Remove 2019 Remove Fraud Remove Governance Remove Public Health
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Healthcare Organizations Warned About Evil Corp. Cybercrime Syndicate

HIPAA Journal

The Health Sector Cybersecurity Coordination Center (HC3) has issued a warning to the healthcare and public health sector (HPH) about one of the most capable and aggressive cybercrime syndicates currently in operation – Evil Corp.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

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Migraine Company Fails to Avoid Own Headache: Jet Medical and Others to Pay $745,000 to Resolve Allegations that Medical Device was not Approved or Cleared before Commercialization

Healthcare Law Today

The government alleged that, between April 2014 and April 2019, Jet Medical introduced devices into interstate commerce that were misbranded under the Federal Food, Drug and Cosmetic Act (FDCA) because Jet Medical did not obtain approval or clearance from the U.S. Food and Drug Administration (FDA) prior to distribution.

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Editorial: Time to Stop Blocking a National Patient Identifier System

HIPAA Journal

health system, not for any form of control, government interference in healthcare, or any other nefarious purpose, but to address a pressing public health and safety issue: To ensure patients can be reliably and accurately connected with their health information. In 2019, Senator Rand Paul (R-KY), son of Rep.

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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

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California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.

Kaiser Health News

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. What happened in the two years between the contract award and the start of the program is a case study in what can go wrong when government outsources core functions to the private sector. SACRAMENTO, Calif.

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Part 2: Understanding How Payers Deny Claims

AIHC

Government Accountability Office (GAO), improper payments have been estimated to total almost $1.7 trillion government-wide from fiscal years 2003 through 2019. Auditing and denying claims after the claims have been paid is “big money” for the government. According to the U.S.