Healthcare Compliance Blog

FEBRUARY 25, 2022

In 2006, the excluded psychiatrist was convicted in Florida of conspiracy to commit healthcare fraud. While he served as the clinical director, the psychiatry company and its owner billed and sought reimbursement from federal healthcare programs, including Medicare, Tricare, and the Railroad Retirement Medicare Program.

Fraud 59

Fraud Medicare Medicare Compliance 59

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Case Study: S.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

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

Hall Render

APRIL 6, 2022

However, some of the defendant’s customers typically paid less than the retail price for their medications through several discount programs that the defendant offered between 2006 and 2015. This footnote originated as a footnote in a memorandum issued by CMS in October of 2006. Practical Takeaways. Practical Takeaways.

Medicare 72

Medicare Medicare Medicaid Medicaid 72