Over the past several years, IT experts have been frantically directing their attention towards healthcare, clamoring for the industry to improve cybersecurity. Last week's Anthem hack has brought many of those concerns to life. While many have pointed to the immediate financial impact of the hack, consequences surrounding medical fraud could leave a lasting impression.
By now you've probably seen the fraud recovery numbers released last week by the Department of Justice (DOJ) and the Department of Health and Human Services (HHS): $27.8 billion in Medicare recoveries in nearly two decades, $3.3 billion of it rolling in last year. That breaks down to $7.70 recovered for every dollar spent in fiscal year 2014. Read more ...
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Health Diagnostics Laboratory Inc. has agreed to pay approximately $47 million to the government after an investigation revealed the Virginia-based company paid fees to physicians in exchange for blood samples. The investigation raises interesting questions regarding how both laboratories and the government define kickbacks.
The former owner and two high-level executives at the now-defunct Sacred Heart Hospital in Chicago were convicted of orchestrating a referral kickback scheme following a trial that took nearly two months, according to a release from the U.S Attorney's Office in the Northern District of Illinois.
Two nationally recognized healthcare companies settled separate multimillion dollar claims tied to False Claims Act violations, highlighting the continued scrutiny that providers face from federal regulators.
The owners of two Los Angeles-based medical supply companies were convicted of Medicare fraud in two separate jury decision handed down on Friday last week, both of which involved unnecessarily supplying beneficiaries with power wheelchairs.
Improper Medicare payments and fraud populated the Office of Inspector General's (OIG) list of the top 25 unimplemented recommendations, according to a report from the watchdog agency that offered insight into where the Centers for Medicare & Medicaid Services (CMS) still needs to take action to eliminate fraud, waste and abuse.
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Thirty-three employees in Reading Health System's IT division will be laid off, according to the Reading Eagle.
All too often, cybersecurity is treated as a feature that can be added on to healthcare technology as a separate entity, when instead, it should be built into such tools, according to health IT analyst Shahid Shah.