Fierce Healthcare

SEPTEMBER 27, 2021

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

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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.

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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.

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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.

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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.

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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.

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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.

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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].

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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.

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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.

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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.

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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.

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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.

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HIPAA Journal

MARCH 30, 2022

Had the level of abuse and fraud in the healthcare industry been allowed to continue, tens of billions of dollars would have been lost to unscrupulous actors. the Transactions and Code Sets Rule) and address abuse and fraud in the health care industry to reduce costs to health insurance providers. 7 Billion Lost Each Year to Fraud.

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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

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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.

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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.,

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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.,

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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.

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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.

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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.

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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.,

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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.

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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.

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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

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The Health Law Firm Blog

FEBRUARY 10, 2023

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

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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.

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HIPAA Journal

MARCH 3, 2023

AssistCare Home Health Services has agreed to settle a class action lawsuit, filed on behalf of individuals affected by a cyberattack and data breach in January 2021. Unauthorized individuals gained access to its network between January 8 and January 10, 2021, and exfiltrated files containing patient data.

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HIPAA Journal

OCTOBER 6, 2022

Sebastien Vachon-Desjardins, 34, from Quebec, a former IT consultant who worked for the Public Works and Government Services in Canada, was arrested in Canada in January 2021 on suspicious of conducting ransomware attacks as part of a law enforcement crackdown on the Netwalker ransomware gang. A ransom of $1.14

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The Health Law Firm

FEBRUARY 13, 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.,

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