Verisys

DECEMBER 13, 2023

Healthcare Fraud Crackdown! With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. The post Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys appeared first on Verisys.

Fraud 52

Fraud Telemedicine Licensing Compliance 52

Healthcare Compliance Blog

MARCH 10, 2022

Complaints of resident abuse in a Michigan nursing home led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursing home while her license was suspended, which is a felony.

Nursing Homes 59

Nursing Homes Nurses Licensing Fraud 59

Provider Trust

JUNE 1, 2022

Organizations across the healthcare continuum have experienced several workforce trends that are creating gaps in license monitoring and verifications. Hospitals and health systems continue to find themselves desperately searching for available frontline nurses to relieve their exhausted staff and make up for vacant positions due to burnout.

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Licensing Nurses COVID-19 Compliance 52

Health Care Performance

FEBRUARY 21, 2023

The scheme 25 people were charged with wire fraud – administrators and employees of three Florida nursing schools as well as recruiters. The recruiters sought out individuals that were willing to pay $10,000 to $15,000 for fake nursing school documents that allowed them to take national nursing licensure examinations.

Nurses 52

Nurses Licensing Fraud Hospitals 52

Healthcare Compliance Blog

MARCH 28, 2022

An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursing home in 2017. Additionally, the LPN’s nursing license was suspended for an unspecified period of time. Discussion Points: Review your policies and procedures on CPR.

Nurses 59

Nurses Nursing Homes Licensing Fraud 59

Provider Trust

APRIL 26, 2023

An increasing trend of nurse strikes and hospital staffing shortages across the country in early 2023 has led many healthcare organizations to turn to travel nurses and staffing agencies to fulfill their workforce needs. However, this solution comes with its share of compliance risks, especially if interstate licenses are involved.

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Licensing Nurses Compliance COVID-19 52

The Health Law Firm Blog

JULY 13, 2023

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.]

Licensing 52

Licensing Medicaid Medicaid Fraud 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

The Health Law Firm

FEBRUARY 3, 2021

Board Certified by The Florida Bar in Health Law On September 23, 2020, a Tennessee woman who posed as a nurse working at several medical facilities was sentenced to more than four years in prison. In December 2019, she pled guilty to wire fraud, healthcare fraud, identity theft, and practicing nursing without a license.

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Fraud Nurses Licensing 40

Provider Trust

MARCH 13, 2023

Between 2016 and 2021, over 7,600 fake diplomas were sold to nursing students who used the fraudulent degrees to qualify for the National Council Licensure Exam (NCLEX). In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

Healthcare IT Today

DECEMBER 20, 2022

Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors. Former Hospital Employees Accused of Selling Patient Information.

HIPAA 111

HIPAA Nurses Licensing Compliance 111

Healthcare Compliance Blog

MARCH 11, 2022

A Boston registered nurse (RN) has pled guilty to one count of tampering with a consumer product and one count of obtaining a controlled substance by fraud and deception. The RN was working in a nursing home when she tampered with morphine that was prescribed to a resident under her care.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? Fraud and abuse are unfortunate realities of the healthcare industry. Hundreds of claims and investigations are carried out yearly to combat the growing number of providers, organizations, and entities contributing to fraud and abuse within state and federal healthcare programs.

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Fraud Medicaid Medicaid Nurses 52

Healthcare Compliance Blog

JANUARY 17, 2022

A 29 year old Chicago nurse is charged with two counts of tampering with a consumer product. It is alleged that the Chicago nurse removed morphine from bottles that were prescribed to two patients and replaced it with another liquid. The nurse was aware that the diluted substance would be dispensed to the patients.

Nurses 59

Nurses Fraud Licensing Governance 59

Healthcare Compliance Blog

APRIL 6, 2022

A Pennsylvania nurse formerly employed at a senior living facility has pled guilty to neglect of a care-dependent person and tampering with medical records. A patient under the care of the nurse was left in the lobby of the facility and died hours after suffering a fall and serious head injury. Update as needed.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

Hall Render

FEBRUARY 8, 2023

Department of Health and Human Services Office of Inspector General (“OIG”) recently announced that it coordinated with law enforcement partners in launching a multi-state enforcement action dedicated to uncovering a massive fraudulent nursing diploma scheme. Fraudulent Scheme On January 25, 2023, the U.S.

Nurses 40

Nurses Licensing Fraud Governance 40

The Health Law Firm Blog

APRIL 18, 2022

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.].

Licensing 40

Licensing Medicaid Medicaid Fraud 40

The Health Law Firm

JUNE 22, 2015

Board Certified by the Florida Bar in Health Law and Shelby Root The largest criminal health care fraud takedown in the history of the US Justice Department, in terms of both loss amount and arrests, took place June 18, 2015. Indest III, J.D.,

Fraud 40

Fraud Medicare Medicare Licensing 40

Healthcare IT Today

OCTOBER 26, 2024

At MEDITECH Live, John chatted with Mike Elder and Kelsey Reed at the southwest Georgia health system, which recently opened a Living and Learning Center to really recruit and train the next generation of nurses. AI and telehealth vendor Fabric acquired TeamHealth VirtualCare , which is licensed in all 50 states.

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Ransomware Fraud Licensing Nurses 95

The Health Law Firm

JULY 12, 2012

A licensed practical nurse (LPN) at Florida State Hospital has been arrested and charged with one count of abuse of a disabled adult at the hospital. The nurse was arrested on a felony warrant by the Attorney General’s Medicaid Fraud Control Unit (MFCU). Indest III, J.D.,

Nurses 40

Nurses Fraud Licensing Medicaid 40

The Health Law Firm Blog

JULY 17, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

JUNE 26, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

AUGUST 8, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

HIT Consultant

DECEMBER 10, 2021

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. Nurse Practitioner.

COVID-19 98

COVID-19 Fraud Nurses Licensing 98

The Health Law Firm Blog

AUGUST 22, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

Verisys

MAY 13, 2024

With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Here is a round up of bad actors: Doctor sentenced to 10 years in prison for unlawfully dispensing controlled substances ( Full Story ) Doctor Convicted for $5.4M

Fraud 52

Fraud COVID-19 Doctors Licensing 52

The Health Law Firm Blog

JANUARY 2, 2024

Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On October 18, 2023, an ex-Navy officer was sentenced to 30 months in prison after he pleaded guilty to conspiracy to commit wire fraud for his role in an [.] Indest III, J.D.,

Fraud 52

Fraud Nurses Licensing Doctors 52

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. According to the U.S.

Licensing 52

Licensing Fraud Compliance Nurses 52

Hall Render

OCTOBER 20, 2023

Effective October 1, 2023, Connecticut enacted a law that contains several updates to Connecticut’s change of ownership laws for nursing homes and other health care providers. The CHOW Law creates new change of ownership requirements for health care providers.

Nursing Homes 40

Nursing Homes Nurses Licensing Public Health 40

Verisys

JULY 25, 2024

Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Million to Settle Allegations Related to Telehealth Services for Nursing Home Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Million to Settle Allegations Related to Telehealth Services for Nursing Home Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Pharmacy Law Blog

MARCH 8, 2018

On December 6, 2017, three nurse practitioners and a doctor were arrested following an Alabama federal grand jury indictment accusing them of operating a “pill mill.” They face maximum sentences of 10 years in prison on the health care fraud counts. Alabama doctor, 3 nurse practitioners federally indicted in pill mill case.”

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Nurses Doctors Licensing Medical Personnel 40

Verisys

MAY 11, 2023

Publication of Notice – Operation Nightingale Oregon : The Oregon Medical Board has proposed a new rule to add “license denials” as a class of cases exempt from the 90-day timeline requirements. This new rule would allow a longer timeline due to board meeting schedules and the complexity of license denial cases.

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Licensing Nurses Medicaid Medicaid 52

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

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Ransomware Electronic Medical Records Licensing Health Insurance 90

The Health Law Firm

MARCH 5, 2014

These include the Board of Medicine, Board of Nursing, Board of Dentistry, Board of Massage Therapy, Board of Osteopathic Medicine, Board of Psychology and Board of Marriage and Family Therapy, among all others. These draconian measures were implemented in a supposed crackdown on healthcare fraud. Leider, J.D.,

Licensing 40

Licensing Fraud Nurses 40

Verisys

FEBRUARY 16, 2023

Transition Process Oregon: License Suspensions and Terminations of Orders by Operation of Law and Continuing Education Deficiencies: Oregon Administrative Rule 847-001-0035 has been amended to expand the reasons for which the Executive Director or Medical Director may issue final orders.

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Licensing Nurses Fraud Compliance 52