Remove 2007 Remove Fraud Remove Licensing
article thumbnail

FBI, DOJ bust 24 people in $1.2 billion telemedicine fraud scheme

Healthcare IT News - Telehealth

Hundreds of thousands patients were lured into worldwide criminal healthcare fraud schemes involving telemedicine and durable medical equipment (DME) executives, according to the FBI and Department of Justice. WHY IT MATTERS. billion in losses. ON THE RECORD.

Fraud 167
article thumbnail

Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Everything You Need To Know About NPI Numbers

Verisys

The UPIN Registry ended in 2007 in favor of the standardized NPI. The UPIN Registry was discontinued in 2007 when CMS replaced UPINs with NPI numbers as the preferred provider identification number. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud.

Fraud 97
article thumbnail

Everything You Need To Know About NPI Numbers

Verisys

The UPIN Registry was discontinued in 2007 when CMS replaced UPINs with NPI numbers as the preferred provider identification number. In addition to the primary and selected taxonomies, the NPPES search will also return the state code and license number associated with the taxonomy. NPI Helps Prevent Healthcare Fraud .

Fraud 52
article thumbnail

Everything You Need To Know About NPI Numbers

Verisys

By 2007, all providers were required to file claims using their NPI, replacing the previous Unique Physician Identification Number (UPIN). The state license number linked to the taxonomy is also displayed. Contact Verisys to learn more about how NPI numbers support provider credentialing and prevent fraud.

HIPAA 52
article thumbnail

How to Increase Your Health Plan’s CMS Star Ratings to Earn More Revenue In 2021

Innovaare Compliance

Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. Mismanagement of appeals and grievances can lead to severe penalties, such as lower Medicare star ratings, on the moderate side, while contracts and licenses can be cancelled, at the extreme end of the spectrum.

article thumbnail

Comment K, Presumptions, and Medical Device Design Defects Under Texas Law

Drug & Device Law

2007 WL 4042757, at *3 (N.D. 15, 2007); McNeil v. Texas, unlike most states, enforces a strong statutory presumption that prescription medical product warnings complying with FDA requirements imposed by “pre-market approval or licensing of the product” are adequate as a matter of law. Novartis Pharmaceuticals Corp. , & Rem.

FDA 59