Healthcare IT News - Telehealth

SEPTEMBER 28, 2022

Biden’s statement, which divided the public health community and the public, has wide-reaching implications for the fate of connected health and vital telehealth services. Department of Health and Human Services Alex Azar signed the first Public Health Emergency declaration , declaring COVID-19 a national emergency.

COVID-19 118

COVID-19 Public Health US Department of Health and Human Services Medicare 118

Healthcare IT News - Telehealth

SEPTEMBER 27, 2022

Biden’s statement, which divided the public health community and the public, has wide-reaching implications for the fate of connected health and vital telehealth services. Department of Health and Human Services Alex Azar signed the first Public Health Emergency declaration , declaring COVID-19 a national emergency.

COVID-19 109

COVID-19 Public Health US Department of Health and Human Services Medicare 109

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? Fraud and abuse are unfortunate realities of the healthcare industry. Hundreds of claims and investigations are carried out yearly to combat the growing number of providers, organizations, and entities contributing to fraud and abuse within state and federal healthcare programs.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

Health Law Advisor

APRIL 13, 2023

Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

Health Law Advisor

MAY 3, 2022

On April 20, 2022, the Department of Justice (DOJ) announced a nationwide coordinated enforcement action targeting COVID-19-related fraud involving charges against 21 individuals across nine federal districts, and over $149 million in alleged false claims submitted to federal programs. [1]. 2] See id. [3] 2] See id. [3]

COVID-19 52

COVID-19 Fraud COVID-19 Vaccine Medicaid 52

Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

"CMS and state efforts to evaluate and oversee telehealth are critical to meeting Medicaid enrollees' behavioral health needs and to safeguarding the Medicaid program from potential fraud, waste and abuse," wrote OIG officials. Fraud is a concern for many stakeholders when it comes to the future of telehealth.

Fraud 177

Fraud COVID-19 Medicaid Medicaid 177

Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models. Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Risk Assessment.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Healthcare IT Today

APRIL 23, 2020

The following is a guest article by Mark LaRow, CEO at Verato. While the federal government has relaxed some patient privacy rules in response to the coronavirus pandemic, there are still avoidable mistakes healthcare professionals make when it comes to protecting patient data.

Public Health 92

Public Health Governance COVID-19 Fraud 92

Healthcare Law Today

DECEMBER 22, 2022

Many of the telehealth flexibilities that became popular with both patients and clinicians during the COVID-19 pandemic will expire when the public health emergency (PHE) ends. The alert outlines seven characteristics that could suggest any given arrangement that poses a risk of fraud or abuse.

Telemedicine 119

Telemedicine Fraud Doctors COVID-19 119

HIPAA Journal

JANUARY 23, 2024

Holmes, along with former company president Ramesh Balwani, were charged with criminal fraud for making false claims about the company’s technology and misleading investors. Balwani was convicted of conspiracy to commit wire fraud against Theranos’s patients and investors and was sentenced to 12 years and 11 months in prison.

Fraud 72

Fraud FDA Medicaid Medicaid 72

HIPAA Journal

OCTOBER 6, 2022

Victims included the Champaign-Urbana Public Health District and the University of California San Francisco, which had files encrypted on the servers used by its School of Medicine. The gang also stepped up attacks on the sector during the COVID-19 pandemic. A ransom of $1.14 Vachon-Desjardins also agreed to forfeit $21.5

Ransomware 100

Ransomware Fraud COVID-19 HIPAA 100

Healthcare IT Today

FEBRUARY 28, 2023

COVID-19 forced a spike in policy-makers’ interest and willingness to invest in public health; a spike that is unfortunately retreating to the old business as usual. I consulted several experts in health IT to ask how such IT could improve data collection and sharing in public health.

Public Health 105

Public Health COVID-19 FDA Governance 105

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

HIPAA Journal

AUGUST 31, 2022

The Health Sector Cybersecurity Coordination Center (HC3) has issued a warning to the healthcare and public health sector (HPH) about one of the most capable and aggressive cybercrime syndicates currently in operation – Evil Corp. Evil Corp has been the subject of multiple law enforcement operations.

Ransomware 117

Ransomware Fraud Governance Public Health 117

Med-Net Compliance

SEPTEMBER 14, 2022

Shortly thereafter, the home health agency terminated the aide’s employment and reported her to the Nurse Aide Registry and the Department of Public Health (DPH). A subsequent investigation by DPH resulted in a suspension of the aide’s license and a referral to the Attorney General’s Medicaid Fraud Division.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Provider Trust

JANUARY 25, 2024

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.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare Law Blog

DECEMBER 12, 2022

The COVID-19 Public Health Emergency (“PHE”) led to a rapid expansion in the utilization of telehealth. Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. in healthcare fraud for fraudulent telemedicine schemes. Looking Forward.

COVID-19 52

COVID-19 Fraud Telemedicine Public Health 52

HIT Consultant

MAY 11, 2023

1 Today, the National Healthcare Anti-Fraud Association (NHCAA) conservatively estimates that healthcare FWA costs the nation about $68 billion annually, representing 3% of the nation’s $2.26 2 FWA estimates from commercial health plans range as high as $230 billion annually, or 10% of total healthcare spending.

Fraud 98

Fraud Governance Public Health 98

HIPAA Journal

MARCH 24, 2022

14 of the 16 critical infrastructure sectors reported at least one ransomware attack, although the healthcare and public health sector was the worst affected, accounting for 148 of those attacks, followed by financial services with 89 attacks, and the information technology sector with 74.

Ransomware 121

Ransomware Public Health Fraud HIPAA 121

Healthcare Law Blog

MAY 8, 2023

Department of Health and Human Services (“HHS”) is responsible for detecting and preventing fraud, waste, and abuse in federal health care programs. The majority of the advisory opinions involved arrangements that the OIG determined would generate prohibited remuneration, but presented minimal risk of fraud and abuse.

Fraud 52

Fraud COVID-19 Public Health Compliance 52

Healthcare IT News - Telehealth

SEPTEMBER 2, 2021

"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. THE LARGER TREND. At HIMSS21 this past month , representatives from the Office of Inspector General for the U.S.

COVID-19 121

COVID-19 Medicare Medicare Public Health 121

Healthcare IT News - Telehealth

MARCH 18, 2021

Ensure Federally Qualified Health Centers and Rural Health Clinics can furnish telehealth and receive equitable reimbursement. Support existing fraud, waste and abuse resources within HHS, including the Health Care Fraud and Abuse Control Program. THE LARGER TREND. ON THE RECORD.

COVID-19 160

COVID-19 Telemedicine Fraud Public Health 160

Healthcare IT News - Telehealth

JANUARY 26, 2022

The evergreen concern about virtual care is that of fraud, waste and abuse and how to balance it with the demonstrated value of extended medical services to patients who are either geographically or economically underserved.

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

Healthcare Compliance Blog

FEBRUARY 3, 2022

Bassett stated, “Vaccination fraud is a serious crime. It creates a threat to public health and undermines the safety of our healthcare professionals who are working around the clock to get us through the pandemic.

COVID-19 Vaccine 59

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 59

Bill of Health

NOVEMBER 7, 2022

The declared public health emergency will end, and with it the federal and remaining state blanket liability protections. Absent fraud, after damages are awarded, plaintiffs cannot reopen their suits to reflect greater-than-expected future harm. But, at some time in the relatively near future, this will change.

COVID-19 190

COVID-19 Malpractice Public Health Fraud 190

Hall Render

OCTOBER 20, 2023

The application must include the following: A cover letter identifying the facility or institution, address, county and number and type of beds licensed by the Connecticut Department of Public Health.

Nursing Homes 40

Nursing Homes Nurses Licensing Public Health 40

Provider Trust

JULY 26, 2022

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.

Licensing 52

Licensing Fraud Compliance Nurses 52

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. TRPHD said suspicious activity was detected within its server infrastructure on November 9, 2022.

Health Insurance 83

Health Insurance Public Health Ransomware Fraud 83

Compliance Now

JANUARY 11, 2022

The guidance also expressly provides that these tests must be made available without an order or individualized assessment by a public health provider. Avoiding Fraud. Plans are permitted to take reasonable steps to avoid fraud as long as they do not “create significant barriers.” Reimbursement Programs.

COVID-19 100

COVID-19 Fraud Public Health Compliance 100

Healthcare IT News - Telehealth

JUNE 8, 2022

The Department of Health and Human Services once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public Health Service Act will draw to a close. Healthcare IT News is a HIMSS publication.

US Department of Health and Human Services 175

US Department of Health and Human Services Compliance Overpayments Overpayment 175

Bill of Health

OCTOBER 21, 2022

Second, and just as importantly, compensation in the tort system requires showing some type of fault: for product liability, a defect in the product; for negligence or fraud, unreasonableness or misrepresentation. Alternative liability arrangements help assure that life-saving vaccines are available.

COVID-19 Vaccine 363

COVID-19 Vaccine COVID-19 Fraud Public Health 363

Health Care Law Brief

JUNE 24, 2022

This guidance is a direct response to a December 2021 Executive Order that tasked HHS with developing HIPAA guidance for telehealth services, with the stated goals of improving “patient experience and convenience” as the COVID-19 public health emergency subsides. The new HIPAA guidance affects covered entities in four key ways.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

HIT Consultant

NOVEMBER 24, 2022

– Delivery model : Whether to ship OTC products to a hearing clinic where the consumer can receive professional diagnosis, fitting and support, or ship directly to the consumer’s home thereby providing convenience but no professional support (and increased fraud risk), or offer both options? – Fraud. Potential pitfalls.

FDA 98

FDA Public Health Medicare Medicare 98

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

Compliancy Group

APRIL 27, 2022

The publication covers a significant trend in cybersecurity: More and more, healthcare organization data breaches are being caused by internal (employee) action as opposed to actions from outside third parties. Healthcare employees who misuse access rights to steal patient data to commit some other form of financial fraud.

Fraud 98

Fraud Compliance HIPAA Public Health 98

Healthcare IT News - Telehealth

APRIL 18, 2022

Concerns of fraud have dogged conversations around telehealth expansion beyond the public health emergency. "This Agreement is neither an admission of liability by PPOA nor a concession by the United States or the State of Florida that its claims are not wellfounded," according to the agreement. and the Civil Actions."

COVID-19 132

COVID-19 Telemedicine Fraud Public Health 132