Consulting isn’t fast food. ....No Happy Meal small fry (although the salty fry plus a toy always hits). Consulting is a fine dining experience. Expertise isn’t just a credential. It’s the mise en place that sets the tone for everything that follows. John Malloy has taught us white glove treatment from the kitchen and how it rolls over to our consulting delivery. We have curated a team of specialists to deliver: 🍽️ Precision in every detail: scope, strategy, execution 🍽️ Insights prepared to order: no templates, no shortcuts 🍽️ Service that anticipates, not reacts Because real consulting isn’t about checking boxes. It’s about elevating outcomes. When the right experts are at your table, you can taste the difference. Whatever you need, we have the right expert ready to help. #AdvizeHealth #Healthcare #Consulting #ProgramIntegrity #ClientExperience #Excellence #Leadership Advize
Advize
Hospitals and Health Care
Orlando, Florida 73,474 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
Get directions
Orlando, Florida, US
Employees at Advize
Updates
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We're #hiring a new Content Writer in United States. Apply today or share this post with your network.
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Why Skate When You Can Vogue? 💅⛸️ Saw this iconic routine, figure-skating to Vogue, and instantly thought: That’s us at Advize. Why blend in when you can set the tone? Why follow the choreography when you can rewrite it? Why do the expected when you were built for the spotlight? Our work isn’t quiet. It’s precise. It’s intentional. And yes - sometimes it serves. In a world full of routines, Advize chooses performance. Strike a pose, healthcare. We’re just getting started. ✨ PS - We can't wait for the Olympics! #Madonna #Olympics #Vogue #Performance #Healthcare
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We're #hiring a new Senior Auditor in United States. Apply today or share this post with your network.
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Holy moley, me oh my ... Home is whenever I’m with you. — Edward Sharpe We feel that line every single day. Not because we share an office. Not because we’re always in the same city. (Trust us… airports are our second home.) It’s because of the people we get to build with. Our investigators, analysts, auditors, clinicians, consultants, coders, problem-solvers, and quiet heroes behind the scenes—*you* are the reason this place feels like more than a company. You make the long nights lighter. You make the hard cases solvable. You make the work meaningful. You make Advize feel like **home**. In a year where healthcare has demanded everything from us—precision, grit, creativity, and heart—you showed up every single time. And that’s the real privilege of leadership: knowing you get to lock arms with people who make the impossible feel possible. So here’s to our Advize family. To every airport Slack call, every “we’ll figure it out,” every inside joke, every pivot at 11pm, every win big or small. Home isn’t a place. It’s a team. And we’re unbelievably lucky it’s you. #AdvizeHealth #TeamAdvize #Leadership #HealthcareConsulting #CultureMatters #ProgramIntegrity #FraudWasteAbuse
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🎙️ New Episode Alert: OIG Roundtable Not My 🐒 Not My Circus https://lnkd.in/eJ4taxmw Hosted by Eric | Wade | Matt If you work in program integrity, Medicare/Medicaid operations, audit & oversight, or healthcare compliance, this is the conversation you don’t want to miss. Each episode of the OIG Roundtable breaks down: 🔎 Emerging fraud schemes 📑 Key OIG updates and enforcement trends 📊 Real-world audit lessons 🛠️ Practical guidance for healthcare leaders 🤝 And the stories only seasoned investigators can tell Our goal is simple: turn complex oversight into clear, actionable insight. Whether you’re commuting, catching up between meetings, or looking to sharpen your compliance game, the Roundtable is your new go-to listen. 🎧 Tune in. Learn something new. Stay ahead. #AdvizeHealth #OIG #HealthcareCompliance #ProgramIntegrity #Podcast #HealthcareLeadership #FraudWasteAbuse
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If you can’t beat them… join them. Or better yet, join us if you actually want to do some healthcare goodness in the world. We’re hiring people who want to make care cleaner, safer, fairer. People who want to protect patients, support providers, and fix the messy stuff that everyone else ignores. If you want your work to matter - really matter - then come build with us. 👉 We’re hiring. Let’s do some healthcare goodness together. #Hiring #HealthcareGoodness #ProgramIntegrity #SIU #PaymentIntegrity #AdvizeHealth #HereWeGrowAgain
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Put in CREAM. Movie day at work...get your shinebox. Have you seen Mr. Scorsese? Excellent documentary that we felt to our core. Before he even shot Goodfellas, he told his co-writer the music was already in his head. He didn’t find the soundtrack later — he wrote to it. That’s how we approach our clients. We don’t wait for the market to play the song. We already know the rhythm. If your business isn’t predicting client needs, you’re not just skipping social strategy, you’re failing the responsibility of connection. At Advize, we don’t chase trends. We set tempo. 💙 C.R.E.A.M. — Client Relevance Energizes Advize Momentum. #AdvizeHealth #HealthcareConsulting #ProgramIntegrity #Strategy #Leadership #Marketing #PredictTheNeed Watch more here: https://lnkd.in/e-ek-yJD
Scorsese talks about using Cream 🎶 in Goodfellas
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Integrity isn't just a word, it's the core of every decision we make. At Advize Our focus is on safeguarding the integrity of care, not simply chasing recovery dollars or implementing a hardline approach. We believe ethical providers deserve fair resolutions. A recent investigation into a potential $33,000 overpayment perfectly illustrates this commitment: The Challenge: A provider was found to have an initial $33K overpayment after billing psychiatric codes for a two-hour nasal antidepressant monitoring service. The technical denial rationale was supported, as no actual psychotherapy took place. The Advize Approach: Recognizing healthcare is complex and mistakes happen, we approached the investigation with empathy and objectivity. Rather than pursuing the full collection to maximize ROI, we chose a different path. Prioritizing Fairness: We paused the collection and meticulously researched other possible billable codes, requesting guidance from the payor. Our goal was to ensure the provider was paid for the legitimate monitoring service they delivered. The Resolution: A payable code was identified, resulting in a significant reduction in the overpayment amount. We ensure providers who operate ethically can continue to deliver high-quality care without unfair disruption. A fair resolution brought about through true understanding of the industry is always our goal. #HealthcareIntegrity #AdvizeHealth #PaymentAccuracy #HealthcareCompliance #EmpathyInAudit #FairResolution
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