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Steward Health Care under federal investigation for fraud and corruption

Healthcare Dive

The Department of Justice investigation follows a multi-year international probe into Steward's deal to improve three hospitals in Malta.

Fraud 240
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HIPAA Seal of Compliance = Consumer Fraud

Healthcare IT Today

The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.

Fraud 145
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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

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.

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2024 DOJ False Claims Act Settlements in Healthcare Recover $1.67B

Compliancy Group

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.

Fraud 98
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Preventing COVID-19 Frauds and Scams In Medical Facilities

Electronic Health Reporter

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.

COVID-19 113
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Data Storage: The Foundation to an AI-Driven Health System

HIT Consultant

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.

Fraud 98
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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 (..)

Medicaid 135