Archive for February 2023
Government Resolves 42nd HIPAA Patient’s Right of Access Case
The U.S. Department of Health and Human Services Civil Rights Office (OCR) recently resolved its 42nd case under its HIPAA Right of Access Initiative. The rule requires healthcare providers to give patients access to their health records upon request and for a reasonable fee. However, as we have previously written about, many providers are either…
Read MoreFlorida Cardiology Group and Physicians Settle False Claims Act Litigation for $2 Million
A Florida cardiology practice that operates in Central Florida and ten of its physicians agreed to pay $2 million to resolve allegations that they violated the False Claims Act (FCA) by submitting inflated claims to Medicare and Medicaid and for billing while the physicians were outside the United States. The settlement grew out of a…
Read MoreFormer Senior Living CEO Indicted on ALF and Skilled Nursing Facility Fraud
The former CEO of a New Jersey-based company that owned and operated 24 skilled nursing facilities and nine assisted living facilities in Wisconsin and Michigan recently was indicted on charges of healthcare fraud, six counts of wire fraud, three counts of mail fraud, conspiracy to commit tax fraud, and conspiracy to commit money laundering. The…
Read MoreMiami Doctors Convicted in DME Kickback Scheme
Two Miami doctors, indicted in August 2021 were recently found guilty, after a two-week trial, for their roles in a scheme to defraud Medicare by submitting claims for durable medical equipment (DME) that Medicare beneficiaries did not need. According to court documents and evidence presented at trial, chiropractor Dean Zusmer owned one of four DME…
Read More