Healthcare IT News - Telehealth

DECEMBER 17, 2021

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.

Fraud 138

Fraud Telemedicine Nurses Licensing 138

HIPAA Journal

OCTOBER 21, 2022

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.

Fraud 63

Fraud HIPAA FDA Health Insurance 63

HIPAA Journal

JUNE 2, 2023

An Arizona man has been sentenced to 54 months in jail for aggravated identity theft and criminal violations of the Health Insurance Portability and Accountability Act (HIPAA). His co-conspirators have already been sentenced for their roles in the identity theft scheme.

HIPAA 58

HIPAA Fraud Health Insurance Compliance 58

HIPAA Journal

APRIL 5, 2024

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

Fraud 77

Fraud HIPAA Health Insurance Compliance 77

HIPAA Journal

JULY 3, 2024

During the 1970s and 1980s, an increasing number of organizations in the healthcare and health insurance industries adopted Electronic Data Interchanges (EDIs) to accelerate manual healthcare processes such as eligibility checks, treatment authorizations, and remittance advices.

HIPAA 58

HIPAA Medicaid Medicaid Compliance 58

Healthcare Compliance Blog

MARCH 31, 2022

It can also include health insurance, 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.

Medicaid 59

Medicaid Medicaid Governance Fraud 59

HIPAA Journal

MAY 18, 2023

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 Health Insurance Portability and Accountability Act (HIPAA). million 78.8 million 78.8

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103