#July Webinar 🚨 🧪Navigating Laboratory Schemes: Trends, Red Flags, and Best Practices. Please join us for another exciting webinar to discuss the ever-evolving world of lab schemes. Our presenters Lera Champagne-Andriani and Mandi Berg will walk you through key policies, top schemes that affect this specialty, and share tips on working these cases, including red flags in the data, medical reviews and on-site visits. Additionally, we will hit on GLP-1 drugs (ex: Ozempic), common schemes and data mining tricks to capture fraud, waste and abuse. Be sure to mark your calendars 📅 We look forward to seeing you! #HealthcareFraud #HealthcareServices #PassThroughBilling #Modifiers #UrineDrugTesting #GeneticTesting #MolecularPathology #ProcedureCode81479 #SIU #FWA #HealthcareInnovation #Ozempic #LabSchemes
Advize
Hospitals and Health Care
Orlando, Florida 33,489 followers
Healthcare & IT Audit & Advisory, Program Integrity, Compliance and Consulting for Payers, Providers, Legal & Government
About us
After nearly two decades of auditing large data sets and performing extrapolation for increased ROI for payers, Advize has shifted focus to building relationships with providers based on data and best practices. Our team has expanded our model of coding and billing audits focused on waste and abuse to examine fraud through Big-4 Data Analytics and OIG best practices. Audit and Support Services – Record Retrieval, Storage, Purge – Onsite record retrieval – Send request letters and other communications with providers – Secure file upload (SFU) – Records are stored securely and discarded in accordance with HIPAA recommendations and requirements – Minimum necessary PHI accessed – Record files are securely returned with audit result delivery – Corporate Integrity Agreements – Statistically valid sampling – Medical necessity and proper coding/documentation review – Audit Management and Quality Assurance Support – QA Review – Reporting and Results Delivery – Overpayment Recovery and Overpayment Support – Legal Support – Case building, expert witness, audit, reporting and testimony Review and Reporting – Reviews performed by highly experienced and credentialed auditors – Audit personnel work with a variety of healthcare personnel and patients. They should always conduct themselves in an acceptable, professional manner and adhere to ethical standards, confidentiality requirements, and objectivity. Auditors trained to completely document their findings and problems. – Perform verification of charges – What citations are important, and what policies are important? – Citation guidebook creation – Review of claims – Generation of preliminary audit results – Results delivery and collaboration with client – Report generation – Final Audit Results: – Contain final audit reporting, this reporting will have included the overpayment amount. – Review the next steps for the provider who was audited.
- Website
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https://advizehealth.com
External link for Advize
- Industry
- Hospitals and Health Care
- Company size
- 51-200 employees
- Headquarters
- Orlando, Florida
- Type
- Privately Held
- Founded
- 2003
- Specialties
- Litigation Support, Medical Necessity, Record Collection, Claims Review, Healthcare, Claims, Healthcare Legal Support, Medical Records, Consulting, Expert Witness, HITRUST, FWA, OIG, CMS, UPIC, DRG, HCPCS, Arbitration, Audit, Advisory, Medical Record Audit, SIU, Compliance, Analytics, Federal, Healthcare Consulting, Expert Testimony, Hubzone, Women Owned, Government, and CPC
Locations
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Primary
Orlando, Florida, US
Employees at Advize
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Jeanmarie Loria, MBA, PMP, CPC
CEO, Advize Health
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Brian Boyce
CEO, MHA, Risk Adjustment, Clinical Bioethics, Healthcare & Practice Operations Consultant. Aeromedical Air Force Vet, Entrepreneur, Human Rights…
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Jaysen Eisengrein, MBA, PgC, SAC (RET)
Retired HHS OIG Special Agent in Charge/Advize Health Special Director in Charge/FWA Consultant
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Robin L. Kessinger
RN, CPC
Updates
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The OIG Roundtable 🔥 Episode 86: The Trickle Down Effect of Changing Policies Eric, Matt and Wade discuss the importance of keeping an #SIU policies and procedures manual up to date and how variances in polices can reduce ROI, lead to issues in providing testimony in hearings and legal proceedings and the fact that priorities, while changing, should always be communicated clearly to the investigative team. https://lnkd.in/ejtAYtxH
OIG Roundtable 86: The Trickle Down Effect of Changing Policies
https://www.youtube.com/
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💡Turning the Cruise Ship: Advize's SIU Transformation Journey 🚢⚓️ 🔗Embracing our commitment to listening and collaboration, this monograph reflects our journey to enhance service quality and client ROI. At Advize, we start with 'Yes' to your unique needs, crafting tailored solutions for every challenge. 💪Together, we navigate towards greater transparency, stronger partnerships, and impactful results in healthcare integrity. By Matt Kochanski #SIUExcellence #ClientPartnership #TailoredSolutions #CaseStudy #ROI #ClearCommunication #WeStartWithYes #AdvizeListensToYourNeeds
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Imagine a future where healthcare waste is a thing of the past. Picture a system where there's no resistance to eliminating inefficiencies. Envision a world where provider abrasion no longer exists. Think of everyone collaborating to eradicate fraud. Imagine if fraud, waste, and abuse in healthcare were completely eliminated. At Advize, we're obsessed with lowering the cost of healthcare in America. Helping our clients envision their future means making a positive impact on healthcare delivery and patient care. By minimizing improper payments and recovering payments already made that are determined to be fraudulent and/or wasteful, we positively impact the cost of delivering outstanding patient care. Imagine experiencing a transformed healthcare industry in the future. What would it look like to you? What methodologies and strategies would you implement? By Michelle Messick & Jeanmarie Loria, MBA, PMP, CPC #HealthcareTransformation #EliminateHealthcareFraud #LowerHealthcareCosts #PatientCare #HealthcareInnovation #FutureOfHealthcare #AdvizeHealth #HealthcareEfficiency
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We're #hiring a new Business Development Manager in United States. Apply today or share this post with your network.
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Ever wondered how advanced investigative skills can transform healthcare outcomes? We believe in the power of SIU excellence to effectively combat healthcare fraud. By empowering your team with meticulous attention to detail, we strengthen capabilities and ensure every healthcare dollar is used efficiently. 🔍 How can improved investigative techniques lead to lower healthcare costs? 📊 What impact does SIU excellence have on healthcare resource protection? We are committed to making this a reality. Today, we're thrilled to lead a training session for an SIU team! With a sole focus on lowering healthcare costs, we are dedicated to enhancing team development and providing advanced investigative skills. Topics covered include: 🔍 Interviewing and documentation in healthcare fraud investigations 📊 Data analysis and medical record reviews 📋 Vetting and reviewing complaints and new cases 🕵️ Investigation basis and investigative planning This really matters, so let's lower the cost of healthcare together—starting today! 📧 Email us at info@advizehealth.com 📞 Call us at 503-781-9051 | 407-583-7379 💻 Visit Our Website: https://advizehealth.com/ #AdvizeHealth #HealthcareFraud #SIUTraining #TeamDevelopment #HealthcareExcellence | Jeanmarie Loria, MBA, PMP, CPC | Dan Leslie
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We're #hiring a new Finance Manager in United States. Apply today or share this post with your network.
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🗣️Excited for Eric Rubenstein, MSCJ, CFE, to speak at the Stockbridge AAPC Chapter in Stockbridge, GA! 📅Join us on August 20th at 7PM EST as he discusses healthcare FWA and the crucial role of the OIG in safeguarding Medicare and Medicaid. Eric, with 25 years of expertise as a federal law enforcement officer specializing in healthcare fraud investigations for HHS-OIG, brings invaluable insights to the table. Don't miss out on this informative session! https://lnkd.in/eXA9rJVB #HealthcareFraud #HealthcareCompliance #FWA #PaymentIntegrity #OIG #AdvizeHealth #AAPCLocalChapter #VirtualAAPCMeeting
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Breathe. Make time for yourself. Thank you, Sonal P., for this reminder. How do you make time for yourself? What brings ease to your work, daily activities, and conversations? Do you create moments of inspiration, or do you desperately wait for them to appear in your life? Magic can be something that we wait for, but it can also be created and accessed when we make time to breathe and see it. Taking a moment to pause and breathe can transform your day. It allows you to reset, refocus, and find clarity amidst the chaos. It’s in these small, intentional moments that we often discover the inspiration we seek. Mindfulness paves the way for all tasks later. This kind of practice will deepen your relationship with flexibility and abundance. So, today, take a moment for yourself. Breathe deeply, and invite ease into your day. Create your own magic and watch how it changes your perspective. #SelfCare #Mindfulness #Inspiration #MondayMotivation
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We're #hiring a new Marketing Intern in United States. Apply today or share this post with your network.