HIPAA Journal

APRIL 23, 2024

According to the notification letters mailed to the affected individuals in April 2024, a cyberattack was detected on June 6, 2023, when its network was disrupted. It took more than 10 months (April 10, 2024) to determine the types of information involved and the number of individuals affected.

Ransomware 109

Ransomware Fraud Licensing HIPAA 109

HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information. The plaintiffs allege that injuries have been sustained as a result of the data breach.

Fraud 117

Fraud Health Insurance HIPAA Licensing 117

Verisys

MAY 13, 2024

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network.

Fraud 52

Fraud COVID-19 Doctors Licensing 52

Verisys

MAY 13, 2024

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network.

Fraud 52

Fraud COVID-19 Doctors Licensing 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JUNE 17, 2024

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post May 2024 Bad Actors Roundup appeared first on Verisys. Attorney Announces $2.5

Fraud 52

Fraud Doctors Licensing Compliance 52

Verisys

JUNE 17, 2024

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post May 2024 Bad Actors Roundup appeared first on Verisys. Attorney Announces $2.5

Fraud 52

Fraud Doctors Licensing Compliance 52

Healthcare IT Today

JANUARY 17, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. 2024 will likely see continued hype regarding A.I. With the clinician shortage expected to continue – and possibly even worsen – in 2024, automation is key from the start of the clinician’s staffing journey (i.e.

Governance 102

Governance Nurses Compliance Public Health 102

Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

Fraud 52

Fraud Telemedicine Licensing Doctors 52

Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

Fraud 52

Fraud Telemedicine Licensing Doctors 52

Verisys

FEBRUARY 9, 2024

January 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 The post January 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

HIPAA Journal

JULY 4, 2024

A limited number of patients had their Social Security numbers, driver’s license numbers, financial account information, and/or credit card information exposed. Notification letters were sent to the affected individuals on June 21, 2024, and they were advised about the data that was exposed. to 5:30 p.m.

Medicaid 117

Medicaid Medicaid Fraud Licensing 117

HIPAA Journal

NOVEMBER 12, 2024

The Physical Medicine & Rehabilitation Center In July 2024, the Physical Medicine & Rehabilitation Center in New Jersey experienced a cybersecurity incident that caused disruption to its network. is currently investigating a September 2024 data security incident involving unauthorized access to its network.

Health Insurance 83

Health Insurance Fraud Licensing HIPAA 83

AIHC

SEPTEMBER 25, 2024

Department of Justice (DOJ) Criminal Divisions’ Evaluation of Corporate Compliance Programs (ECCP) – Updated just this month, September 2024. The OIG and prosecutors look for evidence of “lessons learned”, as outlined in an the U.S. Government agencies expect your organization to stay informed.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

HIPAA Journal

MARCH 26, 2025

The Sunflower Medical Group data breach occurred on December 15, 2024, but was not discovered for more than three weeks. The hacker was able to access names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information.

HIPAA 66

HIPAA Health Insurance Fraud Licensing 66

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

Ransomware 90

Ransomware Electronic Medical Records Licensing Health Insurance 90

Provider Trust

MAY 16, 2024

MAY 15, 2024 Contact: Morgan Smith , Director of Brand Strategy NASHVILLE, TN – ProviderTrust, the healthcare industry’s leading data and technology company for automated exclusion list monitoring and primary source verifications, is now monitoring more than 10,000,000 individuals and entities on an ongoing basis.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

Provider Trust

MAY 16, 2024

MAY 15, 2024 Contact: Morgan Smith , Director of Brand Strategy NASHVILLE, TN – ProviderTrust, the healthcare industry’s leading data and technology company for automated exclusion list monitoring and primary source verifications, is now monitoring more than 10,000,000 individuals and entities on an ongoing basis.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

Provider Trust

APRIL 18, 2024

Since that time, the organization has uniquely led the way in providing innovative solutions that uphold data integrity for ongoing exclusion monitoring, timely license and credential verification, and healthcare vendor data collection. To learn more, visit providertrust.com.

Compliance 52

Compliance Licensing Fraud Medicaid 52

Provider Trust

AUGUST 6, 2024

These three factors each contribute to your overall impact on eradicating fraud, waste, and abuse within the healthcare system. At a minimum, you should verify the licenses and credentials of every provider employed at your organization at hire and expiration. See Our Impact Compliance Program 1. What about vendors?

Compliance 52

Compliance Licensing Fraud 52

Provider Trust

OCTOBER 19, 2023

Add complicating factors, such as a new generation of pandemic-era fraud, virtual care regulations, labor shortages, financial volatility, and underlying goals surrounding care quality and equity, and the role of credentialing has ballooned into a larger organizational strategy around risk mitigation and provider data accuracy.

Fraud 52

Fraud Medicare Medicare Licensing 52

Healthcare Law Blog

MAY 31, 2022

As the metaverse market continues to grow, with some estimates potentially approaching $800 billion in 2024 (or a $300 billion increase from 2020 estimates), technology leaders in various industries, including healthcare, have begun to expand their presence in this new platform. [1]

FDA 90

FDA HIPAA Medicare Medicare 90

MedTrainer

SEPTEMBER 5, 2024

That’s exactly what is happening to many healthcare organizations since the February 2024 DEA registration validation changes. In an effort to prevent fraud, the Drug Enforcement Agency (DEA) implemented additional security for their Registrant Validation Toolset.

Compliance 52

Compliance Fraud Licensing 52

Hall Render

DECEMBER 11, 2024

On December 2, 2024, the Office of Inspector General (OIG) for the U.S. Since exclusions under section 1128(b)(4) of the Act are derived from licensing board actions, OIG generally imposes exclusions under this section for the same period of time as that of the licensing board’s action.

Compliance 40

Compliance Licensing Nurses Medicaid 40

MedTrainer

SEPTEMBER 10, 2024

This program tracks training and adherence to healthcare industry-specific rules and regulations, like HIPAA (Healthcare Insurance Portability and Accountability Act) , and anti-kickback, fraud, waste, and abuse regulations. State and federal governments regularly pass new laws with additional or changed training requirements.

Compliance 52

Compliance Compliance Officers HIPAA Medicare 52

Healthcare IT Today

OCTOBER 26, 2024

Staying a step ahead of this type of fraud requires a proactive approach to real-tine auditing and coding, noted David Lareau at Medicomp Systems. Read more… This Week’s Health IT Jobs for October 23, 2024: Multiple organizations with systems analyst roles to fill. Read more… Breaking Down Healthcare’s Data Walls.

Ransomware 91

Ransomware Fraud Licensing Nurses 91

Healthcare Law Blog

MAY 16, 2022

Except as noted below, the requirements of the Final Rule are effective January 1, 2024. Under the Final Rule, beginning in 2024, SNP HRAs must include at least one question on each of the three domains from a list of screening instruments to be specified by CMS in subregulatory guidance. 423.100 [3].

Medicare 52

Medicare Medicare Medicaid Medicaid 52

AIHC

OCTOBER 23, 2024

Third-party audits may result in certification, registration, recognition, an award, license approval, a citation, a fine, or a penalty issued by the third-party organization or an interested party. Examples of these types of audits would be a Joint Commission, or CMS (Centers for Medicare and Medicaid Services) contractor audit.

Compliance 52

Compliance Overpayment Overpayments Medicaid 52

Hall Render

NOVEMBER 15, 2023

The medical history and physical examination must be completed and documented by a physician (as defined in section 1861(r) of the Act), an oral and maxillofacial surgeon, or other qualified licensed individual in accordance with State law and hospital policy. 42 CFR 482.22 (emphasis added).

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Verisys

MARCH 8, 2024

February 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M The post February 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Verisys

MARCH 8, 2024

February 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M The post February 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Provider Trust

FEBRUARY 3, 2023

What about license verification and screening? This includes a number of provisions related to Medicaid and the Children’s Health Insurance Program (CHIP), but certain flexibilities were also extended to Telehealth until the end of 2024. What is their standard of practice for conducting exclusion monitoring?

Compliance 52

Compliance Fraud Nurses Telemedicine 52