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 121

HIPAA Fraud Health Insurance Health Care Reform 121

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 90

HIPAA Fraud Health Insurance Medicaid 90

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

Health Care Law Brief

APRIL 11, 2022

As early as 2002 and as highlighted in recent guidance , OIG has explained its longstanding concerns relating to the offering of incentives intended to induce beneficiaries to obtain federally reimbursable items and services when those incentives have been cash or cash equivalents. The OIG highlighted four specific reasons. Key Takeaways.

Fraud 52

Fraud Medicare Medicare Compliance 52

Drug & Device Law

JANUARY 30, 2023

470 (1996), was decided – removing express preemption as a defense for manufacturers of §510(k) products So defendants moved on fraud on the FDA under an implied preemption theory and won. Mensing , 564 U.S. Mensing , 564 U.S. Lohr , 518 U.S. Davidowitz , 312 U.S. Davidowitz , 312 U.S.

FDA 72

FDA Fraud Governance Medicare 72