HIPAA Journal

MARCH 30, 2022

Had the level of abuse and fraud in the healthcare industry been allowed to continue, tens of billions of dollars would have been lost to unscrupulous actors. It was not until 2002 that the Privacy Rule was published, and 2003 that the Security Rule was published. Abuse and Fraud in the Health Care Industry. $7

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HIPAA Fraud Health Insurance Health Care Reform 136

HIPAA Journal

JANUARY 23, 2024

The Theranos Scandal Theranos was a blood testing startup founded by Elizabeth Holmes in 2003. Holmes, along with former company president Ramesh Balwani, were charged with criminal fraud for making false claims about the company’s technology and misleading investors.

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Fraud FDA Medicaid Medicaid 89

The Health Law Firm

AUGUST 19, 2013

The nonprofit organization is accused of fraudulently billing Medicaid and other government programs for health services provided by some of its Texas clinics between 2003 and 2009, according to the DOJ. Indest III, J.D., Board Certified by The Florida Bar in Health Law Planned Parenthood Gulf Coast recently paid $4.3

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Medicaid Medicaid Fraud Governance 40

Healthcare Law Today

DECEMBER 16, 2022

Sentencing in federal fraud cases is driven by loss amounts. In health care fraud cases, the government frequently asserts a high “intended loss” based on amounts billed to payers, even when amounts actually paid were far less. Health care fraud cases are a prime example. In United States v. Banks Decision.

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Fraud Governance Medicaid Medicaid 52

HIPAA Journal

DECEMBER 31, 2022

According to the most recent update, the HHS has received almost 300,000 complaints since the compliance date of the Privacy Rule (April 2003). Most administrative HIPAA violations are investigated by the Centers for Medicare and Medicaid Services (CMS), while civil HIPAA violations are investigated by HHS´ Office for Civil Rights (OCR).

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AIHC

MARCH 28, 2022

trillion government-wide from fiscal years 2003 through 2019. o These types of denials can potentially trigger a larger audit, a probe, or an abuse or fraud investigation of your organization CMS estimates the Medicare FFS improper payment rate through the Comprehensive Error Rate Testing (CERT) program. According to the U.S.

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Medicare Medicare Compliance Governance 52

New Jersey Healthcare Blog

JULY 22, 2022

The chapter describes the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program regarding transportation services. On April 4, 2022, at 54 N.J.R. 620(b), the Department of Human Services, Division of Medical Assistance and Health Services adopted amendments to Transportation Services Rules. See N.J.A.C. 191 (N.J.S.A.

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COVID-19 Vaccine Licensing COVID-19 Public Health 40