Fraud Hunters: Keep Your Eyes Open – Peculiar Business Pairings in South Florida

Fraud Hunters: Expanding the Scope

by | Jul 21, 2023 | Compliance, OIG Files

Every investigator knows that keeping your focus on the allegation is the key to efficiently conducting your investigation. There are times, however, when keeping those blinders on will result in the investigator not seeing the bigger picture. While investigating what...
Fraud Hunters: Keep Your Eyes Open – Peculiar Business Pairings in South Florida

Fraud Hunters: Claim Determinations

by | Jul 14, 2023 | FWA

Self doubt is a necessary part of the process when making claim determinations. As a reviewer, you have the ultimate decision-making authority as to whether a re-opened claim should be denied and the money recouped.  You should be asking yourself whether the...
Meet Jessica.

Meet Jessica.

by | Jul 7, 2023 | Advize News

We managed to interrogate our newest SIU Investigator, Jessica Rodriguez, with some top tier healthcare reporting news anchor-like questions. This is how she stacked up under the pressure. What were you doing before you joined Advize? I was an Investigative Auditor...
Come Fly With Me: National Harbor

Come Fly With Me: National Harbor

by | 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...
Investigative Competence

Investigative Competence

by | 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...