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Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know

HIT Consultant

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. Licensed Clinical Social Worker. For more information, download the full report here.

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Ongoing License Monitoring Critical to Prevent Healthcare Fraud

Provider Trust

Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. However, despite his suspended medical license, Mendez continued to treat patients at various mental health clinics in Brownsville, Harlingen, and Pharr, TX. How Often Should You Verify Employee Licenses?

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Spokane Regional Health District Announces Second Phishing Attack in 3 Months

HIPAA Journal

That information may have been ‘previewed’ by an unauthorized individual, although no evidence was found to suggest information had been accessed or downloaded. 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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How To Prepare for an OIG Inspection

MedTrainer

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?

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Everything You Need To Know About NPI Numbers

Verisys

The NPI does not replace other identification numbers such as a provider’s taxpayer identification number (TIN), Drug Enforcement Administration registration, license number, or Social Security number. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud.

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Health Systems Cite Telehealth as Top Tool to Improve Patient Access in 2022

HIT Consultant

Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know. 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.

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Up to 184,000 Clients of Lutheran Social Services of Illinois Impacted by Ransomware Attack

HIPAA Journal

Data theft could not be ruled out, but at the time of issuing notifications, no reports had been received to suggest that sensitive information has been used for identity theft or fraud. The company’s software was accessed in the attack and attachments were downloaded from the hosted service that included UCHelath files.