The Health Law Firm

DECEMBER 17, 2012

A co-owner and operator of three Miami-area pharmacies pleaded guilty on December 6, 2012, for his part in a $23 million health care fraud scheme.

Fraud 40

Fraud 40

The Health Law Firm

AUGUST 28, 2012

A Palm Beach, Florida, speech pathologist has allegedly been charged with Medicaid fraud and grand theft by the Attorney General’s (AG) Office of Statewide Prosecution. Thu Pham, O.D., Law Clerk, The Health Law Firm.

Fraud 40

Fraud Medicaid Medicaid 40

The Health Law Firm

OCTOBER 18, 2012

Law Clerk, The Health Law Firm On August 9, 2012, the United States Court of Appeals for the Fifth Circuit, located in New Orleans, Louisianna, affirmed the conviction of a patient recruiter in Texas for Medicare Fraud committed after Hurricane Katrina. By Thu Pham, O.D., To read the court's decision, click here.

Fraud 40

Fraud Medicare Medicare 40

The Health Law Firm

OCTOBER 25, 2012

Two South Florida doctors, both former medical directors at the mental health care company American Therapeutic Corporation (ATC), will spend 10 years in prison for their part in a $205 million Medicare fraud scheme. A US district judge handed down the sentence on October 1, 2012.

Fraud 40

Fraud Doctors Medicare Medicare 40

HIPAA Journal

AUGUST 1, 2022

Jane Doe said she has been a user of Facebook since 2012 and alleges her privacy has been violated, as her information was collected and used without her consent. Source: Jane Doe v. Meta Platforms, Inc. F/K/A Facebook, Inc., UCSF Medical Center, and Dignity Health Medical Foundation.

Hospitals 134

Hospitals HIPAA Fraud 134

The Health Law Firm

SEPTEMBER 6, 2012

The director of a center for developmentally challenged adults in Okaloosa County, Florida, was arrested on August 16, 2012, for allegedly fraudulently billing Medicaid for more than $270,000 for services under the Medicaid Developmentally Disabled Waiver Program, according to the Attorney General’s (AG) office.

Fraud 40

Fraud Medicaid Medicaid 40

The Health Law Firm

OCTOBER 26, 2012

According to The Texas Tribune, the Texas Attorney General’s (AG) Office and the Office of Inspector General (OIG) at the Health and Human Services Commission (HHSC) have teamed up to increase investigations of fraud in the state’s Medicaid dental program for children.

Fraud 40

Fraud Medicaid Medicaid 40

The Health Law Firm

AUGUST 2, 2012

The North Carolina Department of Health and Human Services (DHHS) announced on July 25, 2012, in a press release, that it investigated 75 cases for potential Medicaid billing fraud. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicaid Medicaid 40

The Health Law Firm

AUGUST 31, 2012

The Department of Justice (DOJ) announced that a Daytona Beach chiropractor pleaded guilty to health care fraud, conspiracy to illegally distribute prescription drugs and money laundering on August 28, 2012. Indest III, J.D., Board Certified by The Florida Bar in Health Law. Click here to read the entire press release from the DOJ.

Fraud 40

Fraud Medicare Medicare 40

The Health Law Firm

SEPTEMBER 12, 2012

On August 16, 2012, the Office of Inspector General (OIG) released a report on questionable billing by mental health centers. Big Busts in Two South Florida Mental Health Clinics for Medicare Fraud. By Lance O. Leider, J.D., and George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicare Medicare 40

Hall Render

SEPTEMBER 12, 2022

Healthsouth of Sarasota Limited Partnership, et al , the Eleventh Circuit held that for a plaintiff to qualify as engaging in “protected activity,” the plaintiff must demonstrate that they had both a subjectively reasonable belief of fraud and an objectively reasonable belief of fraud. Background. Retaliation Under the FCA. 3730(h)(1).

Fraud 40

Fraud Governance Compliance 40

The Health Law Firm

OCTOBER 22, 2012

On September 27, 2012, Public Citizen, a watchdog group, reported whistleblowers have initiated $6.6 billion in penalties against drug manufacturers in 2012. By Danielle M. Murray, J.D. Most of these penalties are for fraudulently overcharging government programs.

Medicaid 40

Medicaid Medicaid Fraud Governance 40

HIPAA Journal

MARCH 15, 2023

While Jelly Bean Communications Design acted as a business associate under HIPAA, the action was taken over violations of the False Claims Act under the Department of Justice’s 2021 Civil Cyber-Fraud Initiative. FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18.

Health Insurance 82

Health Insurance HIPAA Fraud Due Diligence 82

HIPAA Journal

JUNE 2, 2022

The plaintiffs claim they face an imminent and ongoing risk of identity theft and fraud due to the exposure of their sensitive data to cybercriminals and have had to spend time and money protecting themselves against identity theft and fraud. The case was settled for $11 million.

Fraud 68

Fraud HIPAA 68

The Health Law Firm

NOVEMBER 17, 2014

The IRS issued brand new regulations for its own whistle-blower program in August 2012. These were written to recruit more whistle-blowing moles to help flush out financial fraud. Indest III, J.D., Few people are aware of this program.

Fraud 52

Fraud 52

The Health Law Firm

JULY 9, 2012

The charges were announced by the Department of Justice (DOJ) on June 29, 2012. A Pennsylvania man has been charged in a 23-count indictment in relation to an alleged scheme to defraud Medicare by billing for fraudulent ambulance services. Straw" Owner Allegedly Used to Start Ambulance Company.

Medicare 40

Medicare Medicare Fraud 40

Med-Net Compliance

JUNE 24, 2022

A former Tennessee medical group director, 62, was sentenced to 18 months in federal prison for wire fraud. According to the information presented in court, from 2012 until 2020, she served as the director of risk management at a large medical group and worked at one of its hospitals.

Fraud 59

Fraud Hospitals 59

The Health Law Firm

NOVEMBER 2, 2012

The man was sentenced on October 5, 2012. A Los Angeles medical equipment supplier will spend 30 months in prison for submitting nearly $1 million in false claims to Medicare. The claims were almost all for expensive, high-end power wheelchairs. To see the press release from the Department of Justice (DOJ), click here.

Medicare 40

Medicare Medicare Fraud 40

The Health Law Firm

NOVEMBER 9, 2012

The Los Angeles Times article, released October 12, 2012, names an official with knowledge of this matter as the source. According to an article in the Los Angeles Times, authorities are looking into reports that CVS has been refilling prescriptions and submitting insurance claims without patients’ permission.

US Department of Health and Human Services 40

US Department of Health and Human Services Fraud Medicare Medicare 40

The Health Law Firm

OCTOBER 3, 2012

On September 19, 2012, power wheelchair suppliers voiced their concerns over a new government program called the Power Mobility Devices (PMDs) Demonstration at a Senate Special Committee on Aging. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Medicare 40

Medicare Medicare Fraud Medicaid 40

The Health Law Firm

MARCH 12, 2013

A Central Florida chiropractor was convicted of conspiracy to commit health care fraud by a federal jury on March 1, 2013. Since 2009, the chiropractor fraudulently claimed to own a rehabilitation center in Cape Coral, Florida. To read the press release from the DOJ on the charges, click here.

Fraud 40

Fraud 40

The Health Law Firm

OCTOBER 4, 2012

alleging Medicare fraud against Parrish Medical Center, was dismissed by a US District Judge in Tampa, Florida, on August 15, 2012. Indest III, J.D., Board Certified by The Florida Bar in Health Law. A whistleblower lawsuit against Blackstone Medical, Inc.,

Fraud 40

Fraud Medicare Medicare 40

The Health Law Firm

NOVEMBER 6, 2012

On October 16, 2012, the DOJ announced that the phony OT was charged with three counts of mail fraud, five counts of wire fraud, and one count of aggravated identity theft. Click here to see the press release from the DOJ. How the Fake OT Received a License.

Fraud 40

Fraud Licensing Hospitals 40

The Health Law Firm

DECEMBER 11, 2012

A former Daytona Beach chiropractor will spend more than 15 years in federal prison for an alleged health care fraud scheme and illegally prescribing pills, according to the Federal Bureau of Investigation (FBI), Jacksonville Division. He was also ordered to pay more than $2 million in restitution to his victims.

Fraud 40

Fraud 40

The Health Law Firm

JUNE 20, 2012

The ruling was reached on June 4, 2012. Appeals Court Ruling Revives Securities Fraud Class Action Lawsuit. In making this decision, the appeals court has renewed a securities fraud class action that was dismissed by a trial court in 2010. To view the appeals court ruling in Public Pension Fund Group v.

Fraud 40

Fraud FDA 40

Healthcare Compliance Blog

MARCH 4, 2022

In September 2012, the partnership ended, and, by court order, the sister was obligated to make payments to her partner for the purchase of the partner’s interest in the home healthcare company. Between 2012 and 2016, the payroll manager helped his sister by processing payroll that caused checks to be issued to “ghost employees.”

Fraud 45

Fraud 45

The Health Law Firm

DECEMBER 24, 2015

Dr. Harold Persaud was convicted earlier this year of one count of health care fraud, 13 counts of making false statements and one count of engaging in monetary transactions in property derived from criminal activity. From 2006 to 2012, Dr.

Licensing 40

Licensing Fraud 40

The Health Law Firm

JULY 12, 2012

The nurse was arrested on a felony warrant by the Attorney General’s Medicaid Fraud Control Unit (MFCU). The arrest was announced by the Florida Attorney General on June 29, 2012. A licensed practical nurse (LPN) at Florida State Hospital has been arrested and charged with one count of abuse of a disabled adult at the hospital.

Nurses 40

Nurses Fraud Licensing Medicaid 40

The Health Law Firm

SEPTEMBER 19, 2012

A former employee of an organization that provides services to developmentally disabled adults in Alachua County, Florida, was arrested on June 15, 2012, according to the Attorney General’s (AG) Office. Investigation by the Medicaid Fraud Control Unit (MFCU) Led to Arrest. To see the press release from the AG, click here.

Fraud 40

Fraud Medicaid Medicaid 40

The Health Law Firm

DECEMBER 10, 2012

A Detroit-area registered nurse was sentenced on November 19, 2012, to 30 months in federal prison for his alleged part in a nearly $13.8 million Medicare fraud scheme. Indest III, J.D., Board Certified by The Florida Bar in Health Law. He was also ordered to pay more than $450,000 in restitution, together with his co-defendants.

Nurses 40

Nurses Medicare Medicare Fraud 40

The Health Law Firm

DECEMBER 19, 2012

A sting on a prescription fraud ring netted 29 arrests in Osceola County, Florida. On December 13, 2012. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law. Osceola County Investigative Bureau (OCIB) agents, along with the Osceola County Sheriff’s Office, Kissimmee Police Department and St.

Fraud 40

Fraud 40

HIPAA Journal

OCTOBER 21, 2022

For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing. Only one penalty was issued in each of 2008 and 2009, 2 in 2010, 3 in 2011, and 6 in 2012.

HIPAA 107

HIPAA Compliance Medicare Medicare 107

The Health Law Firm

SEPTEMBER 10, 2012

Federal court records from August 13, 2012, show that a former Florida Hospital employee faces fraud-conspiracy charges after he illegally accessed patient records in a solicitation scheme, according to the Orlando Sentinel. Leider, J.D., and George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Hospitals 40

Hospitals Fraud 40

The Health Law Firm

MARCH 4, 2013

A report released by the Government Accountability Office (GAO) on February 27, 2013, announced that Medicare will remain a "high-risk" program with respect to its fraud and waste vulnerability. In 2012, according to the report, CMS let more than $44 billion in improper payments go out. Click here to view the full report from the GAO.

Medicare 40

Medicare Medicare Fraud Medicaid 40

HIT Consultant

AUGUST 21, 2022

Department of Justice in healthcare fraud, several small startups, and TTC, LLC, which was acquired by IMS Health in 2012. Lucas started his career in pharmaceutical data science 15 years ago at Center (then owned by Galt Associates), working on pharmacovigilance data mining algorithms. Since then he has worked at the U.S.

COVID-19 Vaccine 97

COVID-19 Vaccine COVID-19 Fraud 97

HIPAA Journal

MAY 18, 2023

That information related to patients who had received healthcare services between March 2012 and November 2022. Affected individuals have been offered complimentary credit monitoring, fraud assistance, and remediation services for 12 months.

Ransomware 77

Ransomware Fraud HIPAA Health Insurance 77

HIPAA Journal

MAY 18, 2023

million Hacked by Chinese APT group Failure to implement and maintain reasonable security practices 2020 Multistate (43 states) Anthem Inc $39.5 million 78.8 million Phishing attack and major data breach Multiple violations of HIPAA and state laws 2020 California Anthem Inc $8.7 million 78.8

HIPAA 102

HIPAA Compliance Ransomware Hospitals 102