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.

Medicaid 40

Medicaid Medicaid Medicare Medicare 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 88

HIPAA Fraud Health Insurance Medicaid 88

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

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

HIPAA Journal

OCTOBER 21, 2022

For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing. Only one penalty was issued in each of 2008 and 2009, 2 in 2010, 3 in 2011, and 6 in 2012.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

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