Advize Health

Advize Health The experts at Advize Health provide quality healthcare consulting services

09/24/2026

Follow the Money: Financial Clues Hidden Inside Healthcare Fraud

💙 Bad actors lie. Money usually doesn't.

The medical records tell one story and it is often perfect.
The patient traffic and provider office tell another.

Topics:
💰 Ownership structures
💰 Shell companies
💰 Related-party entities
💰 Records investigators should request
💰 Kickback indicators
💰 Money movement patterns
💰 Financial red flags that expose larger schemes
💰 Defensive documentation and concealment tactics
💰 Building financial intelligence into SIU operations

"Might solve a mystery
Or rewrite history"

08/27/2026

Investigations in the Age of AI

Threat, Tool, or Teammate?

Everyone is talking about AI. The real question is whether investigators know how to use it better than the providers.

Topics:
� AI-generated documentation
� Synthetic identities
� Deepfakes and provider impersonation
� AI as an investigative accelerator
� Governance and risk
� The future investigator's toolkit
� Why interviewing remains the most powerful skill in investigations
� When to conduct interviews

Moving from "what happened?" to "who is behind it?"

"The most important investigative tool isn't AI. It's still the investigator."

🌟 Join Our Growing Team at Advize Health! 🌟Advize Health continues to expand thanks to our success with our partners. We...
08/09/2024

🌟 Join Our Growing Team at Advize Health! 🌟

Advize Health continues to expand thanks to our success with our partners. We're currently seeking experienced professionals to join our Medical Record Review Team for a 4-6 month contract project, with the possibility of extension.

What We're Looking For:

✅ Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) with a minimum of 2 years of experience
✅ ProFee Auditing Experience (HCC experience will not be considered)
✅ Behavioral Health Experience (Must be documented on your resume)
✅ SIU/FWA Experience
✅ Experience using NCD/LCD/LCA to make medical necessity determinations
✅ Strong knowledge of CPT/HCPCS related to professional fee services
✅ Medicaid Policies Knowledge is a plus

This is a lower-level position with an experience range of 2-5 years. Please note that candidates with extensive experience may find salary ranges lower as a result.

Important: Candidates must reside in the U.S. and be eligible for employment (we are not sponsoring visas).

📩 If your resume meets the above criteria, email it to [email protected]. Only candidates meeting the requirements will be contacted for further action.

🗓️ 2025 Payment Integrity and SIU Metrics How do you quantify your return on investment? Industry benchmarks are out of ...
04/24/2024

🗓️ 2025 Payment Integrity and SIU Metrics

How do you quantify your return on investment?
Industry benchmarks are out of date.
Transform your PI and SIU metrics for groundbreaking outcomes with these streamlined strategies.

⚠️Learn more: https://advizehealth.com/catch-up-with-your-fraud-metrics/

As we get ready for a newsletter focused on the Art of War, let’s revisit a wonderful article by Jeanmarie Loria, MBA, P...
03/01/2024

As we get ready for a newsletter focused on the Art of War, let’s revisit a wonderful article by Jeanmarie Loria, MBA, PMP, CPC from a few years ago. In it, she shares the valuable lessons learned from her grandmother, which have shaped not just her own outlook but also the culture at Advize. Let’s enjoy this inspiring piece together and reflect on how family influences our professional lives. Happy Friday, everyone 💙

Full Blog: https://advizehealth.com/betterthanabusinessbook/

Our Heart Leads Us 💙Join our Advize Team for a 30-minute Yin Yoga and Meditation Class with Chia, on Wed, Mar 27, 6:30 P...
02/27/2024

Our Heart Leads Us 💙

Join our Advize Team for a 30-minute Yin Yoga and Meditation Class with Chia, on Wed, Mar 27, 6:30 PM EDT

You will need a yoga mat, a cozy blanket or towel, and all the pillows.

We hope this class supports your relaxation, provides clarity, and inspires you to lead with your heart.

Please join us on YouTube: https://www.youtube.com/live/EouMYVYbssM?si=pqoC6l_mgHauKv-o

Advize The Art of Negotiation for Investigators 🔍👉 Have you ever felt stuck in negotiations?👉 Wondering how to navigate...
02/27/2024

Advize

The Art of Negotiation for Investigators 🔍

👉 Have you ever felt stuck in negotiations?

👉 Wondering how to navigate tricky situations and transform your approach?

Join us for a quick-bite webinar, where we'll delve into everything you must know about mastering negotiation mindset and meeting industry standards when working with providers. Share your challenges, explore creative solutions, and walk away equipped for success.

Register Here: https://www.youtube.com/watch?v=kqx1soqPxIY

01/26/2024

👉Drive Data Efficiency & Improve Leads ROI/Effectiveness 🤑

Too many leads and not enough people to work them. Have the increased amount of leads been weighing down your investigative team and hindering their focus on working and closing cases to generate recoveries and referrals⁉️

Join experts from Advize, as they provide a comprehensive overview of lead vetting, automated best practices, including Access and Excel hacks (or tools and tips or tips and tricks), and how these tools can help investigators overcome key challenges in data manipulation boost efficiency in your lead vetting and case generation. Attend the webinar on Thursday, Feb 22 at 1 PM ET to share success stories, gain understanding, and embrace easy free hacks that streamline data and cases.

Don't miss this opportunity to prepare your investigators for future growth.

If you can't attend, register anyway, and we will share the recording once it becomes available.

https://www.linkedin.com/posts/advize-health_drive-data-efficiency-improve-leads-roi-activity-7156723837760364544-hIRD?utm_source=share&utm_medium=member_desktop

01/26/2024

👉 Drive Data Efficiency & Improve Leads ROI/Effectiveness 🤑

Too many leads and not enough people to work them. Have the increased amount of leads been weighing down your investigative team and hindering their focus on working and closing cases to generate recoveries and referrals⁉️

Join experts from Advize, as they provide a comprehensive overview of lead vetting, automated best practices, including Access and Excel hacks (or tools and tips or tips and tricks), and how these tools can help investigators overcome key challenges in data manipulation boost efficiency in your lead vetting and case generation. Attend the webinar on Thursday, Feb 22 at 1 PM ET to share success stories, gain understanding, and embrace easy free hacks that streamline data and cases.

Don't miss this opportunity to prepare your investigators for future growth.

If you can't attend, register anyway, and we will share the recording once it becomes available.

https://www.linkedin.com/posts/advize-health_drive-data-efficiency-improve-leads-roi-activity-7156723837760364544-hIRD?utm_source=share&utm_medium=member_desktop

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