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.

Medicare 59

Medicare Medicare Fraud Compliance 59

The Health Law Firm

JANUARY 2, 2013

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.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Medicare Medicare 40

The Health Law Firm

JULY 9, 2012

A Pennsylvania man has been charged in a 23-count indictment in relation to an alleged scheme to defraud Medicare by billing for fraudulent ambulance services. Between 2006 and 2011, the man allegedly billed Medicare for transporting kidney dialysis patients who did not medically need ambulance service. By Miles Indest.

Medicare 40

Medicare Medicare Fraud 40

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

Provider Trust

SEPTEMBER 12, 2022

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. What is New York's OMIG List of Restricted and Excluded Providers? Who needs to monitor the OMIG List?

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

Provider Trust

MAY 18, 2022

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.”. Moon , for submitting claims while excluded from March 2006 through July 2013.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

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