Agent, I spent very little time looking at the OIG Workplan (I’ve blogged and spoken about how OIG Agents follow the current frauds, and how the plan is very much used to direct the work...
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...
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