The Health Law Firm Blog

JUNE 1, 2023

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

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The Health Law Firm Blog

MARCH 7, 2022

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

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The Health Law Firm Blog

APRIL 20, 2023

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

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The Health Law Firm Blog

JANUARY 24, 2022

Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D.,

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Healthcare IT News - Telehealth

MAY 13, 2022

The owners of a national telehealth company pleaded guilty this week to charges of conspiracy to violate the federal Anti-Kickback Statute and to commit healthcare fraud. According to a statement released by the U.S. " WHY IT MATTERS. Generally, that amount ranged from $20 to $30 per consultation.

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Florida Health Care Law Firm

DECEMBER 7, 2021

Telemedicine pharmacy arrangements continue to be of significant interest to fraud enforcement. The federal jury trial in the billion-dollar telehealth pharmacy fraud scheme resulted in conviction on 22 counts of mail fraud, conspiracy to commit health care fraud and introduction of misbranded drugs into interstate commerce.

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Hall Render

FEBRUARY 4, 2022

billion from False Claims Act (“FCA”) cases in the federal fiscal year 2021, “the second largest annual total in False Claims Act history” and more than doubling the FCA recoveries for the DOJ from fiscal year 2020. Whistleblowers themselves received $237 million in 2021. Health Care Fraud Actions.

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Bill of Health

FEBRUARY 21, 2024

If regulating reproductive care to insert legislators’ values in the place of doctors’ expertise sounds familiar, that’s because it reads like a page straight out of the anti-abortion playbook’s targeted restrictions on abortion providers or TRAP laws. A recently introduced federal fertility fraud bill is a prime example.

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Healthcare IT Today

MARCH 6, 2024

According to a report from the Office of the National Coordinator for Health Information Technology, as of 2021, 96% of non-federal acute care hospitals and 78% of office-based physicians have adopted certified EHR technology. Clinical Decision-Making – A doctor might rely on lab results stored in the EHR to make a diagnosis.

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HIPAA Journal

JANUARY 10, 2023

Captify Health prepares patients for their colonoscopy procedures by providing the colonoscopy preparation products recommended by doctors through its Your Patient Advisor service. An external investigation into credit card fraud pointed to Captify Health as the source of a data breach.

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Healthcare IT News - Telehealth

DECEMBER 13, 2021

"This forward-looking bill, based on expert, independent recommendations, provides clarity, certainty, and a foundation for building a telemedicine system that expands access, preserves patient choice, and includes basic safeguards against fraud and exploitation," said Doggett. WHY IT MATTERS. Mike Kelly, D-Pennsylvania.

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Health Populi

JANUARY 5, 2021

Shkreli was ultimately convicted on securities fraud (not related to the Draprim pricing strategy). 10 – Medical staffing companies cut doctors’ pay while spending millions on political ads. #9- 8 – These towns trusted a doctor to set up COVID testing; sample patient fee = #1,944. #7 a pill to $750 a pill.

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Healthcare Compliance Blog

MARCH 2, 2022

An indictment was filed on February 25, 2022, against ten persons in Florida for their alleged roles in a $67 million healthcare fraud, wire fraud kickback, and money laundering scheme. The defendants allegedly paid kickbacks and bribes to telemedicine companies in exchange for doctors’ orders for tests and durable medical equipment.

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Med-Net Compliance

SEPTEMBER 23, 2022

From February 2019 to April 2021, certain individuals and entities — including marketing, physician recruiting, and telemedicine companies — developed a scheme that targeted the Medicare and Medicaid programs to obtain millions of dollars in reimbursements from those programs. He did not see or communicate with any of them.

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Verisys

FEBRUARY 24, 2023

At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. It will take months for her to recover, and as she does, Sue will visit multiple clinics and doctors. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

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Verisys

FEBRUARY 24, 2023

At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. It will take months for her to recover, and as she does, Sue will visit multiple clinics and doctors. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

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Healthcare IT Today

DECEMBER 15, 2023

Doctors remotely manage patient data without being tied to a specific medical facility. In contrast, Electronic Medical Records capture information about specific visits to a doctor or medical facility, circulating within one institution. Simply open a mobile app and download the report to your smartphone.

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YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Read a summary.

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HIT Consultant

DECEMBER 18, 2023

Doctors remotely manage patient data without being tied to a specific medical facility. In contrast, Electronic Medical Records capture information about specific visits to a doctor or medical facility, circulating within one institution. Simply open a mobile app and download the report to your smartphone.

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Healthcare IT Today

FEBRUARY 17, 2023

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Conventional fee-for-service payments, which reimburse a doctor for each visit or other intervention, are hard enough to investigate. They expect to recoup 4.7 billion dollars through this program.

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YouCompli

JULY 12, 2022

National fraud takedown: $1.1 In Fall 2021, the U.S. Department of Justice (DOJ) announced a national health care fraud enforcement action involving over $1.4 This announcement included nationwide criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals.

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Healthcare IT Today

MARCH 26, 2023

from 2021 to 2022. Patients are feeling the pain of prescription renewals , according to a DrFirst survey of 400 consumers; 44% worry about the health impact of running out of medication, while 24% considered changing doctors (or did change) because of prescription renewal delays. Among all physicians, pay actually decreased 2.4%

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HIT Consultant

SEPTEMBER 9, 2021

According to Accenture’s 2021 Digital Health Tech Vision report, 93% of health executives said their organizations are prioritizing urgent innovations this year; meanwhile, 81% said the pace of innovation is picking up in their organizations. billion went to healthcare startups during the first quarter of 2021 alone. An estimated $6.7

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Hall Render

APRIL 26, 2024

area health system chief leaving for post in Florida Supreme Court will not hear D.C. biotech’s patent infringement appeal A D.C. in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St. health dept. processed 1.5

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Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Kaiser Health News

APRIL 8, 2022

Magellan was supposed to take over the drug program in April 2021. It earned 11% of its revenue from California businesses in 2019, according to its 2021 annual report to the U.S. State regulators reviewed the merger in a 30-minute public hearing in October 2021. But on Jan. Centene provides health coverage for about 1.7

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AIHC

MAY 7, 2024

Payers are already implementing AI as a solution to deny inappropriately coded claims and detect potential fraud and abuse. How Cigna saves millions by having its doctors reject claims without reading them. What do scrubbers do in revenue cycle management? ProPublica. The foundations of AI are riddled with errors.

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Hall Render

SEPTEMBER 29, 2023

million into USF Health’s new nursing simulation lab UF Health to open ER in former Lake County CVS Nurse Practitioner Convicted of $200M Health Care Fraud Scheme Florida joins 3 other states in adopting new, paid maternity leave for state workers GEORGIA Albany nonprofit addresses medical debt with D.C. officials, helps South Ga.

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Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.

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Hall Render

OCTOBER 27, 2023

Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

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YouCompli

APRIL 13, 2022

In February of 2021, a Florida pain clinic resolved allegations of illegal inducements by agreeing to a settlement requiring the clinic to pay $1.6 The doctor also agreed to be excluded from participation in any federal healthcare program for three years followed by an OIG Integrity Agreement for another three years. million dollars.

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Hall Render

JANUARY 21, 2022

Ransomware: 2,300+ local governments, schools, healthcare providers impacted in 2021. Alabama doctors advance organ transplantation with gene-edited pig kidneys. Arizona Health Care System Can’t Take Much More, Current Surge Has Yet to Peak: Doctor. Nursing home industry reacts to health care worker vaccine mandate.

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HIPAA Journal

FEBRUARY 24, 2023

Then in 2021, House and Senate appropriators removed the language from the appropriations bill – a move widely applauded by many healthcare stakeholder groups – to allow this long-standing issue to be addressed and permit the HHS to start exploring potential methodologies for introducing a national patient identifier. ” Sen.

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Hall Render

MARCH 25, 2022

Most doctors have patients affected by social drivers but feel ill-equipped to address them, survey finds. Health data breaches swell in 2021 amid hacking surge, POLITICO analysis finds. Doctors see surge in patients seeking routine care as pandemic shifts. Iowa 6th best state for doctors. CONNECTICUT.

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HIPAA Journal

DECEMBER 23, 2022

Affected providers started to be notified in March that hackers had gained access to its databases in December 2021. The Florida-based healthcare provider, Broward Health, reported a breach of the PHI of 1,351,431 patients to OCR on January 2, which was the result of hackers gaining access to its network in October 2021.

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HIPAA Journal

JANUARY 24, 2023

million records in 2021 to 51.9 The theft of protected health information places patients and health plan members at risk of identity theft and fraud, but by far the biggest concern is the threat to patient safety. million records in 2021 due to a ransomware attack. million records in 2022.

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Healthcare IT News - Telehealth

FEBRUARY 10, 2021

" "2021 will show that digital health from the patient and clinician perspective is so much more than video visits and remote patient monitoring." "2021 will show that digital health from the patient and clinician perspective is so much more than video visits and remote patient monitoring.

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Hall Render

JANUARY 28, 2022

Number of Arizona inpatients with COVID up by nearly 50% since end of 2021. Federal officials arrest nursing home owner charged with more than $3M in Arkansas Medicaid fraud. More Civil, Criminal Charges for Former Skyline CEO Accused of Tax and Medicaid Fraud. Iowa surgical group pays $612K to resolve fraud allegations.

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