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Department of Justice announced this past Friday that it had charged four people, one of whom is a licensed physician, in an international telehealth fraud and kickback scheme. million in a case the DOJ described as one of the "largest healthcare fraud schemes in United States history. WHY IT MATTERS. " ON THE RECORD.
A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson identified the patients through the medical practice of Dr. Frank Alario.
A lawsuit against CareFirst BlueCross BlueShield that was filed in response to a 2014 data breach has had a contract class certified by a federal judge, 9 years after legal action was initiated. In June 2014, hackers gained access to CareFirst systems, which contained the data of around 1.1
An Arizona man has been sentenced to 54 months in jail for aggravated identity theft and criminal violations of the HealthInsurance Portability and Accountability Act (HIPAA). His co-conspirators have already been sentenced for their roles in the identity theft scheme.
In an effort to do so, the agency is temporarily blocking several home health agencies (HHAs) and ground ambulance suppliers in fraud hot spots around the country from enrolling in and receiving reimbursements from Medicare, Medicaid and the Children’s HealthInsurance Program (CHIP) programs.
It can also include healthinsurance, pension plans, or educational assistance. million to New York State for conduct between 2014–2017. The other agency has agreed to pay $560,000 to the United States and $840,000 to New York State for conduct that occurred in 2014–2018. The base wage must be paid in cash.
The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the HealthInsurance Portability and Accountability Act (HIPAA). million 78.8 million 78.8
During the 1970s and 1980s, an increasing number of organizations in the healthcare and healthinsurance industries adopted Electronic Data Interchanges (EDIs) to accelerate manual healthcare processes such as eligibility checks, treatment authorizations, and remittance advices.
Fraud plagues California’s hospice industry, audit finds. over MassHealth fraud. Ohio health system lowers hiring age to 16 to fill workforce gaps. Cardinal Health expands medical distribution footprint in Ohio. New plan for former Lakewood Hospital site includes 200+ apartments, new HQ for healthinsurance company.
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