MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Verisys

NOVEMBER 14, 2023

Primary source verification must be done to confirm a provider’s education, professional license and certifications, medical training, work history, references, and more. Provider information should be continuously monitored for any changes to exclusion or license status.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Verisys

JANUARY 18, 2022

Primary source verification must be done to confirm a provider’s education, professional license and certifications, medical training, work history, references, and more. Provider information should be continuously monitored for any changes to exclusion or license status. ISO 27001:2013 (information security).

Licensing 52

Licensing Medicaid Medicaid Governance 52

Pharmacy Law Blog

MARCH 13, 2018

The federal judge refused the dismissal on the grounds that the government had sufficiently backed its allegations against both the company and its owner. The government had also adequately backed its allegations that RS knew it had been overpaid but had made no attempt to refund the difference to Tricare, according to the judge.

Fraud 52

Fraud Governance Licensing FDA 52

Healthcare Law Blog

MAY 31, 2022

The healthcare system in the United States is governed by an expansive network of state and federal laws, including the aforementioned HIPAA regulations. For example, services that are billed to Medicaid or Medicare must comply with regulations that may not apply to services that are paid for in cash. Healthcare Laws. 1, 2021). [2]

FDA 90

FDA HIPAA Medicare Medicare 90

HIPAA Journal

JULY 24, 2023

This section relates to the “Exclusion of Certain Individuals and Entities from Participation in Medicare and State Health Care Programs”, which – although effective since the passage of the Medicare-Medicaid Anti-Fraud and Abuse Amendments in 1977 – had never been properly enforced due to a lack of resources.

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIPAA Journal

MAY 30, 2023

UFCW Local 2013 Health and Welfare Fund Catholic Managed Long Term Care, Inc Hicksville UFSD Nassau County Uniformed Fire Alarm Dispatchers Benevolent Association Centerlight Healthcare, Inc. The types of compromised information varied from individual to individual. Town Of Hempstead CareConnect Insurance Company Healthplex, Inc.

Health Insurance 99

Health Insurance Medicaid Medicaid Ransomware 99