Healthcare IT News - Telehealth

APRIL 21, 2022

Attorney's Office for the Eastern District of New York announced Thursday that an orthopedic surgeon had been arrested and charged with healthcare fraud. Federal law enforcement has brought the hammer down on alleged telehealth fraud in several highly publicized cases. " ON THE RECORD.

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Healthcare IT News - Telehealth

JULY 22, 2022

billion in alleged fraud involving telehealth, phony genetic testing and durable medical equipment. "The Department of Justice is committed to prosecuting people who abuse our healthcare system and exploit telemedicine technologies in fraud and bribery schemes," said Assistant Attorney General Kenneth A. WHY IT MATTERS.

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Hall Render

NOVEMBER 1, 2024

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. The doctor received only slightly more than $500,000 in excess payments, which appears minimal compared to other cases that have resulted in prison time.

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American Medical Compliance

MARCH 6, 2025

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. These safe harbors help distinguish lawful financial arrangements from those that could lead to fraud, waste, or abuse.

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HIT Consultant

OCTOBER 29, 2024

For example, payers can create and/or implement models that reduce claims processing times or accelerate fraud detection. For providers, models can streamline clinical diagnosis or assist doctors in obtaining prior authorization, which expedites patient care.

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Healthcare IT Today

FEBRUARY 24, 2021

Doctors don’t seem flustered by bodily fluids or welts–what they dread is the hour-long calls with insurers, trying to persuade them to cover a test or procedure. There has to be some quality monitoring to prevent fraud and upcoding, but a lot of the time, the doctor just hasn’t coded properly or filled out the […].

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Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. A “bag of money” emoji accompanied by a “doctor” emoji is unlikely to satisfy the legal standard for disclosure. We might want to change these interactions, but we don’t have enough doctors to satisfy the demand.

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Fierce Healthcare

APRIL 22, 2023

COVID fraud takedowns: Feds charge 18 people, including doctors, with raking in nearly $500B from scams hlandi Sat, 04/22/2023 - 20:51

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Mobi Health News

MARCH 19, 2021

The SEC has charged uBiome cofounders with defrauding investors and pushing doctors to order unnecessary medical tests. .

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Mobi Health News

OCTOBER 16, 2018

An indictment filed at the District Court of Eastern District Tennessee alleges the parties involved filed false claims for payment, and mislead doctors and patients in order to defraud private health benefit programs.

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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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Fierce Healthcare

OCTOBER 23, 2024

Anthem Blue Cross Blue Shield of New York’s directory of doctors is thoroughly inaccurate and forces patients to seek costly out-of-network care and delay care, a class-action lawsuit alleges.

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Med-Net Compliance

JULY 20, 2022

A federal jury convicted a New York ENT doctor for defrauding Medicare and Medicaid by causing the submission of false and fraudulent claims for surgical procedures that were not performed. Specifically, between January 2014 and February 2018, the doctor billed Medicare and Medicaid approximately $585,000 and was paid approximately $191,000.

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Med-Net Compliance

JUNE 15, 2022

California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. As part of the settlement, the doctor will pay a total of more than $9.48

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Healthcare IT News - Telehealth

AUGUST 11, 2021

Grimm: "It is important that new policies and technologies with potential to improve care and enhance convenience achieve these goals and are not compromised by fraud, abuse or misuse." " DME fraud has been around since Medicare started reimbursing for it, of course. billion, with a B, of alleged fraud.

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The Health Law Firm Blog

JUNE 10, 2023

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the [.] Indest III, J.D.,

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The Health Law Firm Blog

MARCH 16, 2022

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the. Indest III, J.D.,

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The Health Law Firm

AUGUST 18, 2022

Board Certified by The Florida Bar in Health Law On August 12, 2022, a doctor acquitted in a $85 million Medicare fraud scheme filed a motion in the US District Court for the Eastern District of New York requesting prosecutors cover the legal fees and expenses she incurred. Indest III, J.D.,

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The Health Law Firm

FEBRUARY 14, 2022

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the bail condition impeded his ability to practice medicine. Indest III, J.D.,

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Healthcare IT News - Telehealth

SEPTEMBER 12, 2024

Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. The InterSystems integration also allows didgUgo to leverage AI for fraud prevention. Queensland is the remaining Australian state to launch a telestroke service.

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Verisys

DECEMBER 13, 2023

Healthcare Fraud Crackdown! The post Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys appeared first on Verisys. Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Secure your success by choosing Verisys.

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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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HIT Consultant

DECEMBER 18, 2024

Identity theft, fraud, and long-term financial harm are just a few examples of the personal fallout patients may face following a data breach. Moreover, the exposure of this sensitive data erodes the trust patients place in healthcare providersan essential component of the doctor-patient relationship.

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Healthcare Law Today

DECEMBER 22, 2022

Department of Health and Human Services Office of Inspector General (HHS-OIG) Special Fraud Alert on telefraud, and the rise of asynchronous telehealth, among other topics. In July 2022, HHS-OIG published a Special Fraud Alert about arrangements with telemedicine companies to serve as an extra level of guidance to the industry at large.

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Healthcare IT Today

OCTOBER 8, 2021

It’s comedy, so he doesn’t address the real reality of fraud among other things. However, I think he captured how many doctors think about insurance (right or wrong). Glaucomflecken’s latest TikTok is going to rile some people up. He takes on health insurance.

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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.

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The Health Law Firm

JUNE 8, 2012

A federal jury convicted two South Florida doctors, one Miami-area therapist, and two other individuals for their participation in a Medicare fraud scheme. The two doctors and the therapist were each found guilty of one count of conspiracy to commit health care fraud. Indest III, J.D.,

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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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Healthcare IT Today

DECEMBER 17, 2024

Doctors, nurses, and other staff manage enormous quantities of patient data in electronic health records (EHRs), often needing to sift through hundreds or thousands of pages to find the nugget of information they need. It might be someone working at an IRO doing fraud, waste, and abuse review. It could be a researcher.

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Verisys

NOVEMBER 3, 2023

Healthcare Fraud Crackdown! Here is a round up of bad actors: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health Inc. Here is a round up of bad actors: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health Inc.

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The Health Law Firm

OCTOBER 3, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. The vast fraud scheme totaled $2.1 The vast fraud scheme totaled $2.1 Indest III, J.D.,

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The Health Law Firm

OCTOBER 31, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. The vast fraud scheme totaled $2.1 Indest III, J.D.,

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The Health Law Firm

MARCH 14, 2022

According to the indictment, the former eye doctor was charged with fraudulently obtaining government-guaranteed small business loans under the Paycheck Protection Program (PPP) a COVID-19 relief program. Indest III, J.D.,

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The Health Law Firm

OCTOBER 25, 2012

Two South Florida doctors, both former medical directors at the mental health care company American Therapeutic Corporation (ATC), will spend 10 years in prison for their part in a $205 million Medicare fraud scheme. The two doctors were each found guilty of one count of conspiracy to commit health care fraud.

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HIT Consultant

JULY 1, 2024

Rishi Shah, co-founder and former CEO of Outcome Health What You Should Know: – Three former executives of Outcome Health, a Chicago-based health tech startup, were sentenced for their roles in a massive fraud scheme that defrauded clients, lenders, and investors of an estimated $1B. Securities and Exchange Commission.

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The Health Law Firm

SEPTEMBER 25, 2018

Board Certified by The Florida Bar in Health Law On August 22, 2018, a doctor received a sentence of one year and a day in prison from a New York federal court for his part in a $30 million scheme to defraud Medicare and the state Medicaid program. Indest III, J.D., Lies and Cover-ups.

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Med-Net Compliance

JULY 26, 2022

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Often, these test results or durable medical equipment were not provided to the patients or were worthless to their primary care doctors.?. Billion in Healthcare Fraud appeared first on Med-Net.

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