Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Detecting & Investigating FWA during COVID-19

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 crimes. We hopefully are seeing the beginning of the end with COVID-19, but we will certainly not see…

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Posted and filed under Fraud, FWA, Healthcare.
Posted and filed under Compliance, FWA, Medical Record Auditing, Payers.

Fraud Spotlight: Document Now, Ace an Audit Later

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Every day, we read another article or another news release about the ever-changing…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Telehealth & the Medicare Population

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Over the past several weeks, we have seen unprecedented changes to rules, edits…

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Posted and filed under Fraud, FWA, Healthcare, Payers.

Fraud Spotlight: The Consequences of Relaxed Billing Regulations

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Although I had strongly thought about not discussing anything COVID-19 related in this…

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Posted and filed under Fraud, FWA, Healthcare.

COVID-19’s Impact on Telemedicine & Reimbursements

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. Under Medicare rules, telemedicine, or telehealth as it is also commonly known, required…

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Posted and filed under Fraud, FWA, Healthcare.

Advize Health Featured in Law360 Article

Advize Health’s very own Eric Rubenstein has been featured in a recent Law360 article after participating in a series of discussions on healthcare fraud, waste, and abuse across the NY Metropolitan area this week. Rubenstein spoke candidly about his experience as an OIG Special Agent dealing with the fraud schemes associated with genetic testing and…

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The Legalities of Telemedicine: Licensing, Reimbursement, Liability & Other Issues

Advize Health’s Director of Litigation, FWA Support Eric Rubenstein will be joining fellow expert Margaret J. Davino (Fox Rothschild LLP) in a breakfast program dedicated to exploring the many legalities of telemedicine and telehealth. As telehealth expands to (among other uses) ambulatory settings, EDs and psychiatry, unique legal concerns must be addressed, including providing services…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: What About the “Other” Guys?

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. As some of you who follow healthcare fraud have likely read, the CEO…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Telehealth & Telemedicine

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. The topic of telemedicine and telehealth has been a very hot topic in…

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