Remove 2003 Remove Compliance Remove Fraud Remove Medicaid
article thumbnail

What is a HIPAA Violation?

HIPAA Journal

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To? Other Types of HIPAA Law Violation.

HIPAA 132
article thumbnail

HHS-OIG Excludes Theranos Founder and CEO from Federal Health Programs for 90 Years

HIPAA Journal

The Theranos Scandal Theranos was a blood testing startup founded by Elizabeth Holmes in 2003. Holmes, along with former company president Ramesh Balwani, were charged with criminal fraud for making false claims about the company’s technology and misleading investors.

Fraud 70
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Part 2: Understanding How Payers Deny Claims

AIHC

trillion government-wide from fiscal years 2003 through 2019. The Medicare Fee-for-Service Compliance programs prevent, reduce, and measure improper payments in FFS Medicare through medical review. The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is responsible for all decisions regarding its contents.

article thumbnail

April-July 2022 State Regulatory Developments

New Jersey Healthcare Blog

Following a thorough review in compliance with Executive Order No. The chapter describes the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program regarding transportation services. On April 4, 2022, at 54 N.J.R. 13:44F with amendments. On April 4, 2022, at 54 N.J.R. See N.J.A.C. On April 4, 2022, at 54 N.J.R.