HIPAA Journal

JUNE 9, 2023

The Supreme Court unanimously ruled that it could not support “such a boundless interpretation” of the Identity Theft Penalty Enhancement Act of 2004. Under the letter of the law, small-scale fraud and large-scale fraud carry the same sentence for aggravated identity theft.

Fraud 107

Fraud Medicaid Medicaid Doctors 107

Verisys

NOVEMBER 8, 2023

Tracking actions to a standardized identifier provides transparency that can identify and impede fraud. NPI Helps Prevent Healthcare Fraud Tracking actions to a standardized identifier provides transparency that can identify and impede fraud.

Fraud 97

Fraud HIPAA Medicare Medicare 97

Verisys

FEBRUARY 1, 2022

23, 2004, established the NPI as this standard. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud. NPI Helps Prevent Healthcare Fraud . In addition to standardizing provider identifiers, verification of the NPI is one of the necessary elements in preventing fraud in Medicare.

Fraud 52

Fraud Medicare Medicare HIPAA 52

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. Those providers who were not prepared to manage the new reimbursement often resorted to “enhancing” revenue through “creative” means.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. Those providers who were not prepared to manage the new reimbursement often resorted to “enhancing” revenue through “creative” means.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

NY Health Law

JUNE 25, 2019

2004): Non-physicians paid physicians to use their names to established medical service corporations, the non-physicians operated them and billed the physicians nominally in charge at inflated rates so that the profits from the medical practice were channeled to the non-physicians. v Mallela , 372 F3d 500, 503 (2d Cir.

Fraud 52

Fraud Licensing Governance Health Insurance 52

Healthcare Law Blog

FEBRUARY 13, 2023

This topic always involves a legal angle, such as Stark Law or Anti-Kickback compliance, or state fraud and abuse law considerations. C-02-1786 JSW (EMC), 245, 248, 2004 U.S. 23, 2004). [4] For example, consider physician compensation. However, it almost always involves a business angle too. Are bonuses involved? 3d 413 (2d Cir.

Compliance 52

Compliance Fraud Governance 52