Search results for: covid fraud
DOJ Crackdown Nets Hundreds of Healthcare Fraud Suspects
While there are many benefits to telemedicine, federal investigators also are finding it’s ripe for fraud. And we may only be seeing the tip of the iceberg as evidenced by the most recent national fraud enforcement action resulting in charges involving more than $1 billion in losses. Earlier this month, the U.S. Department of Justice…
Read MoreFeds Recover $3.1B in FY 2020 Resulting From Healthcare Fraud Investigations
The federal government recouped nearly $3.1 billion last year following investigations into healthcare fraud, according to a new report released by the U.S. Department of Health and Human Services and the Department of Justice. The annual report noted that DOJ opened 1,148 new criminal healthcare fraud investigations in 2020, filing criminal charges in 412 cases…
Read MoreCan Healthcare Providers Offer Covid Vaccination Incentives?
It’s estimated that a little more than 42 percent of Americans have been fully vaccinated for COVID-19 and nearly 52 percent have had at least one dose. That has prompted President Joseph Biden to announce a “National Month of Action,†in an effort to get at least 70 percent of U.S. adults at least partially…
Read MoreTelemedicine in OIG’s Crosshairs as Fraud Mounts
When the pandemic hit and a public health emergency was declared, the government began to issue waivers designed to give providers more flexibility in how they could treat patients. One area that saw restrictions lifted considerably has been telemedicine, an industry that has been gaining traction in recent years. As we wrote about, the use…
Read MoreHHA Owner First Charged With Stealing Money Meant to Treat COVID-19 Patients
A Michigan woman has become the first person in the country to be charged with stealing money meant to help healthcare professionals treat COVID-19 patients. According to the U.S. Department of Justice, Anima Abbas previously owned 1 on 1 Home Health, a home health agency in Indiana, which she had closed in early 2020 after…
Read MoreOIG Offers Advisory Opinions on COVID-19-Related Arrangements, But …
The COVID-19 pandemic has resulted in a unique set of circumstances for many healthcare providers. Delivering quality patient care, while at the same time trying to navigate existing laws and regulations, has many providers questioning whether the arrangements they are making in response to this public health emergency will not get them into trouble with…
Read MoreFlorida Men Charged in $54M Pharmacy Fraud Case
Four Florida pharmacy owners were recently indicted for their alleged participation in a $54 million compound pharmacy kickback scheme. The indictment, announced on June 5, alleges that the men owned and operated Florida Pharmacy Solutions Inc. in Zephyrhills, Fla., “for the purpose of targeting TRICARE beneficiaries and causing the submission to TRICARE of claims for…
Read MoreOIG Details Anti-fraud Efforts, Recoveries in Report to Congress
The U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) recently reported that its investigative work is expected to lead to the recovery of $1.51 billion and 443 criminal actions for the period between October 1, 2019 and March 31, 2020. That is down from $2.3 billion during the same period…
Read MoreTelemedicine Gains Traction in the Age of COVID-19
A recent survey conducted by Merritt Hawkins, a physician recruitment firm, found that nearly half of doctors are using telemedicine to treat patients as the COVID-19 pandemic changes how they deliver healthcare. That is up from just 18 percent when a similar survey was conducted in 2018. It’s not just physicians who are turning to…
Read MoreSouth Florida Nurse Sentenced to 20 Years in DME and Genetic Testing Scheme
DME and Genetic Testing Scheme
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