The Health Law Firm

OCTOBER 3, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. The vast fraud scheme totaled $2.1 billion worth of false Medicare and Medicaid claims between July 2018 and January 2019.

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The Health Law Firm

SEPTEMBER 25, 2018

Board Certified by The Florida Bar in Health Law On August 22, 2018, a doctor received a sentence of one year and a day in prison from a New York federal court for his part in a $30 million scheme to defraud Medicare and the state Medicaid program. Indest III, J.D., Lies and Cover-ups.

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Health Populi

MAY 29, 2018

Trust has become a key currency in provider/patient/supplier relationships: 94% of health executives say treating customers as partners is important to gain trust, according to the Digital Health Tech Vision 2018 from Accenture. Finally, the Internet of Thinking rounds out Accenture’s five themes in the 2018 Health Tech Vision.

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HIPAA Journal

OCTOBER 6, 2022

has agreed to settle a class action lawsuit to resolve claims from patients affected by a data breach that was discovered in 2018. In March 2018, LifeBridge Health discovered a malware infection that provided unauthorized individuals with access to a server that hosted its electronic medical records, patient registration, and billing systems.

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HIPAA Journal

DECEMBER 15, 2022

Mulvey, 30, of Grand Island, NY, worked as a registered nurse at Roswell Park between February 2018 and June 2018. On June 27, 2018, Mulvey was observed accessing a medication dispensing machine in a room to which she was not assigned and left carrying a backpack.

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Nurses HIPAA Fraud Licensing 82

HIT Consultant

APRIL 12, 2024

Sharing private medical information with third parties like Google and Facebook without consent is a violation of federal law, specifically Section 5 of the FTC Act and the Opioid Addiction Recovery Fraud Prevention Act of 2018. The potential consequences for patients are life-altering.

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The Health Law Firm

JANUARY 4, 2019

Board Certified by The Florida Bar in Health Law On December 3, 2018, a Florida judge ruled that a Miami businessman who has been jailed for more than two years on $1 billion health care fraud charges, must remain in custody through his trial next year. By George F. Indest III, J.D., US District Judge Robert N.

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The Health Law Firm

MAY 10, 2018

Board Certified by The Florida Bar in Health Law On April 26, 2018, the owner of several Florida pharmacies was sentenced to 15 years in prison and ordered to give up $54.5 Health Care Billing Fraud. By George F. Indest III, J.D., million in restitution. Nicholas A. Borgesano Jr., Borgesano Jr., Click here to read more.

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HIPAA Journal

JULY 25, 2023

Vanderbilt University Medical Center (VUMC) in Nashville, TN, has confirmed that the medical records of transgender patients have been provided to Tennessee Attorney General, Jonathan Skrmetti, in connection with an investigation of medical billing fraud.

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HIPAA Journal

JUNE 15, 2023

A relatively small data breach was reported to OCR on February 28, 2018, by Yakima Valley Memorial Hospital (formerly Virginia Mason Memorial), a 222-bed non-profit community hospital in Washington state. So far this year, penalties totaling $1,901,500 have been imposed by OCR to resolve violations of the HIPAA Rules.

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HIPAA Hospitals Electronic Medical Records Fraud 89

Health Populi

JULY 17, 2018

This and other important questions will be brainstormed on the webcast hosted by Accenture on Wednesday 18 July 2018 as we discuss the five trends that paint the firm’s Digital Health Tech Vision 2018. Finally, the Internet of Thinking rounds out Accenture’s five themes in the 2018 Digital Health Tech Vision.

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HIPAA Journal

MARCH 31, 2023

In 2018, the U.S. The proposed class definitions would allow claims to be submitted by all affected CareFirst customers, even though many of those customers took no steps to mitigate their exposure to identity theft or medical fraud and therefore suffered no Article III injury.

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HIPAA Journal

MARCH 13, 2023

While data misuse has not been detected, as a precaution against identity theft and fraud, affected individuals have been offered complimentary credit monitoring and identity theft protection services for 24 months. Notification letters are now being mailed to all affected individuals.

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Healthcare Compliance Blog

MAY 11, 2022

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more.

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Health Populi

OCTOBER 31, 2018

based healthcare IT leaders for the survey in October 2018. Health Populi’s Hot Points: Unisys published their 2018 Security Index , finding growing global insecurity concerns among consumers about the internet, identity theft and bankcard fraud — ahead of terrorism, natural disaster and epidemic threats.

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CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Fri, 11/16/2018 - 18:46. Fraud, waste, & abuse. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program. Seema Verma.

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Healthcare Compliance Blog

APRIL 6, 2022

Evidence revealed that the nurse failed to administer a total of eight required neurological checks to the patient after he had an unwitnessed fall at the facility on the night of April 12, 2018. on the morning of April 13, 2018, as a result of a subdural hematoma. He was discovered deceased just after 7:00 a.m.

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Healthcare IT Today

DECEMBER 28, 2023

The Challenges of Identity in Healthcare Startling statistics from Verizon Enterprise’s 2018 Data Breach Investigations Report reveal that in 2016, medical records were compromised at a rate nine times greater than financial records. VCs stand as a real-world solution by ensuring the integrity of patient information.

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HIPAA Journal

FEBRUARY 27, 2023

These data breaches include non-malicious snooping on the medical records of colleagues, friends, family members, and high-profile patients, and insider wrongdoing incidents where patient data is stolen for identity theft and fraud or to take to a new employer.

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Healthicity

APRIL 12, 2022

The OIG issued a report in 2018 which revealed an error rate of 31% in billing and coding for telehealth services.

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AIHC

APRIL 5, 2022

Due to the huge volume of claims payers receive to process, deny and pay, they have implemented various methods to track providers to detect potential waste, fraud and/or abuse. They are also a large contributing factor for potential fraud and abuse when documentation does not support the diagnoses reported. They can, sometimes!

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Pharmacy Law Blog

MARCH 13, 2018

fraud suit – judge.” Copyright © 2018 The Health Law Firm. “Florida compounding pharmacy must face U.S. December 4, 2017). The Health Law Firm” is a registered fictitious business name of and a registered service mark of The Health Law Firm, P.A., a Florida professional service corporation, since 1999. All rights reserved.

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Health Law RX

JUNE 27, 2023

The First Circuit placed an onus on the relator to avoid dismissal by showing that the Government’s motion was “transgress[ing] constitutional limitations” or “perpetrating a fraud on the court” ( Borzilleri v. Bayer Healthcare Pharms., 4th 32, 42 (1st Cir.

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McGuire Wood

OCTOBER 2, 2023

According to the DOJ press release, from January 2013 to July 2018, Oliver Street, doing business as U.S. If, however, an institution is concerned that its past practices have violated one of the fraud and abuse laws mentioned above, it may consider three avenues for a self-disclosure. DOJ Voluntary Self-Disclosure.

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Fraud Governance Compliance Medicare 52

HIT Consultant

NOVEMBER 24, 2022

– Delivery model : Whether to ship OTC products to a hearing clinic where the consumer can receive professional diagnosis, fitting and support, or ship directly to the consumer’s home thereby providing convenience but no professional support (and increased fraud risk), or offer both options? – Fraud. Potential pitfalls.

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Healthcare Compliance Blog

APRIL 27, 2022

A robust compliance and ethics program can help identify false claims therefore reducing fraud, waste, and abuse of government funds. Under the False Claims Act, the government is entitled to three times damages and civil penalties ranging from $5,500 and $11,000 for each identifiable claim submitted between Nov.

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Medicaid Medicaid Compliance Governance 59

HIPAA Journal

MAY 5, 2022

BEC/EAC scams involving cryptocurrencies started to be received by IC3 in 2018 when losses of less than $5 million. The FBI says fraudulent transfers were made to banks in 140 countries, with Thailand topping the list followed by Hong Kong, China, Mexico, and Singapore.

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Compliancy Group

JUNE 15, 2023

The Details OCR initiated its investigation into Yakima in May 2018 after receiving a breach notification report that 23 security guards used their login credentials to access patient electronic protected health information (ePHI). Prevent HIPAA Breaches Don’t fall victim to breaches. Protect your business by becoming compliant today!

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HIPAA Compliance Fraud Hospitals 52

Health Populi

APRIL 24, 2018

I covered the launch of the 2018 Edelman Trust Barometer across all industries here in Health Populi in January 2018 , when this year’s annual report was presented at the World Economic Forum in Davos as it is each year. The resulting monetary loss was calculated to be at least $160 mm of fraud in 2017 alone. In the U.S.,

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Healthcare Compliance Blog

MARCH 31, 2022

The DOJ, in coordination with the Medicaid Fraud Control Unit of the Office of the New York State Attorney General, began an investigation after whistleblowers alleged that certain LHCSAs had knowingly defrauded the federal government and New York State by underpaying home health aides in violation of New York’s Wage Parity Act.

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Medicaid Medicaid Governance Fraud 59

Provider Trust

OCTOBER 29, 2021

My favorite memory at ProviderTrust was the holiday celebration in 2018. Being smarter means having the right people seeing patients, limiting fraud and waste, and giving the resources to teams that want to make healthcare better. I know first hand how much we can improve processes and I was excited to share that with others.

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Health Care Law Brief

APRIL 12, 2023

405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Azar , the United States District Court for the District of Columbia held that the “knowledge” standard under the FCA is a more demanding standard of care than the “reasonable diligence” standard under the 60 Day Rule. 3d 173, 191 (D.D.C.

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Florida Health Care Law Firm

FEBRUARY 22, 2022

He has also had assets forfeited since these assets were acquired with money from his ill-gotten fraud scheme. From January 2018 to 2019, this scheme of greed resulted in approximately $12 million in payment to Truglia and his co-conspirators. In total, Mr. Truglia and his co-conspirators collected approximately $18.5

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Med Law Blog

MAY 1, 2023

Tenet went through its own bankruptcy difficulties and, in 2018, sold its remaining Philadelphia assets, i.e. Hahnemann Hospital and St. Hahnemann was acquired by AHERF, the forerunner of Allegheny Health Network, in 1993. Tenet Healthcare bought Hahnemann out of the AHERF bankruptcy in 1998.

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Total HIPAA

FEBRUARY 25, 2020

That same year, the number of organizations that contacted the security firm Emsisoft after ransomware attacks grew to 205,280 — a 41 percent increase from 2018. The agency received 1,493 reports of attacks in 2018, although the number of total incidents is probably higher.². How to Protect Yourself from Ransomware.

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Provider Trust

MAY 18, 2022

The Massachusetts Attorney General had already fined South Bay $4M in February 2018. This action was in addition to the 2018 settlement and sought these additional actions alleging that the clinics named in the complaint suffered significant gaps in licensing and supervision of therapists during the relevant time period.

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Health Blawg

NOVEMBER 15, 2018

36 percent are using AI to detect patterns in health care fraud, waste and abuse. Of those health organizations that are already investing in and implementing AI: 43 percent are automating business processes, such as administrative operations or customer service.

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