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. Law enforcement agencies have ramped up the pressure on telehealth fraud, particularly amid the COVID-19 pandemic. According to a statement released by the U.S.

Doctors 149

Doctors Fraud COVID-19 Medicare 149

HIPAA Journal

APRIL 23, 2024

The HHS Office of Inspector General (HHS-OIG) has issued a warning to the public about a fraud scheme that targets Medicare enrollees and involves them setting up monthly payments for medically unnecessary remote patient monitoring (RPN). According to the National Association of Accountable Care Organizations (NAACOS), around $2.8

Medicare 52

Medicare Medicare Fraud HIPAA 52

HIPAA Journal

FEBRUARY 22, 2022

The breach came to light in June 2021 when files stolen in the attack were posted on the Marketo dark web leak site. Databreaches.net spotted the leaked data on the Marketo data leak site in June 2021 and contacted Sea Mar.

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Fraud HIPAA 107

HIPAA Journal

APRIL 20, 2022

The notification letters, a copy of which was found on the Montana Attorney General website , state that the company recently became aware that an unauthorized individual had gained access to its system on or around October 17, 2021, and may have accessed “a limited amount of data stored on our systems.”.

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US Department of Health and Human Services Fraud HIPAA 136

HIPAA Journal

JANUARY 16, 2023

A settlement proposed by Rehoboth McKinley Christian Health Care Services to resolve claims related to February 2021 cyberattack has been approved by a New Mexico federal judge. Patients were notified about the data breach in May 2021. In June 2021, a lawsuit – Charlie et al. District Court Judge Steven C.

Fraud 95

Fraud Health Insurance HIPAA Hospitals 95

HIPAA Journal

MARCH 11, 2022

Legal action is being taken against Logan Health and subsidiary, sister, and related entities of Logan Health over a data breach that occurred in 2021 and affected 213,543 Logan Health Medical Center patients. The class action lawsuit was filed in the U.S.

HIPAA 110

HIPAA Health Insurance Medical Billing Fraud 110

HIPAA Journal

JANUARY 10, 2023

An external investigation into credit card fraud pointed to Captify Health as the source of a data breach. Captify Health was informed in March 2021 about the potential breach and conducted an internal investigation, with assistance provided by a third-party digital forensics firm.

HIPAA 97

HIPAA Doctors Fraud Compliance 97

HIPAA Journal

SEPTEMBER 29, 2022

The investigation suggested the attackers were not interested in obtaining patient information, rather this was an attempted business email compromise attack to commit business fraud against TCCSC; however, the theft of patient data could not be ruled out.

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Health Insurance Medicare Medicare Fraud 105

Healthcare IT News - Telehealth

OCTOBER 28, 2020

"Mass adoption of this technology will lead to new cybercrime focus, with an emphasis on stealing patient data to enable fraud, target health data in ransomware attacks, trick patients in social engineering schemes, and target remote patient monitoring devices," wrote the report authors.

Ransomware 149

Ransomware Fraud Telemedicine COVID-19 149

HIT Consultant

AUGUST 19, 2021

What You Should Know: – Today Semafone , a provider of data security solutions for call and contact centers, has announced an integration with EHR provider Epic to protect payment data and enhance the patient experience.

Fraud 52

Fraud HIPAA Governance Compliance 52

HIT Consultant

MAY 9, 2023

During the month of the breach, a cybercriminal was able to access various confidential files, including patient data such as names, contact details, treatments, diagnoses, patient account numbers, their dentist’s names as well as billing details and health insurance data. As a result, patients feared an increased risk of fraud.

Ransomware 95

Ransomware Fraud Health Insurance HIPAA 95

Med-Net Compliance

OCTOBER 18, 2022

The government alleged in court documents that the defendant diverted opiates in 2021 while working at multiple healthcare facilities. Another diversion occurred in October 2021 at a different nursing home, where the defendant worked as a traveling nurse. A subsequent diversion occurred in November 2021 at yet another nursing home.

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Nurses Nursing Homes Fraud Hospitals 59

Med-Net Compliance

JUNE 27, 2022

A Montana nurse accused of stealing opiates from multiple healthcare facilities in 2021 admitted to criminal charges. The government alleged in court documents that the nurse diverted opiates in 2021 while working at three facilities. In June 2021, a community hospital manager reported the theft of oxycodone tablets from the hospital.

Nurses 59

Nurses Hospitals Fraud Governance 59

AIHC

MAY 31, 2022

Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. To combat fraud and abuse, all levels within a medical practice, hospital or health care organization must know how to protect the organization from engaging in abusive practices and violations of civil or criminal laws.

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Fraud Compliance Officers Compliance Medicare 52

Verisys

FEBRUARY 24, 2023

Her X-ray technician tries to send her results to her primary care physician, but because the primary care physician just recently set up his practice, the technician can’t find the current contact information. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

Fraud 52

Fraud Doctors Governance Licensing 52

Verisys

FEBRUARY 24, 2023

Her X-ray technician tries to send her results to her primary care physician, but because the primary care physician just recently set up his practice, the technician can’t find the current contact information. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

Fraud 52

Fraud Doctors Governance Licensing 52

HIPAA Journal

SEPTEMBER 28, 2022

Wolfe Clinic used the myCare Integrity medical records platform, which was accessed by an unauthorized party on or around December 4, 2021, who deleted databases and system configuration files. The attack exposed the protected health information of 542,776 current and former Wolfe Clinic patients. million patients.

Electronic Medical Records 73

Electronic Medical Records Ransomware Fraud HIPAA 73

HIPAA Journal

NOVEMBER 16, 2022

Suspicious activity was detected within its email environment on December 16, 2021, passwords were changed to prevent further unauthorized access, and third-party cybersecurity experts were engaged to investigate the unauthorized activity. Notification letters were sent to affected individuals on October 31, 2022.

HIPAA 83

HIPAA Licensing Health Insurance Fraud 83

HIPAA Journal

MAY 18, 2023

Affected individuals have been offered complimentary credit monitoring, fraud assistance, and remediation services for 12 months. The journalist requested information subject to the Inspection of Public Records Act and was sent a spreadsheet that included all deaths in New Mexico from January 2020 to December 2021.

Ransomware 70

Ransomware Fraud HIPAA Health Insurance 70

HIPAA Journal

OCTOBER 10, 2022

According to the breach notice, a presentation was emailed to the DHS Children’s Long-Term Support Council in April 2021 that contained protected health information. Smith, Gambrell & Russell, LLP: Files Potentially Stolen in 2021 Data Breach. It was confirmed that the attacker accessed its network and may have removed files.

Medicaid 55

Medicaid Medicaid Governance Fraud 55

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. Read a summary.

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

Hall Render

APRIL 6, 2022

In 2021, the Seventh Circuit Court, in United States ex. 2021); 551 U.S. Regarding the PBM’s adoption of this definition, the Court stated that this may not serve as the basis of a fraud claim under the FCA. Your primary Hall Render contact. Background. SuperValu Inc., of America v. 4th 455 (7th Cir.

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Medicare Medicare Medicaid Medicaid 72

Healthcare Law Blog

NOVEMBER 30, 2022

Despite the current trend towards relaxing previously stringent regulations on exposure and contact, many providers and patients prefer telehealth services as the primary method of treatment. Representatives in the House introduced the Ensuring Telehealth Expansion Act of 2021 in January of 2021.

Medicare 52

Medicare Medicare COVID-19 Fraud 52

HIPAA Journal

DECEMBER 23, 2022

The compromised data included names, contact IDs, and information provided during health assessments. Affected providers started to be notified in March that hackers had gained access to its databases in December 2021. More than 35 of the company’s clients were affected, many of which were health plans. Million Records.

HIPAA 79

HIPAA Ransomware Health Insurance Compliance 79

Health Law Advisor

AUGUST 25, 2023

These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. Please contact Arthur J. The regulations were finalized in December 2022, with an effective date of March 28, 2023, and an enforcement moratorium that has just ended.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

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.

HIPAA 98

HIPAA Governance Public Health Fraud 98

C&M Health Law

JANUARY 25, 2023

For more information, or to better understand how the Act impacts your organization, please contact the professionals listed below, or your regular Crowell & Moring contact. hospitalizations and emergency department visits) and to audit Medicare claims to assess potential fraud.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Verisys

MARCH 24, 2022

In 2021, OFAC shared publicly 20 enforcement actions, spanning 13 different sanctions totaling $20.8 Consumers requesting the removal of incorrect information should contact the issuing credit reporting agency or bureau. Risks for Organizations Who Don’t Check the OFAC Sanctions List. businesses and other domestic organizations.

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ACA Compliance Governance Medicaid 52

Hall Render

DECEMBER 6, 2022

As part of the final regulations released by the Centers for Medicare & Medicaid Services (“CMS”) effective January 19, 2021, CMS finalized a new exception for arrangements where an entity pays a physician less than $5,000 over the course of a calendar year in exchange for items or services. New Exception for Limited Remuneration.

COVID-19 40

COVID-19 Hospitals Overpayments Overpayment 40

Hall Render

MARCH 11, 2022

Virus hospitalizations at lowest point in Alabama since 2021. AdventHealth’s operating income nears $1B in 2021. Kentucky clinic owner sentenced to 10-plus years for fraud. 12 physicians sentenced to prison for $250M billing fraud. Agency staff cost New Jersey hospitals $670M in 2021. Double dipping scheme.’

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

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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Nursing Homes COVID-19 US Department of Health and Human Services Nurses 40

Hall Render

JULY 12, 2023

If you have any questions, would like assistance preparing public comments, or would like additional information about this topic, please contact: Sean Fahey   at sfahey@hallrender.com or (317) 977-1472; Robert W. Markette, Jr.,

Medicare 40

Medicare Medicare Nursing Homes Fraud 40

Hall Render

NOVEMBER 28, 2023

7,215 2021 5,532 77.5% Due to CMS’s increasing concern “about program integrity issues within the hospice community, particularly (though not exclusively) potential and actual criminal behavior, fraud schemes, and improper billing,” it proposed to increase the risk screening category into which hospices were placed.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

JANUARY 7, 2022

Inflation jump took a bite out of 2021 physician compensation. Empower Healthcare to pay $1 million penalty in Medicaid fraud settlement. fraud case in Arkansas. Number of COVID Patients in CT Hospitals Grows, Healthcare Workers Contacting Virus. The Top 10 Georgia health care stories of 2021. Former N.J.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

MAY 20, 2022

UAMS Study Found Large Segment of Arkansans Still Susceptible to COVID-19 in Late 2020, 2021. These were Idaho’s five leading causes of death in 2021. hospital revenue jumped 9% in fiscal 2021, says report. hospital revenue jumped 9% in fiscal 2021, says report. Arkansas Gets $3.9M Million COBRE Grant Extension.

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COVID-19 Nursing Homes Nurses Hospitals 40

Health Law Advisor

MARCH 7, 2023

These types of relationships can raise unique fraud and abuse issues and therefore require careful planning and structuring. 19, 2021), [link] [6] U.S. 15, 2021), [link] [7] U.S. Will DEA suggest through its guidance any guardrails for the industry to consider? Impact on Pharmacies. 15, 2022), [link]

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Hall Render

APRIL 29, 2022

Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Owners Of Behavioral Health Companies Sentenced For Medicaid Fraud. NYC Tackles Long COVID with Three ‘Centers of Excellence’ County health department offers guidance as New York ends COVID-19 contact tracing. MASSACHUSETTS. NEW HAMPSHIRE.

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COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40