HIPAA Journal

MARCH 24, 2022

The Federal Bureau of Investigation (FBI) Internet Crime Complaint Center (IC3) has released its 2021 Internet Crime Report , which reveals there were at least 649 ransomware attacks on critical infrastructure organizations from June 2021 to December 2021. billion in 2021 – a 28% increase from 2020. Source IC3.

Ransomware 138

Ransomware Public Health Fraud HIPAA 138

Fierce Healthcare

SEPTEMBER 27, 2021

Pain doctor convicted in $100M fraud scheme involving unnecessary spinal injections. Mon, 09/27/2021 - 12:54.

Fraud 119

Fraud Doctors 119

Fierce Healthcare

SEPTEMBER 21, 2021

OIG: Most states not doing enough to monitor Medicaid telehealth fraud for behavioral health services. Tue, 09/21/2021 - 16:26.

Fraud 126

Fraud Medicaid Medicaid 126

HIPAA Journal

OCTOBER 26, 2022

The American Civil Liberties Union of Rhode Island (ACLU of RI) is taking legal action against the Rhode Island Public Transit Authority (RIPTA) and UnitedHealthcare New England (UHC) over an August 2021 data breach that affected more than 22,000 individuals.

HIPAA 129

HIPAA Fraud Health Insurance 129

HIPAA Journal

MARCH 24, 2022

Chelan Douglas Health District in East Wenatchee, WA, has announced it was the victim of a cyberattack in July 2021 in which the personal and protected health information of patients was exfiltrated from its systems. Chelan Douglas Health District said it is unaware of any cases of identity fraud or other misuse of patient data.

Ransomware 136

Ransomware Fraud Hospitals HIPAA 136

Fierce Healthcare

AUGUST 5, 2021

Ascension Michigan to pay nearly $3 million in latest settlement to resolve fraud claims. Thu, 08/05/2021 - 13:30. agliadkovskaya.

Fraud 111

Fraud 111

Healthcare It News

MAY 20, 2022

Digital health startup investments reached a new high in 2021, closing the year with more than $30 billion in venture capital funding. VCs couldn’t get enough, plowing vast sums into unproven companies like Noom, which provided weight-loss advice and received $540 million in a mega-funding round in 2021.

Fraud 363

Fraud 363

Bill of Health

SEPTEMBER 2, 2022

With a June 2022 report from AARP and the FINRA Foundation, a winter 2022 piece by Anna Tims in The Guardian , and a fall 2021 column by John Gapper in the Financial Times making exactly this argument, this is an idea that’s gaining traction. Social views about fraud and scams would, no doubt, be difficult to change quickly.

Fraud 299

Fraud 299

HIPAA Journal

MARCH 16, 2022

This is the first settlement to be reached under the DOJ Civil Cyber Fraud Initiative, which was launched in 2021. The post DOJ Settles Civil Cyber Fraud Initiative Case with CHS and Imposes a $930,000 Penalty appeared first on HIPAA Journal.

Fraud 123

Fraud Electronic Medical Records Governance HIPAA 123

Med-Net Compliance

JULY 11, 2022

The report says that in FY 2021 the DOJ opened 831 new criminal healthcare fraud investigations. Federal prosecutors filed criminal charges in 462 cases involving 741 defendants, and a total of 312 defendants were convicted of healthcare fraud related crimes during the year. You can view the report here: [link].

Fraud 59

Fraud Compliance Medicaid Medicaid 59

Healthcare Compliance Blog

JANUARY 24, 2022

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

Fraud 59

Fraud Medicaid Medicaid Nursing Homes 59

Compliancy Group

JANUARY 25, 2022

With at least six weeks before final numbers are in, the Department of Health and Human Services HIPAA Breach Reporting Tool website is reporting 713 major healthcare data breaches in 2021, an increase of more than 7.5 By the Numbers: Major Healthcare Data Breaches Increase in 2021. million records in 2021.

HIPAA 98

HIPAA Ransomware Governance Fraud 98

HIT Consultant

DECEMBER 10, 2021

What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Report Background. Telehealth Spend.

Fraud 98

Fraud COVID-19 Nurses Licensing 98

HIPAA Journal

MARCH 11, 2025

A settlement has been agreed to resolve a lawsuit against the Rhode Island Public Transit Authority (RIPTA) and UnitedHealthcare New England (UHC) over a 2021 ransomware attack. RIPTA announced the data breach on December 23, 2021.The

Ransomware 52

Ransomware Fraud HIPAA Health Insurance 52

Healthcare IT Today

MAY 5, 2023

The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient. In 2021, a U.S.

Fraud 72

Fraud Medicare Medicare Overpayment 72

Healthcare IT News - Telehealth

MAY 13, 2022

The owners of a national telehealth company pleaded guilty this week to charges of conspiracy to violate the federal Anti-Kickback Statute and to commit healthcare fraud. Law enforcement agencies have ramped up the pressure on telehealth fraud, particularly amid the COVID-19 pandemic. According to a statement released by the U.S.

Fraud 172

Fraud Doctors COVID-19 Medicare 172

Healthcare Compliance Blog

FEBRUARY 15, 2022

billion in settlements and judgments have been recovered by the Department of Justice Department (DOJ) related to civil cases involving fraud and false claims in fiscal year 2021. Whistleblowers filed 598 qui tam suits in fiscal year 2021, which resulted in $1.6 Billion in Fiscal Year 2021 appeared first on.

Fraud 59

Fraud Governance Compliance Medicare 59

Med-Net Compliance

JUNE 22, 2022

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Her theft of the cards began at least as early as May 2021 and continued through September 2021. Participating in the fraud can result in the person(s) being prosecuted.

COVID-19 Vaccine 59

COVID-19 Vaccine COVID-19 Fraud US Department of Health and Human Services 59

Hall Render

MARCH 12, 2025

Although the government declined to intervene, Byers and other relators filed a joint amended complaint on October 26, 2021, asserting five FCA claims, including one under the Anti-Kickback Statute. This decision ensures that whistleblowers can still bring new and distinct allegations of fraud even if similar cases were filed previously.

Fraud 52

Fraud Governance Medicaid Medicaid 52

Med Law Blog

FEBRUARY 10, 2022

Highmark Health issued a Press Release on February 7, 2022 announcing that it’s Financial Investigations and Provider Review (FIPR) department generated more than $245 million in savings related to fraud waste and abuse in 2021, the majority of which was in Pennsylvania–$184 million.

Fraud 52

Fraud 52

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). This year’s report also shows greater participation from managed care organizations (MCOs) as a key trend.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

HIPAA Journal

JANUARY 31, 2023

Affected individuals were notified about the cyberattack in August 2021 and were offered complimentary credit monitoring and identity theft protection services. Claims of up to $2,500 will be accepted for documented extraordinary losses due to identity theft and fraud. A lawsuit – Lopez, et al.

Ransomware 60

Ransomware Fraud Health Insurance HIPAA 60

Provider Trust

AUGUST 9, 2022

The Health Care Fraud and Abuse Control Program (HCFAC) protects patients and consumers by combating healthcare fraud and abuse. During the fiscal year 2021, the report states that the federal government won or negotiated over $5 billion in healthcare fraud judgments and settlements. Monetary Penalties. Key Takeaways. $5

Fraud 52

Fraud Medicaid Medicaid Medicare 52

HIPAA Journal

FEBRUARY 22, 2022

The breach came to light in June 2021 when files stolen in the attack were posted on the Marketo dark web leak site. Databreaches.net spotted the leaked data on the Marketo data leak site in June 2021 and contacted Sea Mar.

Fraud 124

Fraud HIPAA 124

Verisys

MARCH 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 billion from settlements due to fraud and false claims. Over $5 billion of the total amount recovered in 2021 was related to the healthcare industry. government or a government contractor.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

JNC Compliance

SEPTEMBER 6, 2022

In this series, I shared that the government recovered five billion dollars from the healthcare False Claims Act in 2021, one of the most significant recoveries […]. The post 5 Tactics to Combat Healthcare Fraud appeared first on JNC Healthcare Compliance Group.

Fraud 52

Fraud Compliance Governance 52

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.

Fraud 52

Fraud Nurses Licensing Compliance 52

The Health Law Firm Blog

JUNE 1, 2023

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

Fraud 52

Fraud Doctors Medicaid Medicaid 52

The Health Law Firm Blog

MARCH 7, 2022

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

Fraud 52

Fraud Doctors Medicaid Medicaid 52

Med-Net Compliance

JULY 7, 2022

A federal district judge in Miami sentenced the last of five defendants for his role in a healthcare fraud scheme operated out of a physical therapy clinic. According to evidence introduced in court, the billing fraud conspiracy resulted in more than $8 million in false claims being submitted to BCBS.

Fraud 59

Fraud COVID-19 Health Insurance Compliance 59

HIPAA Journal

MARCH 11, 2022

Legal action is being taken against Logan Health and subsidiary, sister, and related entities of Logan Health over a data breach that occurred in 2021 and affected 213,543 Logan Health Medical Center patients. The class action lawsuit was filed in the U.S.

HIPAA 135

HIPAA Health Insurance Medical Billing Fraud 135

Healthcare IT News - Telehealth

SEPTEMBER 12, 2024

The software pilot fulfils one of the reform recommendations of the Royal Commission in 2021. The InterSystems integration also allows didgUgo to leverage AI for fraud prevention. From October, residential aged care providers could start offering verbal or written monthly care statements voluntarily to their residents.

Doctors 162

Doctors Governance Fraud Hospitals 162

Healthcare IT News - Telehealth

DECEMBER 13, 2021

"This forward-looking bill, based on expert, independent recommendations, provides clarity, certainty, and a foundation for building a telemedicine system that expands access, preserves patient choice, and includes basic safeguards against fraud and exploitation," said Doggett. WHY IT MATTERS. ON THE RECORD.

COVID-19 171

COVID-19 Telemedicine Fraud Medicare 171

The Health Law Firm Blog

JANUARY 24, 2022

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

Fraud 52

Fraud Doctors Medicaid Medicaid 52

HIPAA Journal

APRIL 1, 2022

On January 24, 2022, SRHD announced that an employee email account had been compromised on December 21, 2021. Between June 24, 2021, and July 2, 2021, emails and attachments in a Ciox Health employee’s email account were downloaded by an unauthorized individual.

Fraud 141

Fraud HIPAA Licensing Health Insurance 141

HIPAA Journal

MAY 5, 2022

The number of attacks reported to the FBI Internet Crime Complaint Center (IC3) and the amount of money lost to these scams continues to grow each year, with losses to BEC/EAC scams increasing 65% between July 2019 and December 2021. The IC3 2021 Internet Crime Report shows victims reported losses of $2.4

Fraud 140

Fraud HIPAA 140

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems. The breach was detected on October 22, 2021.

Fraud 114

Fraud Health Insurance Ransomware HIPAA 114