Healthcare Compliance Blog

APRIL 29, 2022

in restitution for her role in healthcare fraud, wire fraud, and theft of government funds. Court documents show that between 2008 and 2016 the former owner defrauded the Texas Medicaid program by billing for items and services that had not been provided to the clients of the day care centers. US Attorney Ashley C.

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American Medical Compliance

APRIL 6, 2023

Incidence of Healthcare Fraud Numerous scammers view this as a method to make quick, yet unlawful, money. Officials state that Florida, along with the rest of the nation, has been plagued by healthcare fraud. Between 2016 and 2021, the students spent a total of $114 million on falsified degrees, according to the publication.

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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. Alario pleaded guilty to his role in the healthcare fraud scheme earlier this month.

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The Health Law Firm

NOVEMBER 17, 2015

The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) released its 2016 Annual Work Plan (Work Plan) on November 2, 2015, with an effective date of October 1, 2015. The Work Plan also summarizes ongoing areas of regulatory review and indicates areas of focus for the OIG in the upcoming year.

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Healthcare Compliance Blog

FEBRUARY 2, 2022

The optician fraudulently received approximately $74,000 in Medicaid payments between 2016 and 2019 by billing for the optician services that were not provided. The post New York Optician Convicted of Medicaid Fraud for Nursing Home Residents appeared first on.

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The Health Law Firm

DECEMBER 28, 2016

Board Certified by The Florida Bar in Health Law On December 14, 2016, the U. billion in settlements and judgments from civil cases involving fraud and false claims against the government in fiscal year 2016. Indest III, J.D., Department of Justice (DOJ) released its annual False Claims Act (FCA) recovery statistics.

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Healthcare IT Today

NOVEMBER 22, 2024

This data is incredibly valuable to attackers and can be used to steal identities, commit fraud, or be sold on the black market to the highest bidder. This data is highly regulated and hospitals in the United States must comply with the Health Insurance Portability and Accountability Act (HIPPA).

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HIPAA Journal

MARCH 31, 2023

The lawsuit was initially filed in 2015 but was dismissed by a lower court in 2016 due to lack of injury, but was resurrected by a federal appeals court in 2017. million individuals who were registered to use CareFirst’s websites and online services. In 2018, the U.S.

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The Health Law Firm

MARCH 9, 2023

Operation Nightingale" is a federal investigation into a wire fraud scheme in which a number of now-closed Florida nursing schools allegedly sold phony nursing diplomas and transcripts from 2016 to 2022, which they then used to apply for and receive nursing licenses.

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The Health Law Firm

DECEMBER 5, 2017

Board Certified by The Florida Bar in Health Law On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 US Supreme Court decision in her case holding that the government could not freeze untainted assets. Indest III, J.D.,

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The Health Law Firm

MAY 31, 2016

Board Certified by The Florida Bar in Health Law On May 9, 2016,Michael John Veit, 64, the former chief procurement officer for Arizona's state Medicaid program, was sentenced to 10 years in prison for his role in the fraud scheme that resulted in the theft of 5.9 The Original Fraud and Theft Charges. Indest III, J.D.,

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The Health Law Firm

JULY 22, 2016

The Health Law Firm On July 14, 2016, a Colorado federal judge partly dismissed allegations against several surgical centers in claims filed by insurance companies Aetna and UnitedHealthcare. By Carole C. Schriefer, R.N.,

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The Health Law Firm

FEBRUARY 12, 2016

Board Certified by The Florida Bar in Health Law A central Florida ophthalmologist with offices in Windermere and Leesburg, was found guilty of 20 counts of Medicare fraud on September 29th. was convicted of health care fraud this past Tuesday by a Jacksonville federal jury. Indest III, J.D., David Ming Pon, M.D.,

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The Health Law Firm

MARCH 18, 2016

Board Certified by The Florida Bar in Health Law On March 9, 2016, authorities in Florida arrested a Kissimmee couple accused of Medicaid fraud. By George F. Indest III, J.D., Oscar Alzate and Alba Garcia, owners of Digital Radiology Center, Inc. and Medisound, Inc.,

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The Health Law Firm

MARCH 21, 2016

Board Certified by The Florida Bar in Health On February 3, 2016, the US District Court for the Eastern District of Michigan denied a motion to suppress all evidence of health care fraud seized by the government pursuant to a search warrant of Naseem Minhas’s home health care agency. By George F. Indest III, J.D.,

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The Health Law Firm

DECEMBER 24, 2016

Board Certified by The Florida Bar in Health Law On December 7, 2016, Banio Koroma was convicted in a northern Illinois court of falsely certifying elderly patients for in-home care will spend the next three years in prison and be forced to reimburse the government for the $1.5 Indest III, J.D., Paying For His Crimes.

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Provider Trust

MARCH 13, 2023

Between 2016 and 2021, over 7,600 fake diplomas were sold to nursing students who used the fraudulent degrees to qualify for the National Council Licensure Exam (NCLEX). So, let’s say they were revoked in 2019; then they would issue the certificate and the diploma as if the student had attended between 2016 and 2017.”

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Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. Innocent” Property Can’t Be Seized. To read more on the U.S.

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Compliancy Group

DECEMBER 20, 2024

OCR investigated the claim and found that from May of 2016 to January of 2019, the ePHI of roughly 1.5 Gumbs also alleged the complainant was not entitled to the records because the complainant would use the records to commit Maryland Medicaid insurance fraud (dont ask).

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The Health Law Firm

DECEMBER 6, 2016

Board Certified by The Florida Bar in Health Law On December 1, 2016, Sheila Kahl pled guilty in a New Jersey federal court that she took part in a $1 million Medicare fraud scheme. By George F. Indest III, J.D.,

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HIPAA Journal

MAY 5, 2022

Between June 2016 and December 2021, IC3 received 241,206 complaints about domestic and international BEC/EAC attacks with reported losses of more than $43.3 BEC/EAC scams are the leading cause of losses to cybercrime. The IC3 2021 Internet Crime Report shows victims reported losses of $2.4

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The Health Law Firm

MAY 1, 2016

Board Certified by The Florida Bar in Health Law On April 18, 2016, Dr. Henry Lora, a doctor in Miami was sentenced to nine years in federal prison for his role in a scheme to defraud the Medicare system out of around $30 million in phony reimbursements. Indest III, J.D.,

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Healthcare IT Today

DECEMBER 28, 2023

The Challenges of Identity in Healthcare Startling statistics from Verizon Enterprise’s 2018 Data Breach Investigations Report reveal that in 2016, medical records were compromised at a rate nine times greater than financial records. VCs stand as a real-world solution by ensuring the integrity of patient information.

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Healthcare Compliance Blog

MARCH 21, 2022

The sole owner and operator of a Kansas home healthcare company has pleaded guilty to employment tax fraud. The fraud scheme caused a tax loss to the Internal Revenue Service (IRS) of over $300,000. Issue: A check and balance system in payroll management can minimize any payroll fraud. Sentencing is in June 2022.

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The Health Law Firm

MARCH 2, 2016

Board Certified by The Florida Bar in Health Law The owner of a diagnostic imaging company in Maryland is facing life in prison after a federal jury found him guilty on February 17, 2016, of health care fraud. Indest III, J.D., Rafael Chikvashvili, was found guilty of billing Medicare and Medicaid for more than $7.5

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HIPAA Journal

MARCH 20, 2025

TX Healthcare Provider 3,998,163 Hacking/IT Incident 27 2016 Banner Health AZ Healthcare Provider 3,620,000 Hacking/IT Incident 28 2021 Florida Healthy Kids Corporation FL Health Plan 3,500,000 Hacking/IT Incident 29 2015 Medical Informatics Engineering IN Business Associate 3,500,000 Hacking/IT Incident 30 2016 Newkirk Products, Inc.

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The Health Law Firm

JULY 13, 2016

Board Certified by The Florida Bar in Health Law On June 22, 2016, Federal officials completed a three-day nationwide takedown announcing charges against 301 medical professionals who allegedly defrauded Medicare of more than $900 million in fraudulent billings. By George F. Indest III, J.D.,

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The Health Law Firm

JULY 15, 2016

Board Certified by The Florida Bar in Health Law On June 15, 2016, A medical diagnostics company owner found guilty of Medicare and Medicaid fraud for billing $8 million for X-rays whose botched analysis by amateurs led to the death of two patients was sentenced in Maryland federal court to 10 years in prison, the US Department of Justice said.

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HIPAA Journal

NOVEMBER 21, 2022

According to the FBI, more than $43 billion was lost to these scams between June 2016 and December 2021, and in 2021 alone, the FBI Internet Crime Complaint Center received reports of losses of $2,395,953,296 to BEC scams. The arrests were related to a series of scams that spoofed hospital email accounts. “A

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Verisys

APRIL 13, 2023

Harm isn’t just in the form of medical errors but can also be associated with healthcare fraud. In 2016, an article published by the British Medical Journal (BMJ) listed medical errors as the third cause of death in the United States. This made medical errors the third leading cause of death in 2016.

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Healthcare IT Today

MAY 6, 2023

Read more… Preventing Genetic Testing Fraud: 5 Actions for Health Plans. Medicare payments for genetic testing quadrupled from 2016 to 2019, which has unfortunately led to a rise in a rise in fraud, waste, and abuse. On the heels of ViVE and HIMSS, they also discuss whether in-person conferences are back.

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HIPAA Journal

APRIL 5, 2024

The lawsuit was dismissed in 2016 due to a lack of standing, as the plaintiffs failed to allege a concrete, identifiable injury had been sustained as a result of the breach. The lawsuit, which named seven policyholders as plaintiffs, alleged breach of contract and violations of the Consumer Protection Acts in Maryland and Virginia.

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Healthcare IT Today

SEPTEMBER 7, 2023

The stolen data is often used to commit fraud, identity and intellectual theft, espionage, blackmail, extortion, etc., A strong mobile-first approach to security can help you to be proactive and immediately spot suspicious activity, prevent account takeovers, and even stop fraud before it can occur. and sadly, often cannot be replaced.

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HIT Consultant

NOVEMBER 24, 2022

– Delivery model : Whether to ship OTC products to a hearing clinic where the consumer can receive professional diagnosis, fitting and support, or ship directly to the consumer’s home thereby providing convenience but no professional support (and increased fraud risk), or offer both options? – Fraud. Epub 2016 Aug 23.

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The Health Law Firm

DECEMBER 12, 2016

Board Certified by The Florida Bar in Health Law Walter Beich, an Illinois pharmacist, pled guilty on November 17, 2016 to defrauding Medicare, Medicaid and several private insurers out of $2.4 By George F. Indest III, J.D.,

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The Health Law Firm

MARCH 13, 2017

Board Certified by The Florida Bar in Health Law On December 20, 2016, the owner of Millennium Health Care Services (Millennium) must pay the state nearly $7 million in restitution and will spend 10 years behind bars for his role in a scheme to defraud the Medicaid system, according to Louisiana Attorney General Jeff Landry. By George F.

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Verisys

NOVEMBER 17, 2022

The figure published in 2016 by the British Medical Journal (BMJ) is some 250,000 deaths per annum were attributable to medical error. Healthcare fraud and abuse costs billions Estimates range from 3% – 10% of the entire federal healthcare funding is lost to fraud, waste, and abuse.

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