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Supreme Court Ruling Narrows Reach of Identity Theft Law

HIPAA Journal

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
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Everything You Need To Know About NPI Numbers

Verisys

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
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New York Court of Appeals Rules that an Insurer May Withhold Payments to a Medical Service Corporation Improperly Controlled by Non-Physicians without A Finding of Fraud

NY Health Law

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.

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Everything You Need To Know About NPI Numbers

Verisys

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
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Everything You Need To Know About NPI Numbers

Verisys

The NPI Final Rule, published on January 23, 2004, mandated the use of NPIs as the standard provider identifier. How Verisys Utilizes NPI Data: Verisys leverages NPI data through its healthcare provider credentialing solutions to enhance fraud prevention and ensure data accuracy. When Did NPI Numbers Begin?

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

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.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

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.