HIPAA Journal

AUGUST 31, 2022

Evil Corp’s malware and ransomware variants have been used in many cyberattacks on the HPH sector, one of the most well-known being the BitPaymer ransomware attack on the National Health Service (NHS) Lanarkshire Board in Scotland in 2017. Evil Corp has been the subject of multiple law enforcement operations.

Ransomware 142

Ransomware Fraud Governance Public Health 142

Med-Net Compliance

AUGUST 5, 2022

From January 2006 to August 2017, the physician allegedly gave? In addition to this kickback scheme, from January 2014 to August 2017, he allegedly directed his employees to add additional, unordered radiological procedures to orders submitted by referring physicians to increase the amount of money the company would receive from Medicaid.?.

Medicaid 59

Medicaid Medicaid Fraud 59

Med-Net Compliance

JUNE 15, 2022

in October 2017?under Division of Medi-Cal Fraud and Elder Abuse (DMFEA) and the US Attorney’s Office for the Eastern District of California intervened in the? The investigation culminated in the doctor pleading guilty to one count of federal healthcare fraud, and on May 2, 2022, he was sentenced to a?prison The doctor?is?an

Fraud 59

Fraud Doctors Elder Abuse Medicare 59

HIPAA Journal

APRIL 25, 2022

According to the Verizon 2021 Data Breach Report, there was a decline in external threats between 2017 and 2020 and a corresponding rise in internal threats. Insider threats often involve data theft, fraud, or system sabotage, all of which can cause harm to the organization and patients/plan members.

Fraud 135

Fraud HIPAA 135

HIPAA Journal

JUNE 9, 2023

In 2017, federal prosecutors indicted William and David Dubin on 20 counts related to the overbilling of Medicaid, which included 6 counts of aggravated identity theft and resulted in the practice receiving around $300,000 in fraudulent reimbursements. That fraudulent claim resulted in a payment of $338.

Fraud 107

Fraud Medicaid Medicaid Doctors 107

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.

Fraud 107

Fraud HIPAA 107

The Health Law Firm

OCTOBER 13, 2017

Board Certified by The Florida Bar in Health Law On October 4, 2017, federal prosecutors charged six Florida residents with running a multi-million dollar insurance fraud scheme through a dozen chiropractic clinics. By George F. Indest III, J.D.,

Fraud 40

Fraud 40

The Health Law Firm

JUNE 13, 2017

Board Certified by The Florida Bar in Health Law On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. Health Care Fraud Scheme. Indest III, J.D.,

Medical Billing 40

Medical Billing Fraud Doctors Medicare 40

The Health Law Firm

NOVEMBER 25, 2019

Board Certified by The Florida Bar in Health Law On November 22, 2019, the United States Attorney for the Southern District of New York Announced the indictment and arrest of an ophthalmologist for healthcare fraud. Indest III, J.D.,

Fraud 40

Fraud Doctors Medicare Medicare 40

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. By George F. Indest III, J.D.,

Fraud 40

Fraud Medicare Medicare Governance 40

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. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicare Medicare Governance 40

The Health Law Firm

NOVEMBER 8, 2017

Board Certified by The Florida Bar in Health Law A Michigan dentist accused of Medicaid fraud was recently captured in the Dominican Republic after evading charges for months, state authorities announced. Indest III, J.D., 27 Charges. million over a three year period of time.

Fraud 40

Fraud Medicaid Medicaid 40

Health Populi

OCTOBER 31, 2018

Health Populi’s Hot Points: Unisys published their 2018 Security Index , finding growing global insecurity concerns among consumers about the internet, identity theft and bankcard fraud — ahead of terrorism, natural disaster and epidemic threats. ” To deal with this growing challenge, this week the U.S.

Fraud 89

Fraud Doctors Hospitals 89

The Health Law Firm

NOVEMBER 4, 2021

Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District of New York. Indest III, J.D.,

Fraud 40

Fraud Health Insurance 40

The Health Law Firm

AUGUST 31, 2020

Board Certified by The Florida Bar in Health Law On July 31, 2020, a panel of judges of the US Eleventh Circuit Court of Appeals in Atlanta upheld a 17-year long prison sentence for a Florida ophthalmologist found guilty of Medicare fraud. Indest III, J.D.,

Fraud 40

Fraud Doctors Medicare Medicare 40

The Health Law Firm

FEBRUARY 18, 2021

Board Certified by The Florida Bar in Health Law On July 31, 2020, a panel of US Eleventh Circuit Court of Appeal judges upheld a 17-year prison sentence for a Florida ophthalmologist found guilty of Medicare fraud. The three-judge panel rejected an appeal in which Salomon Melgen claimed prosecutors mishandled his 2017 criminal trial.

Fraud 40

Fraud Medicare Medicare Doctors 40

Pharmacy Law Blog

MARCH 13, 2018

On December 4, 2017, a Florida federal judge refused to dismiss the federal government’s False Claims Act (FCA) suit against a compounding pharmacy. December 4, 2017). fraud suit – judge.” December 4, 2017). By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law. Sources: Wilson, Daniel.

Fraud 52

Fraud Governance Licensing FDA 52

Health Populi

APRIL 24, 2018

Among these people, healthcare trust fell by 20 percentage points between 2017 and 2018, a “crash” (Edelman’s descriptor) from 75 percent to 55%. Finally, the pharma industry ranked fifth of five segments, with only 38% of Americans trusting pharma companies, dropped by a whopping 13 percentage points over 2017.

Health Insurance 74

Health Insurance Fraud Hospitals Doctors 74

Healthcare IT Today

NOVEMBER 4, 2022

The lawsuit was filed in 2017 by law firms Phillips and Cohen LLP and Downs Rachlin Martin PLLC. And in 2017, eClinicalWorks settled civil fraud and kickback charges with the government for $155 million.

Governance 72

Governance Fraud 72

Healthcare IT Today

DECEMBER 28, 2023

Furthermore, in 2017, approximately 25 percent of the 2,200-plus data breaches analyzed by Verizon Enterprise occurred in the healthcare industry, accounting for 530 data breaches, the highest among all recorded industries. VCs stand as a real-world solution by ensuring the integrity of patient information.

Fraud 124

Fraud Hospitals 124

The Health Law Firm

MAY 12, 2017

Board Certified by The Florida Bar in Health Law On May 9, 2017, a federal jury found four New Orleans doctors and two others guilty for their participation in a Medicare fraud scheme. By George F. Indest III, J.D., According to prosecutors the defendants netted more than $13.6 million in fraudulent Medicare reimbursements.

Fraud 40

Fraud Medicare Medicare Doctors 40

Provider Trust

MARCH 13, 2023

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.” Twenty-five people were charged with criminal wire fraud and wire fraud conspiracy for their involvement in the scheme, and these people could face up to 20 years in jail.

Fraud 52

Fraud US Department of Health and Human Services Licensing Nurses 52

HIPAA Journal

MAY 18, 2023

HIPAA enforcement by state attorneys general was stepped up in 2017 with 5 settlements and again in 2018 when 12 cases resulted in financial penalties for violations of the HIPAA Rules. million Theft of 2 unencrypted laptop computers Failure to safeguard personal information 2017 Vermont SAManage USA, Inc. million 78.8 million 78.8

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

HIPAA Journal

MARCH 20, 2025

387,000 Settlement 2017 The Center for Childrens Digestive Health $31,000 Settlement 2016 Lincare, Inc. 1,100,000 2017 Vermont SAManage USA, Inc. Lukes-Roosevelt Hospital Center Inc. 55,000 2011 Indiana WellPoint Inc. 100,000 2010 Connecticut Health Net Inc.

HIPAA 111

HIPAA Ransomware Compliance Hospitals 111

HIPAA Journal

JUNE 2, 2023

Rico Prunty, 41 years old, of Sierra Vista, Arizona, was previously employed at an Arizona medical facility where he unlawfully accessed the medical intake forms of patients between July 2014 and May 2017. His co-conspirators have already been sentenced for their roles in the identity theft scheme.

HIPAA 56

HIPAA Fraud Health Insurance Compliance 56

Healthcare Compliance Blog

MAY 10, 2022

According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. The provider is charged with one count of Medicaid fraud more than $50,000, a first-degree felony.

Medicaid 59

Medicaid Medicaid US Department of Health and Human Services Fraud 59

Med-Net Compliance

JUNE 24, 2022

A former Tennessee medical group director, 62, was sentenced to 18 months in federal prison for wire fraud. During her time there, she developed a fraud scheme that allowed her to steal hundreds of thousands of dollars from the organization.

Fraud 59

Fraud Hospitals 59

Healthcare Compliance Blog

MARCH 28, 2022

An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursing home in 2017. The woman, 45, pleaded guilty to an amended charge of Reckless Conduct (Class A Misdemeanor).

Nurses 59

Nurses Nursing Homes Licensing Fraud 59

The Health Law Firm

APRIL 10, 2017

Board Certified by The Florida Bar in Health Law On March 24, 2017, three participants were sentenced in Florida federal court, for a scheme that used call centers and kickbacks to generate fake prescriptions for compounding pharmacies. By George F. Indest III, J.D.,

Fraud 40

Fraud Governance 40

The Health Law Firm

JUNE 8, 2017

Board Certified by The Florida Bar in Health Law On April 20, 2017, the Orange County Medical Society (OCMS) Board of Directors was alerted to a scam involving medical marijuana. The DOH reports all incidents of potential fraud and scams to law enforcement, but wants to ensure residents and law makers are aware of what to avoid.

Fraud 40

Fraud 40

The Health Law Firm

DECEMBER 9, 2017

Board Certified by The Florida Bar in Health Law On September 28, 2017, the US District Court for the Middle District of Florida dismissed a relator's (whistle blower's) False Claims Act (FCA) complaint against a nuclear pharmacy in Tampa. Indest III, J.D.,

Fraud 40

Fraud 40

Health Law RX

JANUARY 31, 2023

And some jurists are cynical about the impact of applying an objective standard to government fraud cases. In 2017, in United States ex rel. Other courts have refrained from embracing the objective standard. 3d 1148 (11th Cir. The Sixth, Ninth and Tenth circuits have since followed Lincare.

Governance 52

Governance Fraud Compliance 52

Healthcare IT Today

FEBRUARY 26, 2024

are estimated to go to administrative burdens, while another 25-30% are consumed by fraud, waste, and abuse. But the key element of generative AI, the transform or transformer , was first proposed in a 2017 paper and only recently has supplemented the more traditional convolutional neural networks (CNNs) and recurrent neural networks (RNNs).

Fraud 101

Fraud Doctors Nurses Compliance 101

Healthcare Compliance Blog

MARCH 31, 2022

The DOJ, in coordination with the Medicaid Fraud Control Unit of the Office of the New York State Attorney General, began an investigation after whistleblowers alleged that certain LHCSAs had knowingly defrauded the federal government and New York State by underpaying home health aides in violation of New York’s Wage Parity Act.

Medicaid 59

Medicaid Medicaid Governance Fraud 59

Healthcare Compliance Blog

JUNE 9, 2022

Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare. His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription.

US Department of Health and Human Services 59

US Department of Health and Human Services Overpayments Overpayment Medicare 59

Provider Trust

JULY 17, 2023

To combat this fraud, waste, and abuse, the OIG introduced a three-part plan called the PRO framework to guide the oversight of nursing homes. Unfortunately, providers with repeat fraud, waste, and abuse allegations commonly move across state borders to continue their nefarious practices.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

Healthcare IT Today

MARCH 26, 2023

Researchers detected behavior consistent with fraud and abuse by identifying excess expenditures in hospitalization claims from 2017 and validated their methods based on Department of Justice data.

Doctors 81

Doctors Fraud Medicaid Medicaid 81