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Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit

Fierce Healthcare

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government (..)

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Emoji Laws in Health Care ????

Bill of Health

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. Public Health Awareness First, hospitals might try to reach patients through engaging ads that deploy emojis. The Stark Law requires hospital advertisements disclose when physicians may have financial conflicts of interest.

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Reforming Health Insurance

Healthcare IT Today

Nobody really knows or cares what health care costs, because they aren’t paying. He further asserts that on average, only 53% of your health insurance premiums get returned to you as benefits. However, the ACA states “…an insurance company must assign 80% of their premiums to activities that develop the healthcare sector.”

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How to Conduct Effective Compliance Audits 

American Medical Compliance

Shockingly, over $54 billion is stolen each year through scams targeting patients and insurance companies with fraudulent medical charges, according to the NHCAA. From small clinics to expansive hospital systems, healthcare providers must navigate a complex web of federal, state, and local regulations designed to protect patient care.

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Good Samaritan Hospital Settles Class Action Data Breach Lawsuit

HIPAA Journal

Good Samaritan Hospital in San Jose, CA, has agreed to settle a class action lawsuit that was filed in response to a data breach that exposed the protected health information of up to 233,835 individuals. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

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Data Breaches Reported by University Urology and McPherson Hospital

HIPAA Journal

McPherson Hospital – Ransomware Attack McPherson Hospital in Kansas has recently issued notification letters to 19,020 patients to alert them about a July 2022 ransomware attack. McPherson Hospital said its technical safeguards have been reviewed and enhanced to prevent similar incidents in the future.

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Critical Condition: The Increasing Frequency of Ransomware Attacks in Healthcare

Healthcare IT Today

At the height of the COVID pandemic in 2020, several hospitals across the country were targeted in ransomware attacks. This forced hospitals to divert patients for care, delaying treatment, and resulting in the loss of thousands of patient records.