Steward Health Care under federal investigation for fraud and corruption
Healthcare Dive
JULY 12, 2024
The Department of Justice investigation follows a multi-year international probe into Steward's deal to improve three hospitals in Malta.
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Healthcare Dive
JULY 12, 2024
The Department of Justice investigation follows a multi-year international probe into Steward's deal to improve three hospitals in Malta.
Healthcare IT Today
JANUARY 19, 2021
The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.
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MRO Compliance
JANUARY 7, 2025
Benchmarking aligns organizational practices with industry standards, a necessity given that over half of HIM professionals believe bundling or unbundling services can either underestimate care or risk billing fraud.
Compliancy Group
JANUARY 23, 2025
A classic example is Medicare fraud. Providers who bill Medicare for services they did not actually provide and who present the bill with the knowledge that the service was not performed have committed Medicare fraud. The DOJ has focused much of its anti-fraud efforts on pursuing these cases, litigating several of them in 2024.
Electronic Health Reporter
AUGUST 11, 2020
The hospital staff is under tremendous stress, and all non-critical medical treatments and procedures are on […]. The article Preventing COVID-19 Frauds and Scams In Medical Facilities appeared first on electronichealthreporter.com.
HIT Consultant
OCTOBER 29, 2024
If AI is directly connected to patient care, the stakes are too high for hospital staff to leverage this technology incorrectly. For example, payers can create and/or implement models that reduce claims processing times or accelerate fraud detection. For example, St. Manager, Global Healthcare Strategic Alliances at Pure Storage.
Fierce Healthcare
SEPTEMBER 19, 2024
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 (..)
Becker's Health IT
AUGUST 23, 2024
Federal grand jury indicts alleged member of hacking group involved in extortion of hospitals. Russian man charged with money laundering and wire fraud.
Healthcare IT Today
JUNE 2, 2023
With those competing priorities, fraud prevention does not always make its way to the top of the list of considerations, even when it should. According to the National Health Care Anti-Fraud Association, fraud costs the U.S. healthcare industry more than $50 billion each year. What Exactly is KYP?
Healthcare IT News - Telehealth
FEBRUARY 10, 2021
Eric Jimenez, CIO at Artesia General Hospital in Artesia, New Mexico. NYU Langone Health experienced explosive growth in telehealth visits, online appointment booking, online physician finding, remote patient monitoring, and connecting via video inside the hospital when visitors could not be accommodated.
Healthcare IT Today
OCTOBER 22, 2020
The US Department of Justice has filed charges against 345 defendants, including more than 100 medical professionals, accusing them of engaging in healthcare fraud schemes. The […].
Bill of Health
OCTOBER 30, 2023
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.
HIPAA Journal
JUNE 28, 2023
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.
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. Hospital-Psychiatric Unit. Report Background. Physician/Psychiatry. Psychologist, Clinical.
HIPAA Journal
JANUARY 3, 2023
For this reason, and due to the volume of reports, for the 2022 report, Emsisoft did not compile data for healthcare organizations and instead focused on hospitals and multi-hospital health systems. Out of the 24 confirmed attacks on hospitals, data theft occurred in 17 of those attacks (68%).
Healthcare IT Today
NOVEMBER 24, 2024
year-over-year increase in hospital labor expenses , due in large part to higher wages. Cotiviti launched 360 Pattern Review , which combines pre-pay fraud, waste, and abuse prevention with post-pay review across the claim payment cycle. Even with retail pharmacies closing, only 16% of patients prefer online pharmacies.
American Medical Compliance
OCTOBER 25, 2024
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. Audits serve as a critical defense against fraud and inefficiency while fostering trust in your practice.
Healthcare IT Today
MARCH 13, 2025
Jepsen and Kajanoff also discuss the prevalence of fraud in our interview. Jepsen also shares how the high infant mortality in New Mexico is related to a mothers’ inability to get access to prenatal care, and at times to the hospital.
HIPAA Journal
AUGUST 1, 2022
The post Meta Facing Further Class Action Lawsuit Over Use of Meta Pixel Code on Hospital Websites appeared first on HIPAA Journal.
HIPAA Journal
MAY 10, 2023
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.
Compliancy Group
APRIL 25, 2024
Components of Medicare Fraud, Waste, and Abuse Training One of the most important elements of CMS Medicare fraud, waste, and abuse training is defining and differentiating these three terms : Fraud is the deliberate attempt to obtain financial gain through deceptive means, such as providing false information. See how it works!
American Medical Compliance
FEBRUARY 21, 2025
Gutweiler emphasized AMCs role in supporting hospitals, clinics, and healthcare professionals with world-class compliance training solutions, setting the stage for AMCs continued growth in the region. Key Takeaways from Arab Health 2025 Arab Health 2025 showcased the latest trends and advancements shaping global healthcare.
Verisys
MARCH 6, 2025
Emerging technologies arent siloed to the hospital floor or operating room. If something looks off, it can alert compliance officers or hospital staff, who can then work to secure data and avoid a HIPAA breach. In the 2024 survey, 60% of participants relayed that AI integration will add 10% to their yearly budget.
HIPAA Journal
JUNE 15, 2023
A relatively small data breach was reported to OCR on February 28, 2018, by Yakima Valley Memorial Hospital (formerly Virginia Mason Memorial), a 222-bed non-profit community hospital in Washington state. So far this year, penalties totaling $1,901,500 have been imposed by OCR to resolve violations of the HIPAA Rules.
Healthcare IT Today
NOVEMBER 22, 2024
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.
Healthcare IT News - Telehealth
SEPTEMBER 12, 2024
Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. The InterSystems integration also allows didgUgo to leverage AI for fraud prevention.
Healthcare IT Today
SEPTEMBER 24, 2021
According to a survey by Proofpoint, the average healthcare organization received about 200,000 emails from over 10,000 different 3rd party domains. When you consider the thousands of vendors and suppliers that work with a healthcare organization, this isn’t a big surprise.
Healthcare It News
DECEMBER 5, 2022
" Community also said that the investigation has not found evidence that misuse or fraud has occurred as a result of the breach, and it "cannot say with certainty what information was involved."
Hall Render
MARCH 12, 2025
However, if a complaint alleges specific, geographically limited fraud that does not suggest a broader scheme, claims against different subsidiaries may not be precluded. This decision ensures that whistleblowers can still bring new and distinct allegations of fraud even if similar cases were filed previously.
HIPAA Journal
MAY 10, 2023
District Court for the Southern District of Iowa that alleges University of Iowa Hospitals and Clinics (UIHC) unlawfully, negligently, and recklessly disclosed patients’ private information to Facebook, without obtaining patient consent. A lawsuit has been filed in the U.S. A study that was recently published in Health Affairs found 98.6%
Compliancy Group
OCTOBER 28, 2024
Health and Human Services (HHS) Department’s efforts to eliminate fraud, waste, and abuse. While the CPG applies to all hospitals, practices, suppliers, and other healthcare entities, the ICPGs address the salient risk factors in each specific sector. Established in 1976, the Office of Inspector General (OIG) has led the U.S.
HIT Consultant
DECEMBER 18, 2024
Identity theft, fraud, and long-term financial harm are just a few examples of the personal fallout patients may face following a data breach. This situation stresses how cyberattacks can disrupt immediate patient care and create long-term financial challenges that threaten the ability to deliver essential therapies.
HIT Consultant
MARCH 4, 2025
Were also seeing AI voice cloning used in fraud campaigns targeting help desks and even doctors. Interoperability of data exchange Many think of healthcare IT in terms of EHRs, but hospitals run hundreds if not thousands of applications on top of those systems. Threat actors will follow, targeting these new entry points.
HIPAA Journal
MAY 24, 2024
It has been more than 2 weeks since the ransomware attack on Ascension and its hospitals are still operating under emergency procedures, with staff working with pen and paper due to the inability to access electronic medical records.
MedTrainer
JUNE 28, 2023
In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?
Healthicity
OCTOBER 5, 2022
The Office of Inspector General recently made Work Plan updates that impact price transparency rules, Medicaid fraud referrals, and inpatient rehabilitation. If you support compliance for hospitals or hospital systems, listen up! Have you heard? Our latest eBrief covers the updates you need to know.
HIT Consultant
MAY 4, 2023
Monitoring and maintaining the security of IT infrastructure is often overemphasized within hospitals and health systems, while the human side of reducing risk is often under-emphasized. The answer is training, continual training to help create a culture of security within your hospital or health system.
HIPAA Journal
MARCH 11, 2025
Lurie Children’s Hospital in Chicago. While the risks associated with the incident are believed to be low, all affected individuals have been advised to be vigilant against phishing attempts and other fraud.
HIPAA Journal
MARCH 21, 2023
Multiple class action lawsuits have been filed against two healthcare providers in Arkansas – Mena Regional Health System (MRHS) and Howard Memorial Hospital – over cyberattacks in which patient data was compromised. The post Multiple Lawsuits Filed Against Arkansas Hospitals Over Data Breaches appeared first on HIPAA Journal.
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.
HIPAA Journal
JANUARY 6, 2023
Anne Hospital, St. Elizabeth Hospital, St. Anthony Hospital, St. Clare Hospital, St. Francis Hospital, St. Joseph Hospital, and St. Lawsuits often fail when they are based solely on an elevated risk of identity theft and fraud. Virginia Mason Franciscan Health operates St. Michael Medical Center.
Innovaare Compliance
JULY 19, 2024
On April 15, 2022, the Centers for Medicare & Medicaid Services (CMS) released potential fraud, waste and abuse (FWA) trending data collected from Medicare Advantage Prescription Drug Plans (plan sponsors) for fourth quarter 2021. The most prominent suspect was misrepresentation of services/products (48.87%).
HIT Consultant
JANUARY 12, 2025
AI-generated identity fraud, including deepfakes, and other sophisticated tactics are making traditional security systems obsolete. Facial recognition provides fast and precise identification, which is particularly valuable in high-traffic areas such as hospitals.
Compliancy Group
DECEMBER 20, 2024
In May of 2015, the NYPD informed Montefiore Medical Center that there was evidence that patient information had been stolen from the hospitals database – leading Montefiore to investigate and discover that the theft had taken place two years earlier. OCR then proposed a civil monetary penalty of $548,265.
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