The Health Law Firm

NOVEMBER 25, 2019

Board Certified by The Florida Bar in Health Law On November 22, 2019, the United States Attorney for the Southern District of New York Announced the indictment and arrest of an ophthalmologist for healthcare fraud. Indest III, J.D.,

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The Health Law Firm

AUGUST 31, 2020

Board Certified by The Florida Bar in Health Law On July 31, 2020, a panel of judges of the US Eleventh Circuit Court of Appeals in Atlanta upheld a 17-year long prison sentence for a Florida ophthalmologist found guilty of Medicare fraud. Indest III, J.D.,

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The Health Law Firm

OCTOBER 13, 2017

Board Certified by The Florida Bar in Health Law On October 4, 2017, federal prosecutors charged six Florida residents with running a multi-million dollar insurance fraud scheme through a dozen chiropractic clinics. By George F. Indest III, J.D.,

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Healthcare IT News - Telehealth

MAY 13, 2022

The owners of a national telehealth company pleaded guilty this week to charges of conspiracy to violate the federal Anti-Kickback Statute and to commit healthcare fraud. Law enforcement agencies have ramped up the pressure on telehealth fraud, particularly amid the COVID-19 pandemic. According to a statement released by the U.S.

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HIPAA Journal

JUNE 9, 2023

In 2017, federal prosecutors indicted William and David Dubin on 20 counts related to the overbilling of Medicaid, which included 6 counts of aggravated identity theft and resulted in the practice receiving around $300,000 in fraudulent reimbursements. That fraudulent claim resulted in a payment of $338.

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The Health Law Firm

JUNE 13, 2017

Board Certified by The Florida Bar in Health Law On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. Health Care Fraud Scheme. Indest III, J.D.,

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HIPAA Journal

JUNE 2, 2023

Rico Prunty, 41 years old, of Sierra Vista, Arizona, was previously employed at an Arizona medical facility where he unlawfully accessed the medical intake forms of patients between July 2014 and May 2017. His co-conspirators have already been sentenced for their roles in the identity theft scheme.

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The Health Law Firm

DECEMBER 5, 2017

Board Certified by The Florida Bar in Health Law On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 US Supreme Court decision in her case holding that the government could not freeze untainted assets. By George F. Indest III, J.D.,

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Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

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The Health Law Firm

NOVEMBER 8, 2017

Board Certified by The Florida Bar in Health Law A Michigan dentist accused of Medicaid fraud was recently captured in the Dominican Republic after evading charges for months, state authorities announced. Indest III, J.D., 27 Charges. million over a three year period of time.

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Healthcare IT Today

NOVEMBER 4, 2022

The lawsuit was filed in 2017 by law firms Phillips and Cohen LLP and Downs Rachlin Martin PLLC. And in 2017, eClinicalWorks settled civil fraud and kickback charges with the government for $155 million.

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HIPAA Journal

AUGUST 31, 2022

Evil Corp’s malware and ransomware variants have been used in many cyberattacks on the HPH sector, one of the most well-known being the BitPaymer ransomware attack on the National Health Service (NHS) Lanarkshire Board in Scotland in 2017. Evil Corp has been the subject of multiple law enforcement operations.

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HIPAA Journal

MARCH 31, 2023

The lawsuit was initially filed in 2015 but was dismissed by a lower court in 2016 due to lack of injury, but was resurrected by a federal appeals court in 2017. million individuals who were registered to use CareFirst’s websites and online services. In 2018, the U.S.

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The Health Law Firm

MAY 12, 2017

Board Certified by The Florida Bar in Health Law On May 9, 2017, a federal jury found four New Orleans doctors and two others guilty for their participation in a Medicare fraud scheme. By George F. Indest III, J.D., According to prosecutors the defendants netted more than $13.6 million in fraudulent Medicare reimbursements.

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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." ON THE RECORD.

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Healthcare Compliance Blog

MAY 10, 2022

According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. The provider is charged with one count of Medicaid fraud more than $50,000, a first-degree felony.

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Pharmacy Law Blog

MARCH 13, 2018

On December 4, 2017, a Florida federal judge refused to dismiss the federal government’s False Claims Act (FCA) suit against a compounding pharmacy. December 4, 2017). fraud suit – judge.” December 4, 2017). By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law. Sources: Wilson, Daniel.

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Med-Net Compliance

JUNE 24, 2022

A former Tennessee medical group director, 62, was sentenced to 18 months in federal prison for wire fraud. During her time there, she developed a fraud scheme that allowed her to steal hundreds of thousands of dollars from the organization.

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HIPAA Journal

APRIL 25, 2022

According to the Verizon 2021 Data Breach Report, there was a decline in external threats between 2017 and 2020 and a corresponding rise in internal threats. Insider threats often involve data theft, fraud, or system sabotage, all of which can cause harm to the organization and patients/plan members.

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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. The woman, 45, pleaded guilty to an amended charge of Reckless Conduct (Class A Misdemeanor).

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Healthcare IT Today

DECEMBER 28, 2023

Furthermore, in 2017, approximately 25 percent of the 2,200-plus data breaches analyzed by Verizon Enterprise occurred in the healthcare industry, accounting for 530 data breaches, the highest among all recorded industries. VCs stand as a real-world solution by ensuring the integrity of patient information.

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Health Law RX

JANUARY 31, 2023

And some jurists are cynical about the impact of applying an objective standard to government fraud cases. In 2017, in United States ex rel. Other courts have refrained from embracing the objective standard. 3d 1148 (11th Cir. The Sixth, Ninth and Tenth circuits have since followed Lincare.

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The Health Law Firm

APRIL 10, 2017

Board Certified by The Florida Bar in Health Law On March 24, 2017, three participants were sentenced in Florida federal court, for a scheme that used call centers and kickbacks to generate fake prescriptions for compounding pharmacies. By George F. Indest III, J.D.,

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Health Populi

APRIL 24, 2018

Among these people, healthcare trust fell by 20 percentage points between 2017 and 2018, a “crash” (Edelman’s descriptor) from 75 percent to 55%. Finally, the pharma industry ranked fifth of five segments, with only 38% of Americans trusting pharma companies, dropped by a whopping 13 percentage points over 2017.

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Health Populi

OCTOBER 31, 2018

Health Populi’s Hot Points: Unisys published their 2018 Security Index , finding growing global insecurity concerns among consumers about the internet, identity theft and bankcard fraud — ahead of terrorism, natural disaster and epidemic threats. ” To deal with this growing challenge, this week the U.S.

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The Health Law Firm

DECEMBER 9, 2017

Board Certified by The Florida Bar in Health Law On September 28, 2017, the US District Court for the Middle District of Florida dismissed a relator's (whistle blower's) False Claims Act (FCA) complaint against a nuclear pharmacy in Tampa. Indest III, J.D.,

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The Health Law Firm

JUNE 8, 2017

Board Certified by The Florida Bar in Health Law On April 20, 2017, the Orange County Medical Society (OCMS) Board of Directors was alerted to a scam involving medical marijuana. The DOH reports all incidents of potential fraud and scams to law enforcement, but wants to ensure residents and law makers are aware of what to avoid.

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Provider Trust

JULY 17, 2023

To combat this fraud, waste, and abuse, the OIG introduced a three-part plan called the PRO framework to guide the oversight of nursing homes. Unfortunately, providers with repeat fraud, waste, and abuse allegations commonly move across state borders to continue their nefarious practices.

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Healthcare Law Blog

FEBRUARY 9, 2024

The ChristianaCare Lawsuit Sherman’s 2017 complaint alleged that ChristianaCare provided prohibited remuneration to Neonatology Associates, a private physician group with an exclusive contract to manage all care in Christiana Hospital’s Neonatal Intensive Care Unit (NICU). 2] District of Delaware | ChristianaCare Pays $42.5 Opening Br.

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Healthcare IT Today

FEBRUARY 26, 2024

are estimated to go to administrative burdens, while another 25-30% are consumed by fraud, waste, and abuse. But the key element of generative AI, the transform or transformer , was first proposed in a 2017 paper and only recently has supplemented the more traditional convolutional neural networks (CNNs) and recurrent neural networks (RNNs).

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Hall Render

FEBRUARY 14, 2024

The Supreme Court reinstated a $900,000 jury verdict awarded to the Plaintiff in 2017. Supreme Court unanimously ruled that whistleblowers do not need to show retaliatory intent as part of a retaliation claim against an employer under the Sarbanes-Oxley Act (“SOX”), which governs corporate financial reporting and recordkeeping.

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Healthcare Compliance Blog

MARCH 31, 2022

The DOJ, in coordination with the Medicaid Fraud Control Unit of the Office of the New York State Attorney General, began an investigation after whistleblowers alleged that certain LHCSAs had knowingly defrauded the federal government and New York State by underpaying home health aides in violation of New York’s Wage Parity Act.

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AIHC

MARCH 2, 2023

I remember actually defining my objectives in 2017 with one of the classes through AIHC. I have also added the CFE, Certified Fraud Examiner through the Association of Certified Fraud Examiners. Please read Becoming a Resilient Leader During Trying Times written by Joanne Byron. This process has been a constant journey.

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Healthcare Compliance Blog

JUNE 9, 2022

Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare. His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription.

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Health Care Performance

AUGUST 16, 2022

Pino also referenced the OCR’s 2016-2017 HIPAA Audit Industry Report released in December 2020. This is an opportunity for them to reset and really establish, if not already, an enterprise-wide risk analysis instead of a reactive stance… an ongoing risk management is a must from a business perspective.”.

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Med Law Blog

MAY 1, 2023

Additional Investigative and Enforcement Activity In 2017, a whistleblower suit was filed against Surgery Partners, Inc. Hahnemann Hospital and St. Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019. in United States ex rel. Cho and Baker v. Surgery Partners, Inc.

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Hall Render

APRIL 11, 2022

Relators filed their original complaint in April of 2017, alleging that the defendants routinely pressured medical providers to order laboratory tests that were not medically necessary. However, a separate group of relators had already filed a qui tam action in August of 2016, eight months prior to this suit, alleging the same fraud scheme.

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