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Indiana Physician Fraud Conviction Highlights Compliance Risks

Hall Render

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. Between January 2016 and May 2020, he submitted over 7,000 claims for services he did not provide, amassing over half a million dollars in fraudulent payments.

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States Take Action to Stop Nurses From Certain Schools From Caring For Patients

The Health Law Firm

Board Certified by The Florida Bar in Health Law In late February 2023, multiple states began taking action against licensed practical nurses (LPNs) and registered nurses (RNs) because of the FBI's "Operation Nightingale." Indest III, J.D., This is also being pushed by the National Council of State Boards of Nursing (NCBSN).

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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.

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Three Challenges Impacting Healthcare License Verifications

Provider Trust

Organizations across the healthcare continuum have experienced several workforce trends that are creating gaps in license monitoring and verifications. In this post, we’ll explore three current challenges impacting the healthcare license and credential verification process. See our Telehealth Credentialing Guide for more information.

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Operation Nightingale and Protecting Your Organization from Potential Licensure Fraud

Provider Trust

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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How Will New FDA Hearing Aid Regulations Impact Health Plans?

HIT Consultant

. – Prescription hearing aids will require a consumer to have a prescription for a hearing aid from a physician, audiologist or a licensed hearing instrument specialist. – Fraud. MarkeTrak 10:Hearing Aids in an Era of Disruption and DTC/OTC Devices, [link] Goman, Adele M, Am J Public Health 2016 Oct;106(10):1820-2.

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Reforming Health Insurance

Healthcare IT Today

The following is a guest article by Monte Jennings , President, CEO and Enterprise Architect at Sentia Health In 2016 I read an article by Shane Snow titled “ Trickle-Down Health Care: How we could actually fix the US Health System.” His basic assertion is that nobody is minding the store.