Hall Render

SEPTEMBER 15, 2022

This study comes on the heels of a recent Press Release issued July 20, 2022 (“Press Release”), in which the Department of Justice (“DOJ”) announced criminal charges against 36 defendants in 13 federal districts across the United States largely alleging fraud in the telemedicine space. Inspector General Christi A.

Telemedicine 40

Telemedicine Fraud Medicare Medicare 40

Healthcare IT News - Telehealth

JANUARY 27, 2021

Department of Justice announced Monday that four people and one company have recently pleaded guilty in a telemedicine pharmacy healthcare-fraud conspiracy that allegedly lasted for years. "Telemarketing fraud is a major threat to the integrity of government and commercial insurance programs," said Derrick L.

Fraud 139

Fraud Telemedicine Ransomware COVID-19 139

Florida Health Care Law Firm

DECEMBER 7, 2021

Telemedicine pharmacy arrangements continue to be of significant interest to fraud enforcement. The federal jury trial in the billion-dollar telehealth pharmacy fraud scheme resulted in conviction on 22 counts of mail fraud, conspiracy to commit health care fraud and introduction of misbranded drugs into interstate commerce.

Fraud 40

Fraud Telemedicine Governance Compliance 40

Verisys

MARCH 1, 2024

As the healthcare industry is increasingly targeted for data theft and fraud, information security has emerged as a top priority for healthcare institutions. Governance, risk management, and compliance programs can all be automated, providing significant benefits to healthcare organizations.

Governance 52

Governance Compliance Fraud HIPAA 52

HIT Consultant

OCTOBER 18, 2021

Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. The second type, indirect fraud, involves several bad actors that coordinate their efforts.

Fraud 98

Fraud COVID-19 Public Health Medicare 98

Health Law RX

AUGUST 1, 2022

To facilitate the provision of care during the pandemic, the federal government and many state governments enacted changes that encouraged physicians and other nonphysician practitioners (collectively, Practitioners) to use telehealth services. On July 20, 2022, the U.S. Insufficient Physician-Patient Contact.

Fraud 59

Fraud Telemedicine Nurses Governance 59

Med-Net Compliance

JULY 26, 2022

billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes. In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Healthcare IT Today

SEPTEMBER 21, 2022

New types of fraud are continually emerging, and it’s also become harder to uncover with traditional approaches. The telehealth market is growing at a significant rate, and fraud is continuing to grow with it. This kind of fraud isn’t new, but the explosion in telehealth as a whole has made it much more common.

Fraud 73

Fraud COVID-19 Medicare Medicare 73

Health Law Advisor

MARCH 7, 2023

The proposed rules are more restrictive than the DEA emergency waivers under which providers conducted telemedicine prescribing for the last three years, but are less restrictive in comparison to the pre-PHE regulations applicable to telemedicine prescribing of controlled substances under the federal Controlled Substances Act (“CSA”).

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Health Law Blog

OCTOBER 29, 2018

IT Donation to Facilitate Telemedicine Consultations – Low Risk of Fraud says OIG. The OIG’s analysis and conclusion of the Proposed Arrangement provides new insight into the government’s position on these type of donations that facilitate telemedicine encounters. The Office of Inspector General (“OIG”) of the U.S.

Telemedicine 52

Telemedicine Fraud Medicaid Medicaid 52

YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Situation One: Before the Pandemic   In April 2019, government officials announced Operation Brace Yourself: a fraud takedown related to telemedicine and durable medical equipment (DME).

Fraud 52

Fraud COVID-19 Medicare Medicare 52

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Violations of the False Claims Act can result in significant financial penalties, including fines and exclusion from government healthcare programs.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Healthcare IT News - Telehealth

JANUARY 26, 2022

Please describe some of the emerging technology models in telemedicine and remote patient monitoring, and how they can help improve access to care for underserved populations. How do things look at the national and state levels for supporting expansion of telemedicine and remote patient monitoring during and following the pandemic?

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

Healthcare Law Today

DECEMBER 12, 2022

In this episode of Health Care Law Today, Nate Lacktman and Maureen Stewart are joined by Mark Josephs, Deputy General Counsel of LifeMD to discuss the current regulatory and legal environment for telemedicine companies regarding online subscription services, and the recent investigations by the federal government of these services.

Telemedicine 49

Telemedicine Fraud Governance Compliance 49

Healthcare Compliance Blog

MARCH 2, 2022

An indictment was filed on February 25, 2022, against ten persons in Florida for their alleged roles in a $67 million healthcare fraud, wire fraud kickback, and money laundering scheme. The defendants allegedly paid kickbacks and bribes to telemedicine companies in exchange for doctors’ orders for tests and durable medical equipment.

Medicare 45

Medicare Medicare Fraud Compliance 45

YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Operation Brace Yourself was one of the largest healthcare fraud schemes investigated and prosecuted by enforcement agencies. The $73 million fraud scheme was discovered and busted. 

Fraud 52

Fraud Compliance COVID-19 Medicare 52

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Healthcare Law Blog

DECEMBER 12, 2022

Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. The issuance of this report is a significant step and reinforces the government’s interest in scrutinizing telehealth arrangements. in healthcare fraud for fraudulent telemedicine schemes.

COVID-19 52

COVID-19 Fraud Telemedicine Public Health 52

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

YouCompli

JULY 12, 2022

Allegedly, the medical practice instructed providers to begin seeing patients by telemedicine twice a month and to subsequently bill for evaluation and management (E/M) services. The increased number of E/M telemedicine visits was designed to make up for lost revenue from the cancellation of elective interventional pain procedures.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

AIHC

SEPTEMBER 5, 2023

Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services. Telehealth and telemedicine cover similar services, including medical education, remote patient monitoring, patient consultation via videoconferencing, wireless health applications, and transmission of imaging and medical reports.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Facilities increasingly rely on healthcare compliance officers (HCOs) to bridge the gap between government regulation and daily operations.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Health Care Law Brief

JUNE 2, 2022

Therefore, a telehealth platform operating in all 50 states will, for example, need to comport with the laws governing corporate formation, provider licensure, scope of practice, and telehealth encounters in all 50 states. If so, how will patient fees be structured to comport with these restrictions? Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Healthcare IT News - Telehealth

JULY 19, 2021

" Healthcare is one of the biggest targets for cybercriminals, alongside the government and the financial services industry. Unsecure telehealth connections can open the door for fraud, phishing and ransomware attacks, with serious reputational and financial consequences. MARKETPLACE. " ADVICE FOR OTHERS.

COVID-19 162

COVID-19 HIPAA Ransomware Governance 162

Healthcare IT Today

JANUARY 2, 2023

Healthcare is the number one type of data hackers set their sites on, and healthcare identity fraud is prevalent. With telemedicine becoming the norm, ransomware and deepfake attacks on the healthcare industry will continue in 2023. Daniel dos Santos, Head of Security Research at Forescout Technologies.

Ransomware 141

Ransomware Fraud Compliance Telemedicine 141

Healthcare IT Today

DECEMBER 15, 2023

This became possible thanks to electronic health records, telemedicine, and cloud solutions. Confidentiality Laws and regulations govern the confidentiality of medical data. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands.

Electronic Medical Records 120

Electronic Medical Records Doctors HIPAA Hospitals 120

Healthcare Law Today

FEBRUARY 3, 2023

With only a few weeks until ATA2023 – the American Telemedicine Association’s 27th Annual Conference & Expo – our team looks forward to seeing people from across the telemedicine industry for conversations and insights about the future of digital health. ATA 2023: Join Us for Live Music and Libations!

Telemedicine 83

Telemedicine Fraud Compliance Officers Compliance 83

HIT Consultant

DECEMBER 18, 2023

This became possible thanks to electronic health records, telemedicine, and cloud solutions. Confidentiality Laws and regulations govern the confidentiality of medical data. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands.

Electronic Medical Records 105

Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 113

Fraud Telemedicine FDA Governance 113

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine Governance Health Insurance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine Governance Health Insurance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Imagine a telemedicine encounter via iPhone where the remote clinician can get a better picture of the patient’s health by being granted permission to access data in the Apple PHR on the phone. But untold billions are lost to waste, fraud and abuse.

Fraud 60

Fraud Telemedicine FDA Governance 60

Provider Trust

FEBRUARY 3, 2023

The government and private whistleblowers have increasingly targeted PE firms’ portfolio companies and the firms themselves. Government Oversight On December 29, 2022, President Biden signed the Consolidated Appropriations Act into law. What about license verification and screening?

Compliance 52

Compliance Fraud Nurses Telemedicine 52

Hall Render

MAY 13, 2022

Arizona telemedicine company owners admit $64 mln kickback scheme. Prism pays $650K to settle Medi-Cal fraud claims filed in San Diego. Henry Ford Health System gets ROI from employer-based telemedicine clinic. Troubled NC nursing home set to lose nearly all its government funding — and patients. Ducey announces $6.5M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40