MedTrainer

OCTOBER 4, 2023

To ensure organizations meet these standards, federal healthcare compliance requirements have been put in place. These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. What Are Federal Healthcare Compliance Requirements?

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Healthcare Compliance Blog

JANUARY 25, 2022

A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. Discussion Points: Review your policy and procedure for preventing and reporting false claims, kickbacks, or other fraud, waste, and abuse violations.

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Med-Net Compliance

JULY 26, 2022

billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes. In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds.

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AIHC

AUGUST 30, 2023

Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If Have you thought of Telemedicine or Telehealth

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Medisys Compliance

JANUARY 30, 2023

Let us discuss the top compliance issues in the medical billing industry, shall we? Medical billing companies and healthcare providers that participate in these programs must comply with a variety of regulations, including billing and coding guidelines, documentation requirements, and fraud and abuse laws.

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Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

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Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. Nine Responsibilities of Healthcare Compliance Officers.

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Healthcare IT Today

AUGUST 31, 2020

in March, telemedicine quickly became the go-to-approach for most medical visits as it offered a solution that allowed effective care without risk to patients or providers. The following is a guest article by Dr. Waseem Ghannam, co-founder of TeleHealth Solution. When the COVID-19 pandemic began in the U.S.

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The Health Law Firm Blog

JULY 20, 2023

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

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YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. As FWA continues to emerge, and poses more of a risk to organizational compliance, professionals should become familiar with some of the potential areas of noncompliance associated with telehealth.

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The Health Law Firm Blog

APRIL 24, 2022

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

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Health Law Advisor

MARCH 7, 2023

The proposed rules are more restrictive than the DEA emergency waivers under which providers conducted telemedicine prescribing for the last three years, but are less restrictive in comparison to the pre-PHE regulations applicable to telemedicine prescribing of controlled substances under the federal Controlled Substances Act (“CSA”).

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YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. As FWA in telehealth continues to emerge, and poses more of a risk to organizational compliance, professionals should become more familiar with it – and then work to curb it.

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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.

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Healthcare IT News - Telehealth

APRIL 18, 2022

As outlined in the settlement agreement , PPOA is accused of using telemedicine during the COVID-19 pandemic to allegedly try and compensate for revenue lost from elective services. "Shortly thereafter, PPOA instructed medical providers to begin seeing patients by telemedicine twice a month." WHY IT MATTERS.

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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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Health Care Law Brief

JUNE 2, 2022

For the reasons discussed below, DTC telehealth platforms should re-visit their compliance plans and be prepared for increased state and federal regulatory scrutiny. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models.

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YouCompli

JULY 12, 2022

Allegedly, the medical practice instructed providers to begin seeing patients by telemedicine twice a month and to subsequently bill for evaluation and management (E/M) services. The increased number of E/M telemedicine visits was designed to make up for lost revenue from the cancellation of elective interventional pain procedures.

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AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services.

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Health Law Blog

OCTOBER 29, 2018

IT Donation to Facilitate Telemedicine Consultations – Low Risk of Fraud says OIG. The OIG’s analysis and conclusion of the Proposed Arrangement provides new insight into the government’s position on these type of donations that facilitate telemedicine encounters. The Office of Inspector General (“OIG”) of the U.S.

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Medisys Compliance

OCTOBER 20, 2023

Regular Compliance Audits: Conducting regular audits to assess coding accuracy and compliance with payer regulations helps identify and rectify potential billing errors before they lead to denials or penalties. Staying current with industry updates and regulatory changes is vital to ensure compliance and maximize revenue.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Healthcare IT Today

NOVEMBER 19, 2020

The following is a guest article by Donna Thiel, Chief Compliance Officer at ProviderTrust. Although there may be numerous benefits to using telehealth services, patients and providers should also consider the substantial telehealth risks involved.

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Healthcare Law Today

DECEMBER 12, 2022

In this episode of Health Care Law Today, Nate Lacktman and Maureen Stewart are joined by Mark Josephs, Deputy General Counsel of LifeMD to discuss the current regulatory and legal environment for telemedicine companies regarding online subscription services, and the recent investigations by the federal government of these services.

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Healthcare Law Blog

DECEMBER 12, 2022

Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. Although it is likely the PHE will be extended again, providers should focus on compliance as it will eventually reach an end. in healthcare fraud for fraudulent telemedicine schemes.

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Hall Render

JANUARY 11, 2023

For example, reimbursement under Medicare and Medicaid for certain telemedicine services was significantly increased due to the COVID-19 pandemic. The post Updated Compliance Tool for Developers of Mobile Health Apps appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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Verisys

JANUARY 25, 2023

While sanctions lists are constantly evolving and expanding, compliance with Health and Human Services (HHS) Office of Inspector General (OIG) standards are becoming more stringent. An effective compliance program should screen and verify both employees and entities before engaging in business.

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Health Law Advisor

MARCH 1, 2023

Last July, the Department of Health and Human Services’ Office of Inspector General (“OIG”) published a Special Fraud Alert detailing high-risk activities conducted by telehealth providers and has, to date, indicted 31 telehealth providers alleging various health care fraud and abuse schemes. 18 U.S.C. § Under 21 U.S.C. §

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Health Care Law Brief

JULY 21, 2022

On July 20, 2022, the Office of Inspector General for the Department of Health and Human Services (“ OIG ”) issued a special fraud alert (“ Alert ”) advising “practitioners to exercise caution when entering into arrangements with purported telemedicine companies.” OIG Flags Seven Characteristics of Telehealth Fraud.

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Hall Render

SEPTEMBER 15, 2022

This study comes on the heels of a recent Press Release issued July 20, 2022 (“Press Release”), in which the Department of Justice (“DOJ”) announced criminal charges against 36 defendants in 13 federal districts across the United States largely alleging fraud in the telemedicine space. Inspector General Christi A.

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Healthcare IT Today

JANUARY 2, 2023

Healthcare is the number one type of data hackers set their sites on, and healthcare identity fraud is prevalent. Compliance with the new framework should be another evaluation factor for an organization’s third-party vendors. Chandra Kalle, VP of Security & Compliance at LeanTaaS. to version 2.0 during 2023.

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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. million from Medicare, ChampVA, and insurance using a scheme of telemarketing, telemedicine, and multiple DME providers or “store fronts.”. In total, Mr. Truglia and his co-conspirators collected approximately $18.5

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HIT Consultant

DECEMBER 18, 2023

This became possible thanks to electronic health records, telemedicine, and cloud solutions. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands.

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Healthcare IT Today

DECEMBER 15, 2023

This became possible thanks to electronic health records, telemedicine, and cloud solutions. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands.

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Healthcare IT News - Telehealth

NOVEMBER 22, 2021

A survey put forward by the national healthcare, life science and workforce management law firm Epstein Becker Green found that telemental health services have increased in quantity this year – as have fraud-related enforcement actions at the state and federal levels. For instance, it cited efforts this year from the U.S.

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Healthicity

SEPTEMBER 30, 2022

The explosion of telehealth since 2020 means auditors, compliance managers, and regulators are scrambling.

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Provider Trust

FEBRUARY 3, 2023

Hosted by Co-Founder of ProviderTrust Michael Rosen and Chief Compliance Officer Donna Thiel, our webinar outlined various factors affecting the healthcare space in the new year, from staffing strikes to increased scrutiny around private equity investment firms. What does this mean for compliance and oversight or management of these risks?

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Healthcare Law Blog

JULY 25, 2022

Department of Health and Human Services’ Office of Inspector General (OIG) issued a Special Fraud Alert warning physicians and other practitioners to exercise caution when entering into telemedicine arrangements that have certain suspect characteristics. billion in alleged fraudulent telemedicine schemes. for more than $1.2

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