ADVIZE HEALTH LLC
WINTER PARK, FLORIDA

Advize Health provides professional information technology, medical auditing and consulting services to small and large health care payer organizations, group practices, hospitals and clinics. Education services include ICD-10 training, DRG validations, Revenue Cycles Operations consulting and provider and staff coding and documentation improvement. Non-standard events, such as scope changes, are provided on a fixed-fee basis at competitive rates. Our pricing model typically provides between 4 and 8.5:1 return ratio. For every $1 you spend with us, you’ll see a return between $4 and $8.50. Our solution allows clients constant access to view project reports, check statuses, and review individual provider or claims results. Advize Health LLC is a medical record review and advisory company headquartered in Tampa, Florida and has employees all over the United States. You might remember our cost-effective and efficient medical record review services as those of Sunera Healthcare, however, due to rapid growth and success, we have re-branded and re-defined our company to create Advize Health, moving full steam ahead in 2015. Taking into consideration these factors, plus the cost of transitioning, from surgeries to hormone replacement – it’s clear that healthcare for transgender patients can be quite rigorous for patients and their providers. Every single procedure or office visit requires clinical documentation, and this is where the administrative side of healthcare struggles. Insurers each have different guidelines and policies on how to document care for transgender patients, and failure to comply with their rules could result in denials. Appeals are possible, but considering the hundreds of thousands of Medicare appeal that are waiting in the queue, this can be an arduous process on its own. In order to prevent problems with reimbursement, it is imperative to understand what to bill or what to code for transgender patients. And perhaps what’s even more important to understand is exactly which services It’s illegal for an insurance company to deny coverage for treatments typically associated with one gender based on the gender listed in the insurance company’s records or the sex you were assigned at birth. Ex. An insurance company can’t deny a transgender woman coverage for a prostate exam because she is listed as female in her records or coverage for gynecological care because her sex assigned at birth was male. Advize Health provides professional information technology, medical auditing and consulting services to small and large health care payer organizations, group practices, hospitals and clinics. Education services include ICD-10 training, DRG validations, Revenue Cycles Operations consulting and provider and staff coding and documentation improvement. Non-standard events, such as scope changes, are provided on a fixed-fee basis at competitive rates. Our pricing model typically provides between 4 and 8.5:1 return ratio. For every $1 you spend with us, you’ll see a return between $4 and $8.50. Our solution allows clients constant access to view project reports, check statuses, and review individual provider or claims results.