Advize

Chiropractic fraud should never be overlooked. Far from being a rare occurrence, this hidden problem can undermine trust in healthcare and lead to unnecessary financial strain. ??Do you know how widespread chiropractic fraud really is? ??Are you aware of the steps you can take to prevent it? ??What’s at stake when fraudulent billing practices go unchecked? #ChiropracticFraud #HealthcareIntegrity #FraudPrevention #MedicalBilling #HealthcareCompliance #AdvizeHealth #ProgramIntegrity

??Do you settle for easy answers? ??Correlation does not always equal causation. ??Critical thinking requires us to question assumptions and dig deeper. ??In program integrity, the difference is key—uncovering fraud and ensuring compliance means getting to the truth, not just the surface. ??When faced with data, ask yourself: Is this correlation, or is it causation? We must question and analyze to protect the integrity of our programs and the trust in healthcare??

Have you ever had someone believe in you when you didn’t believe in yourself? Someone who helped you push through a tough moment and gave you the confidence to keep going? We believe in support, collaboration, and empowerment. This Women’s History Month, we’re celebrating the incredible women on our team and the ones we partner with to create meaningful change. ??Women Who Lead: Stories You Need to Hear?? - The ones who lead with purpose and kindness, - The ones who open doors for others, - The ones who mentor and uplift the next generation of leaders. Throughout March, we’ll be sharing their stories—their wins, their challenges, and their impact in healthcare and beyond. We’ll be reaching out to these women and featuring their journeys with our audience, because their leadership must be shared. Who’s a woman who has supported your journey, believed in your vision, and inspired you? A woman whose story is creating inspiring impact—one that must be heard. Please nominate/tag her in the comments. We are excited to share this series with you. #WomensHistoryMonth #WomenInHealthcare #WomenInLeadership

If you’re handling speech therapy claims, chances are you’ve run into frustrating documentation gaps, questionable billing patterns, and unclear regulations. I’ve seen it all—plans of care that are copy-pasted, missing referrals, and providers unknowingly using outdated codes. These issues don’t just lead to denials; they can trigger audits, recoupments, and even fraud investigations. ??So, what are the biggest red flags? ??And how can you protect your practice from costly mistakes? Let’s dive into the most common pitfalls and what you need to do to stay compliant. By Robyn Marie Alvarado, CPC, CPMA | Documentation Auditor

??Did You Miss Last Week’s OIG Roundtable? Here’s What You Need to Know! Technology is revolutionizing fraud investigations, but are you using it to its full potential? Eric, Wade, and Matt dive into the power of visualization tools—and why they’re a must-have for investigators. ??Takeaways: - Boost Efficiency – Work smarter, not harder, by spotting patterns faster. - Maximize ROI – The benefits go beyond the numbers. - Enhance Collaboration – Bridge the gap between teams with better insights. Missed the episode? ?? https://lnkd.in/exbhDqgr I N V E S T I G A T O R S... - Is relying on data alone making investigations weaker? - What’s one outdated investigative method that needs to die? - What’s the biggest mistake you see in fraud investigations today? - Tech is great, but where do human instincts still beat AI?

We're #hiring a new Senior Investigator in United States. Apply today or share this post with your network.

??An absolute must-read. You know how we all send emails saying, please see below in red? Well, this is one of those—because this couldn’t be more accurate during these difficult times. Taking Yoga Off the Mat isn’t just a concept; it’s a necessity?

??Are You Missing Out on the Biggest Game-Changer in Fraud Investigations??? Tech is your secret weapon. In this episode Eric Rubenstein, MSCJ, CFE, Wade McFaul, and Matt Kochanski reveal how visualization tools are reshaping investigations—helping teams work faster, smarter, and with greater impact. ??Want to boost efficiency? ??Looking for hidden ROI? ??Need seamless collaboration? The right tools can transform how you tackle fraud, waste, and abuse. Don't get left behind. Listen now! ???? https://lnkd.in/eMG3wy93 #OIGRoundtable #FraudFighters #DataDriven #SIUExcellence

A huge thank you to Jaysen Eisengrein, MBA, PgC, SAC (RET) for highlighting the importance of policy and procedure development to replicate success and focus resources on what works. His wisdom has been instrumental in shaping so many of us at Advize. ??Our customized SIU training programs are built to streamline your processes, document best practices, and ensure your team stays ahead of emerging fraud trends. ??Here are a few ways you can start strengthening your SIU today: - Develop clear policies & procedures – Align your investigations with proven strategies. - Document best practices – Replicate what works for consistent, impactful results. - Focus on the wins – Maximize your team’s efforts on the areas that matter most. - Invest in expert-led training – Keep your team at the forefront of fraud prevention with ongoing education from industry leaders. What’s one key skill you believe every SIU investigator should develop? We’d love to hear your thoughts! ?? #SIUExcellence #FraudPrevention #AdvizeTraining #Mentorship #PolicyAndProcedure

??ABA billing practices are under intense scrutiny, and improper documentation can have serious consequences for providers and patients alike. ??In this blog, Robyn Marie Alvarado, CPC, CPMA, breaks down the most common red flags in ABA claims, the risks of billing errors, and what providers must do to stay compliant. Don't let poor documentation put your practice—or your patients—at risk. Read on to learn more!