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DOJ charges four in $37M global telehealth fraud scheme

Healthcare IT News - Telehealth

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.

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Pharma Sales Rep Pleads Guilty to Healthcare Fraud and Criminal HIPAA Violations

HIPAA Journal

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.

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Contract Class Certified in CareFirst Data Breach Lawsuit 9 Years After Legal Action was Initiated

HIPAA Journal

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

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Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case

HIPAA Journal

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.

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CMS Extends Ban on New Home Health Agencies and Ambulance Suppliers

The Health Law Firm

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 Health Insurance Program (CHIP) programs.

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Two NY Home Healthcare Agencies Settle False Claims Act Allegations for $5.4 Million 

Healthcare Compliance Blog

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.

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HIPAA Enforcement by State Attorneys General

HIPAA Journal

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

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