Compliancy Group
FEBRUARY 16, 2024
This month, fraud in the medical industry has been making headlines fairly frequently. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. Each charge also comes with five years probation, while the fraud charge includes 18 months of house arrest.
Health Law Checkup
MARCH 13, 2023
The carrot or the stick … which motivates compliance conduct more? Department of Justice to motivate or cajole corporate compliance. In separate announcements over the past several weeks, DOJ dangled two new “carrots” in front of companies involved in fraud investigations and criminal cases.
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American Medical Compliance
MARCH 13, 2023
The United States Department of Justice charged 36 defendants for healthcare fraud that amounted to over $1 Billion. Healthcare organizations must take all possible steps to prevent instances of fraud. Employees should receive training that educates them on how to identify, report, and combat fraud, waste, and abuse in the workplace.
MedTrainer
FEBRUARY 12, 2024
in settlements and judgments from healthcare organizations accused of filing false claims in fiscal 2022. How are healthcare organizations ensuring compliance and minimizing exposure risks to false claims? We’ll also highlight tools to streamline compliance processes and reduce the risk of potential legal and financial judgments.
HIT Consultant
AUGUST 17, 2023
Erin Rutzler, VP of Fraud, Waste, and Abuse at Cotiviti As behavioral health claim volumes continue to increase, there’s a growing need for health plans to be vigilant in spotting fraud, waste and abuse. But not every plan has access to a large SIU to combat fraud, waste and abuse in behavioral health.
Healthcare Compliance Blog
JANUARY 24, 2022
On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.
Healthcare Compliance Blog
APRIL 29, 2022
On April 25, 2022, a former owner of multiple Texas adult day care centers was sentenced to 60 months in prison and ordered to pay $1,784,817.96 in restitution for her role in healthcare fraud, wire fraud, and theft of government funds. Provide periodic retraining to members of the compliance and ethics committee as well.
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