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Physician Indicted for Medicaid Fraud and Invasive and Medically Unnecessary Testing

Med-Net Compliance

From January 2006 to August 2017, the physician allegedly gave? The post Physician Indicted for Medicaid Fraud and Invasive and Medically Unnecessary Testing appeared first on Med-Net.

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Injured Workers Pharmacy Faces Class Action Lawsuit over Email Account Breach

HIPAA Journal

The plaintiffs claim they face an imminent and ongoing risk of identity theft and fraud due to the exposure of their sensitive data to cybercriminals and have had to spend time and money protecting themselves against identity theft and fraud. The case was settled for $11 million.

Fraud 61

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SAC Health Theft Incident and Multiple Ransomware Attacks Reported

HIPAA Journal

The break-in was discovered on March 4, 2022, with the subsequent investigation confirming on April 22, 2022, that six boxes of paper documents had been stolen from the facility, which included files relating to patients served by SAC Health in 1997 and between 2006 and 2020. Notification letters were sent to those individuals on May 3, 2022.

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Excluded Psychiatrist Results in Allegations of Violating the False Claims Act

Healthcare Compliance Blog

In 2006, the excluded psychiatrist was convicted in Florida of conspiracy to commit healthcare fraud. The allegations stem from accusations that the Connecticut psychiatry company and its owner employed a psychiatrist that was excluded from participating in all federal healthcare programs.

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What is HIPAA?

HIPAA Journal

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.

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An Overview of the New York OMIG Exclusion List

Provider Trust

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program.

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Whistleblowers Accuse Nursing Care Company of Medicare Fraud

The Health Law Firm

The nursing care company is accused of defrauding Medicare of millions of dollars for unnecessary and expensive therapy treatments from 2006 to 2011, according to the Wall Street Journal. Click here to read the entire article from the Wall Street Journal.