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Florida woman to pay $20.3M after using telemedicine to shield alleged fraud

Healthcare IT News - Telehealth

Department of Justice announced earlier this month that an Indian Rocks Beach, Florida-based woman has pleaded guilty to conspiracy to commit healthcare fraud and filing a false tax return. Department of Health and Human Services Office of Inspector General, in a statement. have also agreed to pay up to $20.3

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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Corporate Integrity Agreements: What Are the Health Provider's Obligations?

The Health Law Firm

For corporate health care providers involved in a civil health care fraud or abuse investigation, the corporation may be required to enter into a Corporate Integrity Agreement (CIA) with the US Department of Health and Human Services (HHS), Office of Inspector General (OIG) to settle the case.

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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.

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Michigan Registered Nurse Pleads Guilty in COVID-19 Vaccination Record Card Fraud

Med-Net Compliance

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Issue: Legitimate vaccination cards are being stolen from healthcare facilities and then used in a fraudulent manner. Participating in the fraud can result in the person(s) being prosecuted.

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HHS OIG Release of New "General Compliance Program Guidance" Provides Valuable Insight on Prevention of Health Care Fraud, Waste, and Abuse

The Health Law Firm

On November 6, 2023, the US Department of Health and Human Services (HHS), Office of the Inspector General (OIG), released 91 pages of "General Compliance Program Guidance" (GCPG) on its website. The GCPG provides general compliance guidance, tools, and references for use by federal health care program providers.

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Michigan Podiatrist Convicted of $1.8 Million Healthcare Fraud Scheme

Med-Net Compliance

million scheme to defraud Medicare by billing for services under another doctor’s name after Medicare revoked his privileges to participate in the program. Once the new business was set up, he continued to bill Medicare for services just as he had prior to his revocation, only now exclusively under the name of his partner.

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