Advize

Advize

Hospitals and Health Care

Orlando, Florida 51,038 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.

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

Employees at Advize

Updates

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    51,038 followers

    🚨 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

    🩺Prepare for the Future of Healthcare: Insights and Trends Shaping 2025🔮

    🩺Prepare for the Future of Healthcare: Insights and Trends Shaping 2025🔮

    Advize on LinkedIn

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    51,038 followers

    🚨🚨🚨 #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!

    Insights and Trends Shaping Healthcare in 2025

    Insights and Trends Shaping Healthcare in 2025

    www.linkedin.com

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    51,038 followers

    🎉 Celebrating 23 Years of Audit Excellence at Advize! 🎉 As we approach a milestone—10 years as a woman-owned company under the Advize Health brand in January—we’re taking a moment to reflect on our legacy of trust and expertise in the world of audits. With 23 years of audit experience, even before Jeanmarie Loria, MBA, PMP, CPC became CEO and rebranded the company to Advize Health, we’ve honed the skills, insights, and methodologies that allow us to navigate even the most complex challenges. This foundation of experience drives the results that matter most for our clients. Here are 3 top reasons why Advize is the partner you need: ⭐ Unmatched Expertise – With decades of experience, we know audits inside and out. From routine compliance checks to complex fraud investigations, we’ve built a reputation for solving challenges others can’t. ⭐ Proven Results – Our track record speaks for itself. We deliver actionable insights that not only ensure compliance but also drive improvement and growth. We’re committed to helping you stay ahead of the curve and avoid costly mistakes. ⭐ A Trusted Partner in Your Success – Our commitment to long-term relationships means we understand your unique needs. We’ve worked with countless organizations, helping them navigate audit challenges and come out stronger on the other side. While many companies claim they can handle audits, few have the depth of experience we bring to the table. Don’t fall for the “ugly duckling” approach—where others promise big results but can’t deliver. At Advize, we’re the swans of audit expertise—polished, reliable, and capable of delivering the quality outcomes your organization deserves. We’re ready for the next chapter of excellence as we celebrate 10 years as Advize. Whether you’re looking for audit expertise, compliance solutions, or guidance through complex challenges, we’ve got the experience to help you succeed. Here’s to another decade of making healthcare better—together. 🎯 #AdvizeHealth #AuditExcellence #HealthcareCompliance #ExperienceMatters #AuditProfessionals #HealthcareInnovation #TrustedExperts #ProvenResults

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    51,038 followers

    #FemaleLeadership Under the leadership of April Cameron and Mandi Berg, we’ve evolved from a compliance-focused unit into a dynamic, client-driven team. This transformation was built on collaboration, trust, and a shared commitment to success. 🚩Is your team struggling to reach its full potential? 🚩Are you facing roadblocks in collaboration and leadership? 🟢As we look ahead to 2025, the question becomes: what’s holding your team back from true success? 🟢What if the key to overcoming these challenges lies in the power of collaborative leadership and a unified team? In this blog, we’ll explore how embracing these strategies has unlocked growth for us at Advize, and how you can apply them to drive your team to new heights in 2025. #CollaborativeLeadership #Teamwork #LeadershipSuccess #SIU #TeamGrowth #2025Goals #LeadershipDevelopment #TeamTransformation #SuccessStrategies #ClientFocused #BusinessGrowth #HealthcareLeadership #TeamBuilding #AchieveTogether #WorkplaceCulture #LeadershipEvolution

    Transforming Healthcare

    Transforming Healthcare

    Advize on LinkedIn

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    51,038 followers

    ⭐ Today, we're reflecting on the power of authentic connections ⭐ We’re honored to be part of a community that values openness and vulnerability. We’re deeply grateful for our partners and followers. 50,000 of you have trusted us with your thoughts, challenges, and ideas. These conversations have not only shaped who we are, but they also drive how we continue to evolve. Your input truly matters to us. Thank you for being here, and for contributing to the meaningful dialogues that inspire us every day. 🙏💙

    🎁The Power of Deep Conversations

    🎁The Power of Deep Conversations

    Advize on LinkedIn

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    51,038 followers

    🎙️ Podcast Spotlight: An Arm and a Leg 📢 New Lessons from the Fight for Charity Care We just listened to this episode, and wow—there’s so much to unpack. It highlights a major issue in healthcare: ⚠️over $14 billion in charity care isn’t reaching the people who qualify for it. Instead, it’s turning into medical debt.⚠ Let’s be honest—this is a massive failure of the system. Federal law requires nonprofit hospitals to provide financial assistance, but as this episode exposes, the reality often falls painfully short. People don’t know these programs exist, and hospitals aren’t making them accessible. This is why we’re such huge supporters of organizations like Dollar For. Jared Walker and his team are doing incredible work, empowering patients to fight back against medical debt and demand the charity care they’re owed. Their mission aligns with ours at Advize: fighting for a healthcare system that prioritizes integrity, equity, and accountability. 😍One highlight we loved? The groundbreaking program in North Carolina estimated to erase $4 billion in medical debt. It’s proof that bold, systemic change is possible when we work together. If this episode doesn’t fire you up about the urgent need for reform in healthcare, we don’t know what will. Listen, reflect, and then act. Start by seeing if you qualify for charity care here: Dollar For Help Tool - https://lnkd.in/eYN_8-C8 🎧 Tune in now: An Arm and a Leg - Charity Care https://lnkd.in/eKDgb3zE We’re committed to doing our part to create a fairer healthcare system. Are you? #HealthcareReform #CharityCare #AdvizeHealth

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    51,038 followers

    🎙️ Episode 106: How Does the Tragedy of the United CEO Affect PI/SIU Operations? In this thought-provoking episode of the OIG Roundtable, Eric Rubenstein, MSCJ, CFE, Wade McFaul, and Matt Kochanski take a unique angle on the recent and tragic assassination of the United CEO in NYC. What does this shocking event mean for leadership, corporate accountability, and the vulnerabilities within Payment Integrity and Special Investigation Unit operations? They discuss the potential ripple effects and uncover lessons that healthcare organizations can use to strengthen their operations in an increasingly unpredictable world. 👉 Tune in now to explore how critical events shape our industry: https://lnkd.in/gAxy8wiB 💡 Join the conversation! What steps do you think organizations should take to mitigate risks and safeguard their teams? #OIGRoundtable #HealthcareLeadership #PaymentIntegrity #SIUExcellence

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    51,038 followers

    Reminder: There’s Still Time to Vote for Your Favorite Holiday Pet Contestants! 🎉 Our Holiday Pet Contest is still going strong, and there’s plenty of time to join the fun! 🐾✨ Have you submitted your pet’s festive photo yet? Don’t miss out! 📸 How to Participate: 1️⃣ Post a picture of your pet in holiday attire or surrounded by decorations. 2️⃣ Tag Advize and your chosen charity. 3️⃣ Use the hashtag #AdvizeGivesBack. 🏆 How to Win: - Winners will be chosen based on the most reactions (likes, loves, claps, etc.) comments and shares on their post. - Rally your friends, family, and community to support your entry! 📅 Voting closes on Monday, December 16th, so there’s still time—submit your photo today! 💰 Prizes: - 1st Place: $500 gift card + $500 donation to your chosen charity - 2nd & 3rd Place: Trophies for Most Festive and Best Dressed Spreading joy this holiday season 🐶🐱🎄 #AdvizeGivesBack #HolidayPetContest #SeasonOfGiving

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