HIPAA Journal

FEBRUARY 23, 2022

Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. The provisions related to administrative simplification are discussed below, while the provisions for medical liability reform (of which there are few) only relate to whistle blower protection for reporting fraud and abuse.

HIPAA 88

HIPAA Fraud Health Insurance Medicaid 88

HIPAA Journal

MARCH 30, 2022

Had the level of abuse and fraud in the healthcare industry been allowed to continue, tens of billions of dollars would have been lost to unscrupulous actors. It was not until 2002 that the Privacy Rule was published, and 2003 that the Security Rule was published. Abuse and Fraud in the Health Care Industry. $7

HIPAA 119

HIPAA Fraud Health Insurance Health Care Reform 119

YouCompli

APRIL 13, 2022

But tactics common in other industries might be considered illegal beneficiary inducements in healthcare, especially for beneficiaries of federal programs like Medicare or Medicaid. Co-pay waivers,” “insurance only billing,” “Medicare accepted as payment in full,” and “free gift for new patients” are just some examples.

Medicare 40

Medicare Medicare Governance Compliance 40