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.
Company Details
- Employees
- 78
- Founded
- -
- Address
- Orlando, Florida, Us
- Phone
- +1 813 569 2352
- he****@****lth.com
- Industry
- Hospitals And Health Care
- NAICS
-
Health Care and Social AssistanceSocial Assistance
- Website
- advizehealth.com
- Keywords
- 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, CPC.
- HQ
- Orlando, Florida
Advize Questions
Advize's helpline number is +1 813 569 2352
Advize's website is advizehealth.com
Advize's LinkedIn profile is https://www.linkedin.com/company/advize-health
Advize has
78 employees.
View email and phone details for 78
employees at Advize.
Advize's industry is
Hospitals and Health Care
Advize's top competitors are
Oscar Health,
Humana,
Molina Healthcare,
Cigna Healthcare,
Qlarant,
Elevance Health,
Optum,
Healthcare Fraud Shield,
Centene Corporation,
Cohere Health.
Advize's support email address is hello@advizehealth.com
Advize's categories are Hospitals and Health Care
Advize's founding year is 2003
