Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Healthcare IT News - Telehealth

APRIL 10, 2019

Hundreds of thousands patients were lured into worldwide criminal healthcare fraud schemes involving telemedicine and durable medical equipment (DME) executives, according to the FBI and Department of Justice. WHY IT MATTERS. billion in losses. ON THE RECORD.

Fraud 156

Fraud Telemedicine Medicare Medicare 156

Verisys

NOVEMBER 8, 2023

The UPIN Registry ended in 2007 in favor of the standardized NPI. The UPIN Registry was discontinued in 2007 when CMS replaced UPINs with NPI numbers as the preferred provider identification number. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud.

Fraud 97

Fraud HIPAA Medicare Medicare 97

Verisys

FEBRUARY 1, 2022

The UPIN Registry was discontinued in 2007 when CMS replaced UPINs with NPI numbers as the preferred provider identification number. In addition to the primary and selected taxonomies, the NPPES search will also return the state code and license number associated with the taxonomy. NPI Helps Prevent Healthcare Fraud .

Fraud 52

Fraud Medicare Medicare HIPAA 52

Innovaare Compliance

FEBRUARY 9, 2021

Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. Mismanagement of appeals and grievances can lead to severe penalties, such as lower Medicare star ratings, on the moderate side, while contracts and licenses can be cancelled, at the extreme end of the spectrum.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Drug & Device Law

AUGUST 8, 2022

For qualified IMGs, it issues a certification, which IMGs can then use to apply to residency and other graduate medical education programs and to apply for state medical licenses. The unfortunate truth is that ECFMG was also a victim of this fake doctor’s fraud. Typically overblown MDL claims for “fraud” and “conspiracy” also failed.

Doctors 52

Doctors Fraud Licensing Compliance 52

Drug & Device Law

MARCH 7, 2022

544 (2007), and Ashcroft v. Here, Plaintiffs fail to supply factual support showing Defendant acted with “oppression, fraud, or malice,” relying instead upon conclusory allegations. Punitive damages are available when the evidence shows that the defendant acted with fraud, malice, or gross negligence. . . . [T]he 2, 2020). “In

Fraud 59

Fraud FDA Licensing Pharmaceutical Industry 59