What Is Fraud and Abuse in Healthcare? A HIPAA Guide
A physician in South Florida billed Medicare for over $100 million in home health services that were never provided. Patients who were perfectly healthy showed
A collection of 16 posts
A physician in South Florida billed Medicare for over $100 million in home health services that were never provided. Patients who were perfectly healthy showed
In 2022, a Texas physician was sentenced to 20 years in federal prison for a scheme involving illegal kickbacks, medically unnecessary home health services, and
A Referral Bonus That Cost a Health System Everything In 2023, a Florida-based lab company agreed to pay $16 million to resolve allegations that it
A Law That Started with Paperwork — and Ended Up Changing Everything In 1996, a hospital billing department might send the same claim to three different
A Law Nobody Read in 1996 Now Costs Organizations Millions When President Clinton signed the Health Insurance Portability and Accountability Act on August 21, 1996,
The Inspection That Exposed Two Problems at Once A clinic in the Midwest got an OSHA inspection after a needlestick injury went unreported. The compliance
A senator from Kansas and a senator from Massachusetts walked into a markup session in 1996 and changed healthcare forever. That's not the
In February 2023, OCR settled with a healthcare provider for $1.3 million after finding systemic failures to comply with basic HIPAA laws — failures that
When a dental practice in the Southeast received citations from both OSHA and OCR within the same quarter, the owner told me something I hear
When an OSHA inspector walks into your clinic requesting access to employee medical records, exposure logs, and workplace injury documentation, your compliance team faces a
In 2023, a mid-sized dermatology practice in Texas received citations from both OSHA and OCR within the same quarter — one for failing to train staff
In 2023, OCR settled with a health system for $1.3 million after investigators found systemic failures in safeguarding patient records — failures that traced back
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