Advize

?? Ready for 2025? ?? We’re wrapping up 2024 with a must-attend webinar: Insights and Trends Shaping Healthcare in 2025, featuring David Bolden, CPC, CPCO, and Mandi Berg. This is your chance to gain valuable perspectives from both an investigator and auditor’s point of view—essential for anyone navigating the complex healthcare landscape. ?? What challenge have you faced this year in healthcare? Is it keeping up with evolving regulations, managing complex data, or improving your team’s efficiency? ?? What are your priorities for 2025? Are you focusing on leveraging technology to improve patient care, enhancing compliance strategies, or tackling fraud prevention? We’ve learned valuable lessons from situations like navigating data discrepancies during audits, adapting to shifting healthcare compliance standards, and streamlining investigative processes to detect fraud more effectively—and we’ll be sharing these insights with you. ? Whether you can attend live or not, be sure to register now—a recording will be available for all registrants. Don’t miss out on insights that can help you thrive in 2025! ??https://lnkd.in/eerFreVi #HealthcareTrends2025 #DataAnalytics #AdvizeHealth #HealthcareFuture #DecemberWebinar

??This week, we’re sharing inspiring stories of giving back—and today, we’re proud to highlight Robyn Marie Alvarado, CPC, CPMA and the organizations close to her heart: ??Gospel Rescue Mission: https://grmtucson.com/ ??Christian Faith Fellowship: https://www.cfftucson.com/ Giving is about caring for the people we love, supporting their efforts, and taking the first step toward making the world a better place—one small act at a time. Robyn's generosity is a perfect example of this, creating a ripple effect of kindness that makes a meaningful impact on both her community and our team. We’re inspired by how giving starts with the people closest to us—whether it's through supporting a local organization, helping a friend, or participating in community events. The smallest acts of kindness are the ones bringing real change. ??Do you know an organization or have a story of kindness that’s made a real difference? Share it with us, and we’ll amplify your impact within our LinkedIn community. Thank you, Robyn, for showing us the power of community and caring. #Gratitude #ActsOfKindness #GivingBack #Community

??We are thrilled to announce the well-deserved promotion of Carey Mead to SIU Manager! Carey has consistently demonstrated exceptional leadership and dedication to Advize Health’s mission of combating fraud, waste, and abuse in healthcare. In her new role, Carey will oversee three health plans and lead a team of investigators, focusing on enhancing recoveries, providing subject matter expertise, and driving efficiencies that maximize our clients’ return on investment. ?Her key contributions include: - Facilitating better communication and cooperation across the healthcare industry. - Supporting health plans in maximizing claims savings and cost avoidance. - Developing training programs to ensure continuous improvement. - Refining investigation processes to optimize ROI and strengthen referrals. Carey is also passionate about mentorship, empowering others, and creating a growth-driven culture. Her dedication to collaboration and innovation is a true testament to her leadership. ?? Please join us in congratulating Carey on this milestone! ?? To learn more about Carey's journey and her incredible impact at Advize, check out the full blog post on our website: https://lnkd.in/e5EGrTTP #AdvizeHealth #Leadership #SIU #HealthcareInnovation #FraudPrevention #Promotion #Teamwork #HealthcareExcellence #GratitudeWeek

??Did you ever play Mike Tyson’s Punch-Out? The game where Tyson was untouchable, and you had to earn that victory? Fast forward to the real ring—Jake Paul vs. Mike Tyson—and it’s a similar story. The hype was huge, but the fight? A letdown ?? Tyson relied on his legacy, Paul relied on marketing, but neither delivered the knockout punch we were expecting. ??Sound familiar?? It’s the same problem in healthcare today—vendors relying on their name, their marketing, and their past victories to win the fight. But here’s the truth: Marketing doesn’t win the fight. Performance does? Read on to find out why the real winner isn’t the one with the most hype, it’s the one who can actually back up their promises. https://lnkd.in/eMdZvFMM #FightForResults #MarketingVsPerformance #HealthcareIntegrity #HypeIsNotEnough #TysonVsPaul #PerformanceMatters #AdvizeHealth #HealthcareFraudPrevention #KnockoutResults #LegacyVsHype

OIG Roundtable 104: Can Legal Shifts Derail Investigations? Are you ready to rethink everything you thought you knew about investigations? In this episode, Eric Rubenstein, MSCJ, CFE, Matt Kochanski, and Wade McFaul dive deep into the groundbreaking 2023 SCOTUS SuperValu decision that’s redefining the game. Objective vs. subjective knowledge under the FCA is no longer just legal jargon—it’s a seismic shift that could completely alter your investigative approach. This isn’t just a conversation; it’s a wake-up call. Missing out on these critical insights could leave you unprepared for the next big challenge. Are you keeping up, or are you falling behind? ?? Watch now and stay ahead: https://lnkd.in/g9wY3BwM

?? 10 YEARS AGO ?? We unveiled our new brand in #Dallas at the NHCAA INSTITUTE FOR HEALTH CARE FRAUD PREVENTION INC Annual Training Conference! ?? A decade later, we’re proud to reflect on how far we’ve come while staying true to our core values: ? Woman-Owned ? Significant Cost Reduction ? Superior Quality ? Unique Blend of Expertise ? Outstanding Service Of course, some things have changed... like our ridiculous growth ??, the addition of incredible team members (starting with Eric!), and signing new clients while continuing to honor and appreciate our loyal partners of 20+ years. Together, we’ve built something truly special for over two and a half decades! WOW! Thank you, Jeanmarie Loria, MBA, PMP, CPC, for sharing this beautiful reflection. Here’s to continuing to make a difference in healthcare fraud prevention and beyond! ?? #NHCAA #ATC2024 #WomanOwned #Healthcare #FWA #PaymentIntegrity #Claims #Audits

Thank you all for your amazing recommendations! ?? Our list so far includes spots like The Court of Two Sisters, Coterie Restaurant & Oyster Bar, Ruby Slipper Cafe, and GW Fins. Keep telling us about your favorite #NewOrleans spots—we can’t wait to experience the best of NOLA! ??? #NOLA #NewOrleansEats #FoodLovers #NOLAFood #NHCAA #ATC #HealthcareTraining #TheBigEasy #AdvizeHealth #ExploreNOLA #CulinaryFavorites

??Modifier 59: Do I Need It – Or Better Yet – Should I Use It? ???Welcome to Advize's Coding Insights Series! Over the next three weeks, we’ll be sharing a series of blogs designed to help coders navigate the nuances of medical coding with clarity and confidence. ??Have you ever faced challenges when deciding whether Modifier 59 is appropriate for your claims? Senior Clinical Auditor Stefanie Lawrence breaks down the essential dos and don'ts of Modifier 59, including when it's acceptable to use—and when it’s not. Keep an eye out for more helpful insights in the coming weeks! #Modifier59 #MedicalCoding #HealthcareCompliance #CodingInsights #ClinicalAuditing #AdvizeHealth #CodingTips #HealthcareProfessionals #MedicalBilling #ModifierUsage #CodingBestPractices

??Need to Optimize Your Medicaid Program Integrity? Start with SIU Excellence. At Advize, our partners have uncovered over $15M in overpayments since April 2024—thanks to proactive SIU reviews and strategic insights. And with several ongoing reviews, more savings are expected. ? As medical costs continue to rise, optimizing your SIU team’s effectiveness is crucial. With the growing financial pressures on #Medicaid programs, our approach delivers actionable results that help combat the rising cost trend. ? Ready to take control of your recoveries and reduce costs? Let’s talk about how Advize can help. ? #MedicaidProgramIntegrity #SIUExcellence #CostSavings #AdvizeHealth #FraudPrevention #NHCAA

Last week, we had the privilege of hosting a thought-provoking webinar titled “Tools of the Trade: Best Investigator and Auditor Hacks.” Our panelists, Jessica Rodriguez, SIU Investigator, and Rebecca Figueras, Documentation Auditor, shared their expertise on the essential tools, techniques, and strategies that empower healthcare investigators and auditors to succeed in today’s dynamic landscape. ??This blog highlights the key takeaways, audience questions, and expert insights from the session. For those of you who couldn’t attend, don’t worry—we’ve got you covered. ?? Watch the full recording by following the link at the bottom of our blog. #HealthcareCompliance #FraudPrevention #AuditingExcellence #InvestigationTools #DataIntegrity #SIUInsights #HealthcareLeadership #WebinarRecap #AdvizeHealth #ProfessionalDevelopment