Healthcare IT Today

MARCH 19, 2025

As traditional security measures like passwords fall short of addressing these complex risks, the growing adoption of biometric technologies presents both opportunities and challenges related to accuracy, inclusivity, and ethical implementation.

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Healthcare IT News - Telehealth

JUNE 28, 2021

" VanLandingham, who is senior counselor, Medicaid Policy/Acting Health IT at the agency, will be presenting at HIMSS21 this summer, HHS-OIG colleague, Assistant Inspector General for Legal Affairs Lisa Re. " VanLandingham explained that the healthcare fraud space gets "tens of thousands of complaints."

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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."

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Healthcare IT Today

MAY 5, 2023

The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient. In 2021, a U.S.

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Compliancy Group

MARCH 12, 2025

A healthcare organization that does not follow proper methods of obtaining reimbursement from federal payor programs such as Medicare may run afoul of federal fraud, waste, and abuse laws. Some denials result from noncompliance with federal fraud, waste, and abuse laws. Such noncompliance can result in non compliance fines.

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Med-Net Compliance

JUNE 22, 2022

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Employees and applicants of healthcare facilities must provide truthful information regarding their vaccination status and understand the penalties for engaging in fraud. Update your policies as needed.

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HIT Consultant

DECEMBER 15, 2023

What You Should Know: Healthcare Fraud Shield (HCFS) , a leading provider of fraud, waste, abuse, and error (FWAE) protection solutions for the healthcare insurance market, today launched FWA360Leads , a new product that automatically identifies and prioritizes FWA leads based on order of importance and impact severity.

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Med-Net Compliance

SEPTEMBER 20, 2022

The defendant was also convicted for falsification of records designed to prevent detection of this fraud and aggravated identity theft for falsely corresponding with Medicare under the name of another physician. Million Healthcare Fraud Scheme appeared first on Med-Net. He is scheduled to be sentenced on Jan.

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Med-Net Compliance

OCTOBER 27, 2022

According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursing home residents in Chicago and surrounding areas. The psychologist was convicted of four counts of healthcare fraud.

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Med-Net Compliance

JULY 20, 2022

According to court documents and evidence presented at trial, the doctor billed Medicare and Medicaid for an incision procedure of the external ear for hundreds of patients, when in fact all he actually performed was an ear exam or ear wax removal. He was convicted of one count of healthcare fraud and one count of making a false claim.

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Med Law Blog

JULY 21, 2022

The US Office of Inspector General (OIG) released another in a series of Special Fraud Alerts on July 20, 2022, this one directed to potentially fraudulent telehealth, telemedicine, and telemarketing service fraud schemes, collectively referred to as “Telemedicine Companies”.

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HIPAA Journal

OCTOBER 21, 2022

A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Alario pleaded guilty to his role in the healthcare fraud scheme earlier this month.

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Verisys

MARCH 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 billion from settlements due to fraud and false claims. As a healthcare provider, being familiar with healthcare fraud and abuse laws is important. Since then, the FCA has changed significantly.

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HIT Consultant

JANUARY 12, 2025

AI-generated identity fraud, including deepfakes, and other sophisticated tactics are making traditional security systems obsolete. In retail, e-commerce platforms deploy facial recognition alongside behavioral biometrics to reduce fraud during online purchases, providing a seamless yet secure shopping experience.

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American Medical Compliance

MARCH 15, 2024

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. The Department of Justice recently revealed charges against 78 individuals involved in healthcare fraud schemes. However, they encounter numerous challenges in achieving this goal.

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Med-Net Compliance

JULY 26, 2022

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Discussion Points: Review policies and procedures regarding the use of telemedicine within the facility and related requirements for preventing fraud, waste, and abuse of government funds.

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Healthcare IT News - Telehealth

JANUARY 26, 2022

Healthcare IT News interviewed Griffin to take a closer look at what he will be presenting at the HIMSS22 conference. The evergreen concern about virtual care is that of fraud, waste and abuse and how to balance it with the demonstrated value of extended medical services to patients who are either geographically or economically underserved.

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Provider Trust

JANUARY 26, 2022

It’s no secret–when fraud enters healthcare, things get risky. But how exactly does the HHS-OIG (Office of Inspector General), the main body responsible for conducting investigations into suspected fraudulent activity, address healthcare fraud and assess future risk of these bad actors?

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American Medical Compliance

FEBRUARY 15, 2023

The Dental Healthcare Fraud Waste and Abuse Training course is designed to combat fraud, waste, and abuse in the workplace. It is everyone’s responsibility to combat fraud, waste, and abuse. No precise measure of healthcare fraud exists. Trust is core to the provider-patient relationship.

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Health Care Law Brief

JULY 21, 2022

On July 20, 2022, the Office of Inspector General for the Department of Health and Human Services (“ OIG ”) issued a special fraud alert (“ Alert ”) advising “practitioners to exercise caution when entering into arrangements with purported telemedicine companies.” OIG Flags Seven Characteristics of Telehealth Fraud.

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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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Medisys Compliance

JANUARY 16, 2025

Family psychotherapy (CPT 90846, 90847): Therapy sessions focused on family dynamics, with or without the patient present. Avoid fraud: Ensure billing accurately reflects services rendered. Group psychotherapy (CPT 90853): For structured therapy in a group setting addressing common behavioral health issues.

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HIT Consultant

FEBRUARY 28, 2025

Unlike retail, where recommendation engines drive engagement, healthcare presents unique sensitivities patients searching for a diagnosis or treatment plan expect discretion, not algorithmic assumptions. Patients expect seamless, consumer-grade experiences akin to what they receive from e-commerce or financial platforms.

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Healthcare It News

MARCH 2, 2022

Fraud and the Gates foundation stand to make billions from a forced COVID vaccine!" That research led to the development of a framework which I'm going to talk about in my presentation on the floor, which is a counter-response framework. " "Dr. " "Behind every rushed drug in history is a trail of death."

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Natalia Mazina

MARCH 19, 2023

But in a nutshell, a group of California pharmacies brought a case against Optum alleging misrepresentation, fraud, and breach of contract. The California Court of Appeal, First Appellate District has just affirmed the holding of a trial court that Optum’s arbitration clause in its manual is unconscionable and unenforceable.

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HIPAA Journal

FEBRUARY 22, 2022

The lawsuit alleges the plaintiff and class members are exposed to a present and imminent risk of fraud and identity theft because their sensitive data is in the hands of data thieves and has been made available to other cybercriminals through the leaking of the data on the dark web.

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American Medical Compliance

FEBRUARY 15, 2023

The EMS Fraud Waste and Abuse Training course is designed to combat fraud, waste, and abuse in the workplace. It is everyone’s responsibility to combat fraud, waste, and abuse. No precise measure of healthcare fraud exists. Fraud schemes range from solo ventures to widespread activities of an institution or group.

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HIPAA Journal

JULY 4, 2024

A comprehensive review was conducted to identify the files in the email accounts, and on December 6, 2023, it was confirmed that protected health information was present in emails and email attachments. SkinCure Oncology believes files in those email accounts were viewed and potentially obtained in the attack. to 5:30 p.m.

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The Health Law Firm

SEPTEMBER 24, 2013

Leider with The Health Law Firm will be giving a presentation on Thursday, September 26, 2013, to the members of the Medical Office Resources of Florida (MOROF) and attending health care providers. This presentation is called, “Medicare and Medicaid Audits: Ready or Not, Here They Come.” Brown and Lance O. until 9:00 a.m.

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MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Data Analysis and Trends.

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The Health Law Firm

AUGUST 20, 2021

Agents with the Federal Bureau of Investigation (FBI) said a Harvard nanotechnology researcher fighting federal charges of grant fraud never asked to have an attorney present during his interview. Indest III, J.D.,

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Fierce Healthcare

APRIL 16, 2024

The National Association of ACOs (NAACOS) hosted a spring conference last week, with sessions on post-acute care, fraud, implementation best practices, health equity and legislative priorities. |

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Med Law Blog

DECEMBER 10, 2021

Mike Cassidy will be one of the panelists discussing “The Myths About Telehealth: Telefraud vs. Telemedicine Fraud” at the virtual CTeL Digital Health Summit on Thursday, December 16, 2021.

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HIPAA Journal

JUNE 28, 2022

The lawsuits allege the affected plaintiffs have suffered lost time, annoyance, interference, and inconvenience as a result of the data breach, and now that their protected health information is in the hands of criminals, they face a substantial present risk of identity theft and fraud, and that risk will continue to increase for years to come.

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Healthcare IT Today

MARCH 27, 2025

AI-driven systems present additional vulnerabilities, such as adversarial attacks that manipulate machine-learning models to produce incorrect results. Additionally, AI-based healthcare billing and coding automation could also inadvertently perpetuate fraud or errors if the models are not adequately trained and monitored.

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The Health Law Firm

MAY 9, 2019

Unfortunately, many also find themselves defending their reputation after being accused of clinical research fraud or research misconduct. Although accusations of research fraud and misconduct have been present for decades, the number of complaints is on the rise, according to the Food and Drug Administration (FDA).

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C&M Health Law

NOVEMBER 25, 2020

Earlier this month, OIG issued a Special Fraud Alert on Speaker Programs warning drug and device companies and health care providers that it has significant concerns about payments for “speaker programs.” HCPs are paid an honorarium and attendees are paid generally through free meals and drinks, for example.

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