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HHS watchdog reiterates importance of preventing telemedicine fraud

Healthcare IT News - Telehealth

Department of Health and Human Services' Office of Inspector General recognized telehealth's potential while cautioning that steps must be taken to ensure virtual care will not be compromised by fraud. "OIG is conducting significant oversight work assessing telehealth services during the public health emergency.

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Florida man pleads guilty in scheme exploiting amended telehealth restrictions

Healthcare IT News - Telehealth

According to the agency , the conspiracy involved paying a telemedicine company to arrange for doctors to authorize medically unnecessary genetic testing. "We will continue to support the unprecedented COVID-19 public health effort by holding accountable people who use deceptive tactics to profit from the pandemic," he said.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. Further, Ms.

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Telehealth Enforcement 

YouCompli

National fraud takedown: $1.1 Department of Justice (DOJ) announced a national health care fraud enforcement action involving over $1.4 This announcement included nationwide criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals. In Fall 2021, the U.S.

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies.

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DOJ Recouped $5.6 Billion Under FCA in 2021

Hall Render

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. Health Care Fraud Actions. That figure does not include even more funds recovered for state Medicaid programs.

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