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.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Verisys

APRIL 2, 2024

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 Here is a round up of bad actors: Physician Fraud Physician pays $1.8M

Fraud 52

Fraud Telemedicine Licensing Doctors 52

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.

Doctors 145

Doctors Fraud COVID-19 Medicare 145

Healthcare IT News - Telehealth

DECEMBER 13, 2021

The bill, the Telehealth Extension Act , would also end geographic and site restrictions on approved telemedicine services for Medicare beneficiaries. Despite being broadly popular on both sides of the aisle , the geographic- and site-related Medicare provisions the new bill would establish have yet to be enshrined by Congress.

COVID-19 133

COVID-19 Telemedicine Medicare Medicare 133

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.

Medicare 45

Medicare Medicare Fraud Compliance 45

YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. The audit also identified 1,714 providers whose billing for telehealth services for about a half million beneficiaries during the first year of the pandemic posed a high risk to Medicare.

Fraud 52

Fraud Medicare Medicare COVID-19 52

Med-Net Compliance

SEPTEMBER 23, 2022

A physician pleaded guilty in federal court to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid patients in Missouri whom he never met or examined. The physician ordered durable medical equipment and genetic tests for 2,184 Medicare beneficiaries between March 2019 and April 2021.

Fraud 59

Fraud Medicaid Medicaid Telemedicine 59

YouCompli

JULY 12, 2022

In fact, Medicare beneficiaries used telehealth to receive 12 percent of their services during the first year of the pandemic. An initial report from the OIG also notes that, “over 28 million Medicare beneficiaries used telehealth during the first year of the pandemic. This was more than two in five Medicare beneficiaries.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. The audit also identified 1,714 providers whose billing for telehealth services during the first year of the pandemic posed a high risk to Medicare. million in Medicare fee-for-service payments.

Fraud 52

Fraud Compliance Medicare Medicare 52

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

Compliance 52

Compliance Fraud Medicare Medicare 52

Healthcare IT News - Telehealth

SEPTEMBER 2, 2021

Department of Justice announced this week that a Florida laboratory owner had pleaded guilty for his role in a $73 million Medicare kickback scheme. According to the agency , the conspiracy involved paying a telemedicine company to arrange for doctors to authorize medically unnecessary genetic testing. THE LARGER TREND.

COVID-19 121

COVID-19 Medicare Medicare Public Health 121

Verisys

FEBRUARY 23, 2022

The Social Security Act establishes rules for reimbursement from Medicare, Medicaid, and CHIP. The False Claims Act prevents fraud and abuse by making it illegal to file false medical claims. HCO Best Practices Ensure Patient Safety. Healthcare compliance officers are responsible to safeguard patient privacy and safety.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Healthcare Law Blog

FEBRUARY 1, 2023

Congress’s expansion of access to telehealth takes steps to ensure continuity of care for Medicare beneficiaries and provides regulators with additional time to determine which flexibilities will become permanent, indicating a success for the telehealth industry as well as a reminder that there is more legislation to come.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare Health Outcomes 52

Healthcare Law Today

DECEMBER 22, 2022

After three years of operating under these waivers, an abrupt ending to them could cause significant disruption to telemedicine providers and the patients who depend on their care, a concern referred to as the “Telehealth Cliff.”

Telemedicine 119

Telemedicine Fraud Doctors COVID-19 119

Hall Render

JULY 28, 2023

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.

US Department of Health and Human Services 40

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

Verisys

NOVEMBER 20, 2022

If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . Pharma Fraud. Pharma Fraud . Pain management doctor gave patients steroid injections even after patients complained of negative side effects. Pharma Fraud. Fraud Scheme. Fraud Scheme.

Fraud 52

Fraud Medicaid Medicaid Nursing Homes 52

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. 2 orthopedic hospitals facing Medicare readmission penalties. California physician charged with $53M mail fraud and money laundering scheme. CMS bumps ASC payments to 3.8 CALIFORNIA.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. House passes reform to Medicare Advantage prior authorizations. Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say. Massachusetts nurse pleads guilty in $100M fraud scheme. Amazon wants to add payer strategy muscle.

US Department of Health and Human Services 40

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

Hall Render

MAY 13, 2022

Arizona telemedicine company owners admit $64 mln kickback scheme. Prism pays $650K to settle Medi-Cal fraud claims filed in San Diego. Doctor & Nurse Prevail at Trial Over Death of Patient Discharged From GA Emergency Department. What we know about the plans for patients and doctors as Tufts closes its children’s hospital.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

JUNE 30, 2023

after home health provider reneges on Option deal Will the doctor see you now? Here’s why. Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B Maybe not amid the changing healthcare landscape in the US. MedStar Transport Celebrates 40 years of service C.

US Department of Health and Human Services 40

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

Hall Render

DECEMBER 1, 2023

fraud scheme Nursing home must face vaccine-related wrongful firing claim, but not $2M retaliation accusations Transgender woman sues employer, Harvard Pilgrim for discrimination MICHIGAN 48-unit senior housing development could go up next to Vicksburg Halls in Marysville Can ads help a Michigan nursing home fix a staffing crisis?

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

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

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 health care startup Ounce raises $5.2M

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Hall Render

AUGUST 12, 2022

Tenet’s Doctors Medical Center names new CEO. Doctor loses at least four homes, sentenced to federal prison for healthcare fraud amounting to $38M. Broward Health’s top doctor now heads the Florida Medical Association. million in restitution in complex telemedicine fraud scheme.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. health care spending hits $4.5 Accused Of Filing False Claims Settles For $14.7M approval for obstetrics services in Prince George’s County Maryland health system gets state OK for $300M labor, delivery unit Maryland hospitals must pay back millions to poor patients.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

SEPTEMBER 23, 2022

Colorado senior-care company pauses expansion into Indiana after Medicare audit. The Top Doctors Making a Difference in Delaware in 2022. Mercer program puts primary care doctors in rural Georgia faster. million to resolve Medicare fraud claims. Providence announces $712 million expansion in southern California.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

JULY 22, 2022

CMS releases Medicare OPPS and ASC proposed rule. Telemedicine exec among 36 charged in $1.2B cancer, cardio lab fraud. Advocates concerned about Alabama’s telemedicine law. Long Beach Memorial avoids losing Medicare funding after serious patient care lapses. CMS pitches outpatient payment rule. CMS proposes 2.7%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

APRIL 1, 2022

Alaska’s top doctor on living with COVID in the post-restriction era. Fraud plagues California’s hospice industry, audit finds. Court sides with HHS in Indiana hospitals’ challenge to Medicare payment calculation. over MassHealth fraud. Montana Named Fourth Best State for Doctors. seed funding round.

COVID-19 40

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

Hall Render

NOVEMBER 17, 2023

million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% Compensation is key Is spine surgery expansion next for ASCs?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

APRIL 29, 2022

Hospitals sue HHS over Medicare billing calculation. Permanent telehealth expansion could cost Medicare $25B over 1 decade. Q&A: Helping doctors find the leader in themselves to cut burnout. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. MASSACHUSETTS. NEW HAMPSHIRE.

COVID-19 40

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

Hall Render

OCTOBER 14, 2022

Telemedicine regulation more aggressive now than before the pandemic? UAB doctors working to prevent high infant and maternal mortality numbers. Arizona law gives doctors an option for confidential peer support. Indianapolis health care giant must face federal lawsuit alleging Medicare fraud. CONNECTICUT.

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 11, 2022

Amazon’s leaked ‘Clinic’ would connect patients to telemedicine. Physician leaders balk at Medicare 4.48% physician fee cut. DC doctor encouraged by advances in therapies that treat diabetes. Bright Health exiting Florida Medicare Advantage market. Hawaii doctor prevails in high court decision regarding reimbursements.

US Department of Health and Human Services 40

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

Hall Render

JUNE 3, 2022

AHA presses for False Claims Act probes to target payers over Medicare Advantage denials. Doctors, nurses risked their lives to battle COVID. Doctors in Arizona are trying to rewrite the surprise billing law to boost their own pay. Senator asks HHS to keep Laguna Honda Hospital open after losing Medicare funding.

COVID-19 40

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

Hall Render

MARCH 18, 2022

DOJ Settles First Case Under Civil Cyber-Fraud Initiative. California physician, patient recruiter charged with $36M Medicare fraud. This nursing home facility is accused of Medicare fraud. Multimillion-dollar grant aims to keep doctors in Georgia. Rural Michigan embraces telemedicine.

COVID-19 40

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

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

As we begin to emerge from the pandemic, BIDMC staff expect telemedicine to continue at the current volume of 20% of all ambulatory care visits. This significantly reduced hospital admissions and increased the number of patients each doctor could manage at a time. Remote monitoring has also moved into the mainstream.

COVID-19 206

COVID-19 Telemedicine Doctors Hospitals 206

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5% of Health Services announces first-ever chief heat officer Valley exec on track to raise $2B for pediatric health system Gov.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40