#SeptemberWebinar 🚨 💡Strategies for Managing High Volume of Leads and Caseloads Speakers: Wade McFaul & Matt Kochanski Investigative agencies face an unprecedented influx of leads due to the proliferation of data sources and heightened scrutiny across sectors. This webinar addresses the critical challenge of managing a high volume of leads with limited resources. Attendees will learn practical strategies to optimize their investigative processes, leveraging technology and analytics, and prioritizing cases based on risk assessment. Through expert discussions and real-world case studies, participants will gain valuable insights into enhancing investigative efficiency while maintaining integrity and achieving meaningful outcomes. #AnalyticalSkills #SIULeadership #ManagementSkills #Auditors #ClinicalStaff #Compliance #LegalStaff #DataAnalysts #DentalInvestigators #HealthInsuranceInvestigators #LawEnforcementAgentsandInvestigators #ProgramIntegrityStaff #SIULeadershipandManagement
Advize
Hospitals and Health Care
Orlando, Florida 35,381 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, RADV, HRADV, Clinical Bioethics, Healthcare Operations Consultant & Auditor, Aeromedical USAF Vet, Entrepreneur, Educator,…
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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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Pamela Jones
Transformative leader and mentor. Accredited in Case Management/Utilization Management. Home Health/Hospice, Heath Plan and Appeals leadership…
Updates
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🔹Happy Labor Day Weekend from Advize!🔹 As we celebrate Labor Day, we want to take a moment to recognize the incredible dedication and hard work of our team and the entire healthcare community. Your commitment to excellence and patient care drives us forward and makes a real difference every day. This weekend, we encourage you to take time to relax, recharge, and reflect on the positive impact we’ve made together. Whether you’re enjoying time with family, catching up on some well-deserved rest, or just taking a moment for yourself, we hope you have a wonderful and restful Labor Day. Thank you for all that you do. Here’s to celebrating your hard work and looking forward to continued success and collaboration!
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🗞️Missed our newsletter yesterday? We had a bit of fun with this meme 😂 Just a touch of humor to lighten the mood! Don’t want to miss out on our updates? Subscribe to our newsletter #TheAdvizer for more insights and a few laughs along the way. If you’d like to catch up on what you missed, just let us know, and we’ll be happy to forward it to you!
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In our August webinar, Dena B., our distinguished Healthcare Consultant at Advize, provided invaluable insights into the roles of medical coders and auditors. Dena has crafted an in-depth blog recap based on her presentation, detailing the critical differences and importance of these professionals in healthcare. Explore her expert analysis and learn why understanding these roles is crucial for maintaining compliance and optimizing healthcare practices. #HealthcareCompliance #MedicalCoding #MedicalAuditing #FraudWasteAbuse #ValueBasedCare #ClinicalEducation #HealthcareManagement #AdvizeHealth #HealthcareInsights #WebinarRecap #HealthcareExperts #CodingAudits #HealthCareProfessionals #AuditInsights #ComplianceMatters
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🚗💨 "Every patient needs an access advocate. The maze is just too twisty. It’s very troubling that healthcare literacy is not a thing, even in 2024. IMO, the only thing that’s fast and furious—are the bills!" – Sonal P. Advize's CEO Jeanmarie Loria, MBA, PMP, CPC couldn't agree more: "Sonal, YOU ARE SO RIGHT—the only thing fast and furious is the bills. At Advize, this is exactly what we talk about!" THIS: Healthcare should be about care, not confusion. Every patient needs an advocate in their corner. If you've ever felt overwhelmed by healthcare's complexities, you’re not alone. Check out Jeanmarie's post to see why having an advocate is more important than ever. Real-life story here: https://lnkd.in/dwqbDFsX #HealthcareAdvocate #PatientAccess #HealthcareLiteracy #AdvizeHealth #FastAndFuriousBills
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We're #hiring a new Training Specialist in United States. Apply today or share this post with your network.
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🔹The OIG Roundtable🔹 🔥Episode 92: Promises Promises from Vendors 🤫 Eric, Wade and Matt discuss the importance of being realistic from a vendor perspective. Often vendors promise the moon and the stars, but usually underdeliver. We discuss, in depth, the importance of expectations and level-setting for realistic results. https://lnkd.in/eGRJ_X3R
OIG Roundtable 92: Promises Promises from Vendors
https://www.youtube.com/
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Explore how Advize's specialized expertise in medical record reviews turned a late-stage investigation into a success story, delivering an astounding 5,700% ROI for our client. #ROI #Healthcare #MedicalRecordReview #PaymentIntegrity #Medicaid #HealthcareFraud #AuditSuccess #HealthTech #ExpertiseMatters #SIU #PI #HealthcareInnovation
Case Study: How Expert Medical Record Reviews Can Transform Your ROI
Advize on LinkedIn
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📈Advanced Excel Tips Tailored for Medical Coders Who Audit 🔗As part of our commitment to supporting you, we’re excited to announce an additional webinar based on your feedback. 💡We’ve heard your requests for more insights into Excel, and we’re here to deliver. This bonus session will provide you with our top Excel tips and best practices, specifically designed to enhance your efficiency and effectiveness as a coder or auditor. We’ll cover practical examples and advanced techniques to streamline your auditing processes and make the most out of Excel’s capabilities. #HealthcareWebinar #AdvancedExcelTips #MedicalCoders #HealthcareInnovation #CodersAndAuditors #ExcelCapabilities
Advanced Excel Tips Tailored for Medical Coders Who Audit
www.linkedin.com
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⭐Please meet Pamela Jones, a transformative leader and mentor with a rich and diverse background in healthcare. Accredited in Case Management and Utilization Management, Pamela’s leadership has made waves across home health, hospice, health plans, and appeals administration. From her early days as a Trauma ED RN and House Supervisor, Pamela has consistently driven positive change in the healthcare landscape. At Advize, we are honored to highlight leaders like Pamela, whose dedication, expertise, and compassionate approach significantly impact our industry and empower our healthcare colleagues. 🔗Pamela's contributions also extend to key organizations such as the American Case Management Association (ACMA), #SmithAndNephewInternational, Centers for Medicare & Medicaid Services and Noridian Healthcare Solutions, LLC where her work has set new standards in patient care and healthcare administration 👏 Swipe to read more about her remarkable journey. #HealthcareLeadership #HealthcareHeroes #CaseManagement #UtilizationManagement #HospiceCare #PatientCare #HealthcareExcellence #TransformativeLeadership #AdvizeHealth #HealthcareMentor #LeadershipInHealthcare #HealthcareJourney