Advize
Julie Janeway has a diverse and extensive work experience in the healthcare and legal fields. Julie currently serves as the General Counsel and Director of Healthcare Administration/Operations Support at Advize, where they provide practical solutions to clients' administration and operations challenges. Julie also represents Advize as a speaker at conferences and events, offering health law education and training.
Previously, Julie worked as the General Counsel at the Michigan Association for Healthcare Quality and as a Senior Healthcare Counsel at Foley, Baron, Metzger & Juip, PLLC, specializing in hospital and medical malpractice and licensing defense. Julie also served as the Chief Legal Counsel at Bikham.
Julie's background also includes teaching positions, such as being a Professor at Central Michigan University and Western Michigan University Law School, where they taught courses on health law, business organizations law, and sports/sports representation law.
Before that, Julie owned their own law firm, Janeway Law, PLLC, which provided transactional services in various areas, including business law, healthcare compliance, employment law, real estate transactions, and non-profit law. Julie also worked as a healthcare administration and law consultant at Athena Medical/Legal Consulting & Training, offering training and consulting services to healthcare organizations across North America.
Julie's work experience reflects their expertise in healthcare administration, law, and compliance, as well as their passion for providing practical solutions and education to clients in the healthcare industry.
Julie Janeway obtained their Juris Doctor (JD) degree in Law from Touro School of Law in 1997. Julie also obtained a Master of Science in Administration (MSA) with a focus on Healthcare Administration from Central Michigan University in 1999. Julie Janeway received the certification of being admitted to The Supreme Court of the United States in December 2002. Julie also became an Attorney and Counselor at Law through the State Bar of Michigan in November 1997.
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Advize
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.