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 92

HIPAA Fraud Health Insurance Medicaid 92

Health Law Advisor

FEBRUARY 10, 2023

The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. Not insignificantly, recoveries in declined cases led the way in all fraud recoveries, not just in health care. 1] While total recoveries exceeded $2.2 Last year, $1.2

Fraud 52

Fraud COVID-19 Governance Medicaid 52

The Health Law Firm

MARCH 7, 2013

AdvanceMed Corporation, an NCI company, was named the Zone 5 Program Integrity Contractor (ZPIC) for the Medicare and Medicaid programs, in December 16, 2009. As the ZPIC for Zone 5, AdvanceMed has been performing benefit integrity activities aimed to reduce fraud, waste and abuse in Medicare and Medicaid data matching programs.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

The Health Law Firm

AUGUST 19, 2013

The nonprofit organization is accused of fraudulently billing Medicaid and other government programs for health services provided by some of its Texas clinics between 2003 and 2009, according to the DOJ. Indest III, J.D., Board Certified by The Florida Bar in Health Law Planned Parenthood Gulf Coast recently paid $4.3

Medicaid 40

Medicaid Medicaid Fraud Governance 40

MedTrainer

JANUARY 12, 2024

Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance in healthcare began to encompass billing, fraud, and abuse prevention. Compliance efforts shifted toward protecting patient information.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Hall Render

FEBRUARY 27, 2023

This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Health Care Fraud Actions Medicaid. The Medicaid program was a target in 2022. COVID-10 Related Fraud. It also recovered $70.7 A pharmaceutical company paid $843.8

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

AIHC

APRIL 10, 2024

Since 2009, HITECH has given “teeth” to HIPAA law. This act was signed into law by President Obama back in 2009. Does your organization have materials for patient education and risks of identity theft and medical fraud? This information is not all-inclusive and is not intended as consulting or legal advice.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99