Advize

Welcome to Advize Health! 👋As we celebrate our growth to over 40,000 followers, we want to extend a warm invitation to those who are new here. If you’re curious about who we are and what we do, this blog is the perfect place to start. We invite you to explore our vision, mission, and commitment to making healthcare better. Our focus is on being patient-centric and affordable, ensuring that patients receive the care they need while helping providers and plans operate effectively. Thank you for joining us on this journey—we're excited to share our story with you!

🚨🚨🚨 #DecemberWebinar Insights and Trends Shaping Healthcare in 2025 Join experts David Bolden, CPC, CPCO and Mandi Berg as they reflect on key learnings from 2024 and explore the emerging trends shaping healthcare in 2025. Gain insights from both investigator and auditor perspectives, with a focus on how data analytics drives success. 🎯Key Highlights: - Recap of 2024's achievements and lessons. - Anticipated healthcare trends for 2025. - Collaborative discussion between investigator and auditor. - Strategies for future growth and improvement. 🎯What to Expect: - Insights on healthcare trends and future priorities. - Dual perspectives from industry experts. - Interactive Q&A session. Register now to prepare for the evolving healthcare landscape in 2025!

Tip #3: Understanding Diabetes Self-Management Training (DSMT) and Billing Practices Diabetes is a chronic disease that significantly impacts how the body processes food and can lead to serious health problems if left untreated. Treatment typically includes a combination of diet, exercise, medications, and regular blood glucose monitoring. Untreated diabetes can cause severe damage to the heart, blood vessels, eyes, kidneys, and nerves, making it the leading cause of kidney failure, lower-limb amputations, and adult-onset blindness. Alarmingly, an estimated 1 in 3 people in the U.S. will develop diabetes at some point in their lives, with about 422 million individuals affected globally, primarily in low- and middle-income countries. Diabetes Self-Management Training (DSMT) The term "diabetes outpatient self-management training services" refers to educational and training services provided to individuals with diabetes by certified providers in an outpatient setting. These services are only covered if the managing physician certifies their necessity as part of a comprehensive plan of care to ensure therapy compliance and equip patients with the necessary skills to manage their condition. Providers may attempt to bill G0108 or G0109 for diabetes management discussions, but this is often incorrect and may result in payments for services that are not eligible for reimbursement. 🎯Takeaway: Always ensure that diabetes outpatient self-management training services are conducted by certified providers and billed correctly to prevent improper payments while supporting effective diabetes management. Stay tuned for more insights in our Behavioral Health Fraud Series, where we help you detect and prevent fraud in healthcare! #BehavioralFraud #FraudDetection #HealthcareFraud #FraudPrevention #HealthcareCompliance #DiabetesManagement #DSMT #AdvizeHealth #HealthcareIntegrity

🎊Exciting News at Advize! We are thrilled to announce the promotion of Mandi Berg to Senior Manager! Since joining Advize, Mandi has been an instrumental part of our team, leading with passion, innovation, and a collaborative spirit. From driving high-impact projects including capturing SIU ROI, leading the investigations of complex waste and abuse cases, conducting training, delivering webinars, and developing policy to mentoring her team and building a supportive remote work environment, Mandi has consistently gone above and beyond. Her belief in the power of teamwork and continuous learning has not only strengthened our practice but also inspired those around her. As Senior Manager, she will continue to push the boundaries of excellence, leading critical initiatives, and ensuring our clients receive the outstanding service they’ve come to expect. Please join us in congratulating Mandi on this well-deserved promotion and celebrating her continued success! 👏 Read more about her promotion and accomplishments on our website: https://lnkd.in/eu4dFYVB #AdvizeLeadership #Teamwork #AdvizeHealth #HealthcareExcellence #PromotionAnnouncements #HealthcareInnovation

Thank you, Angela Clements CPC,CPMA,CEMC,CCS and Jeanmarie Loria, MBA, PMP, CPC, for this powerful reminder! Sharing this to spread awareness and inspire you to make self-care your intention for the week. Making ourselves a priority is not selfish; it’s a necessity. When we take care of ourselves first, we can better support those around us—just like putting on your oxygen mask before helping others 🛫 💖 Self-care fuels our productivity and presence in daily life. 💖 It enhances focus and decision-making. 💖 It allows us to give more of ourselves in healthy ways. At Advize, we focus on making self-care a priority together! Join our Fall Stretch Session today at 12 PM ET and kick off the week with this intention. #SelfCare #PrioritizeYourself #FallStretchSession #HealthyHabits #MindfulLiving #YogaAuditing

The OIG Roundtable: Missed Episode 96? Here's Why You Need to Watch It! If you haven’t checked out our latest episode yet, now’s the time! Eric, Wade, and Matt dive deep into the critical issue of retrieving companion documents for ancillary services—an area that has far-reaching impacts on healthcare compliance, payment integrity, and fraud prevention. Why is this episode so important? 🎯Compliance with CMS Requirements – Failure to provide documentation for diagnostic services can lead to non-compliance and serious financial penalties. 🎯Investigative Challenges – Incomplete records during pre- or post-payment reviews can stall investigations, leaving gaps in the integrity of claims processing. 🎯Fraud Prevention – Proper documentation supports claims and helps prevent fraudulent billing, ensuring only legitimate services are reimbursed. 🎯Data as a Solution – They explore how data analytics can help bridge documentation gaps and strengthen SIU investigations. If you're dealing with similar challenges in your role, this episode is packed with actionable insights that can help you overcome them. Watch now and share how you’ve tackled document retrieval issues in the comments! https://lnkd.in/eJk_-7zB #HealthcareCompliance #DocumentRetrieval #FraudPrevention #SIUChallenges #PaymentIntegrity #AncillaryServices #DataAnalytics

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

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

📈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

🚨🚨🚨 Attention Medical Coders and Auditors! Join us today (9/27) at 1 PM for a special bonus webinar with Jeanmarie Loria, MBA, PMP, CPC, designed to enhance your efficiency with Excel! You’ll learn the top tips and best practices specifically tailored for auditing and coding. Discover: - Practical examples to streamline your auditing processes - Advanced techniques to maximize Excel’s capabilities - Strategies to save time and reduce errors in your work ❓ Have questions about organizing large data sets? 📊 Curious how Excel can simplify your reporting? 💡 Wondering how to leverage formulas for better accuracy? Drop your questions in the comments! Jeanmarie will address them live during the session! ✅Register now by visiting our Event Tab. Looking forward to seeing you later! #ExcelTips #MedicalCoding #Auditing #HealthcareData #Efficiency #ExcelForAuditors #CodingBestPractices #DataManagement #Webinar #ProfessionalDevelopment #HealthcareProfessionals #AdvancedExcel #ContinuousLearning #HealthTech #DataAnalysis