Fraud Related Topics 
Healthcare Dive
DECEMBER 20, 2022
The Government Accountability Office is urging the CMS to resume certain eligibility checks on providers whom they consider at high risk of fraud to the Medicare program
Healthcare Dive
DECEMBER 12, 2022
At least 10 organizations with records of healthcare fraud and abuse prior to 2021 participated in the direct contracting program last year despite CMS screening requirements, the letter said
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Healthcare Dive
SEPTEMBER 9, 2022
A small proportion of providers that billed for telehealth — 1,714 out of 742,000 — posed a high risk of fraud or abuse to Medicare in COVID-19’s first year, regulators found
Verisys
MARCH 23, 2023
3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 billion from settlements due to fraud and false claims. As a healthcare provider, being familiar with healthcare fraud and abuse laws is important.
Healthcare Dive
JULY 6, 2022
Cases ranged from improper psychiatric treatment to providing false Medicare claims and illegal kickback schemes
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. Billion in Health Care Fraud. General Health Fraud prevention Scams training
Fierce Healthcare
DECEMBER 15, 2022
Genetic testing lab owner convicted in $463M Medicare fraud case. fdiamond. Thu, 12/15/2022 - 14:14
Fierce Healthcare
NOVEMBER 9, 2022
Customization vs. Configuration in Healthcare Fraud Detection. mteefey. Wed, 11/09/2022 - 16:55
The Health Law Firm Blog
MARCH 7, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D., M.P.A.,
The Health Law Firm Blog
JANUARY 24, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D., M.P.A.,
The Health Law Firm Blog
FEBRUARY 10, 2023
Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District [.] By George F.
The Health Law Firm Blog
OCTOBER 19, 2022
Board Certified by The Florida Bar in Health Law On September 27, 2022, a Florida pharmacy owner pled guilty to conspiring to commit healthcare fraud in an $8.3 By George F. Indest III, J.D., M.P.A.,
Healthcare IT Today
OCTOBER 22, 2020
The US Department of Justice has filed charges against 345 defendants, including more than 100 medical professionals, accusing them of engaging in healthcare fraud schemes.
Electronic Health Reporter
JUNE 10, 2020
There is interesting research in Forbes’ recent article named “How E-Commerce’s Explosive Growth Is Attracting Fraud”. The article Fraud Detection with Machine Learning For e-Commerce and Retailers appeared first on electronichealthreporter.com.
HIT Consultant
OCTOBER 18, 2021
Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. Julia Twaddle, Sr.
Healthcare Compliance Blog
JUNE 13, 2022
The post Three Clinical Labs and Their Owner Charged with Medicaid Fraud and Kickbacks appeared first on Med-Net. Client Alerts client alerts Fraud Kickbacks Medicaid
Healthcare Dive
JULY 25, 2022
The special alert to healthcare providers describes how fraudsters recruit and reward practitioners in schemes to exploit the growth of telemedicine
Healthcare Compliance Blog
SEPTEMBER 20, 2022
The defendant was also convicted for falsification of records designed to prevent detection of this fraud and aggravated identity theft for falsely corresponding with Medicare under the name of another physician. Million Healthcare Fraud Scheme appeared first on Med-Net.
Healthcare IT Today
SEPTEMBER 21, 2022
New types of fraud are continually emerging, and it’s also become harder to uncover with traditional approaches. The telehealth market is growing at a significant rate, and fraud is continuing to grow with it. Is Telehealth Fraud Getting Harder to Identify?
Healthcare Compliance Blog
OCTOBER 27, 2022
The psychologist was convicted of four counts of healthcare fraud. The FBI and HHS-OIG investigated the case, which was brought as part of the Chicago Strike Force, supervised by the Criminal Division’s Fraud Section and the US Attorney’s Office for the Northern District of Illinois.
Fierce Healthcare
DECEMBER 12, 2022
House and Senate Dems want CMS to drop ACO REACH members due to fraud concerns. rking. Mon, 12/12/2022 - 16:08
Healthcare Compliance Blog
JULY 11, 2022
The report says that in FY 2021 the DOJ opened 831 new criminal healthcare fraud investigations. Federal prosecutors filed criminal charges in 462 cases involving 741 defendants, and a total of 312 defendants were convicted of healthcare fraud related crimes during the year.
The Health Law Firm Blog
MARCH 16, 2022
million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. By George F. Indest III, J.D., M.P.A., 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
The Health Law Firm Blog
DECEMBER 19, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
Healthcare Compliance Blog
OCTOBER 12, 2022
A federal jury in Texas convicted a 65-year-old foreign medical student for conspiracy to commit healthcare fraud. At the trial, the defendant attempted to convince the jury he had no knowledge of fraud and did not have the intent to defraud Medicare. Client Alerts client alerts Fraud
Healthcare IT Today
JANUARY 19, 2021
The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.
Healthcare Compliance Blog
AUGUST 8, 2022
Two Texas men have been charged with conspiracy to commit and committing wire fraud during the COVID-19 pandemic involving medical-grade nitrile gloves. The two men were both charged with conspiracy to commit wire fraud, and defendant 1 also faces an additional five counts of wire fraud.
The Health Law Firm Blog
NOVEMBER 29, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
Healthcare IT Today
SEPTEMBER 24, 2021
According to a survey by Proofpoint, the average healthcare organization received about 200,000 emails from over 10,000 different 3rd party domains. When you consider the thousands of vendors and suppliers that work with a healthcare organization, this isn’t a big surprise.
Healthcare Compliance Blog
JULY 20, 2022
He was convicted of one count of healthcare fraud and one count of making a false claim. The post Federal Jury Convicts New York Doctor of Healthcare Fraud Scheme appeared first on Med-Net. Client Alerts client alerts Fraud Medicaid Medicare
Compliancy Group
AUGUST 31, 2022
Department of Justice’s (DOJ) Civil Cyber Fraud Initiative (CCFI). Details of DOJ Cyber Fraud Initiative Settlements. DOJ Cyber Fraud Initiative and the HIPAA Connection. Whistleblower Incentives Within the DOJ Cyber Fraud Initiative.
Fierce Healthcare
FEBRUARY 8, 2023
DOJ collected nearly $2B in health fraud False Claims Act cases in fiscal year 2022 rking Wed, 02/08/2023 - 16:01
Healthcare Dive
APRIL 21, 2022
Defendants — including doctors, medical business executives and fake vaccination card manufacturers — caused nearly $150 million in false billings to federal programs, the DOJ alleged
The Health Law Firm Blog
NOVEMBER 7, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
The Health Law Firm Blog
FEBRUARY 11, 2023
Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., M.P.A.,
Expert insights. Personalized for you.
275 
Let's personalize your content