Cyber Security Tips
Growing Health Care Compliance Issues in Cyber Security Cyber security is a growing compliance issue, and has enormous implications for…
Home Health Care Fraud is Still Rampant
Record $400 Million Fraud Case in Dallas Home health remains the most fraud prone program for Medicaid and ranks high…
Health Care Cybersecurity is in “Critical Condition”
The Health Care Industry Cybersecurity Task Force issued a report to Congress that addresses the current state of cybersecurity in the U.S.…
Congressional Hearing on HHS Cybersecurity
PHI Security Emphasized Congressman Tim Murphy chaired a recent hearing on the HHS cybersecurity role. The hearing included a review…
CMS Readies Fraud Prevention Initiative to Issue New Medicare Beneficiary Cards by April 2019.
The Centers for Medicare and Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from…
DOJ Announces $34 Million False Claims Settlement with Two Missouri Hospitals.
The Department of Justice (DOJ) recently announced their false claims settlement with two southwest Missouri health care providers. Mercy Hospital…
Tips for using the OIG Provider Self-Disclosure Protocol.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) published the Provider Self-Disclosure Protocol (SDP) in…
Mother and Daughter Found Guilty in $20 Million Fraud Case.
The Department of Justice (DOJ) recently reported that a mother, Mildrey Gonzalez, and her daughter, Milka Alfaro, pleaded guilty to…
DOJ Investigates Four Insurers for Medicare Advantage Fraud.
The Department of Justice (DOJ) recently disclosed their ongoing investigation of Health Net Inc., Aetna Inc., Cigna Corp’s Bravo Health…
Hospital Surgical Gown Provider Convicted in $454 Million Fraud Case.
The Los Angeles Times recently reported that a Los Angeles federal jury convicted Kimberly-Clark Corp. and its medical technology firm…
New Jersey Doctor Convicted in $100 Million Healthcare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Newark federal jury convicted Bernard Greenspan, a 79-year-old New Jersey family…
Former Tenet Healthcare Executive Charged for Role in $400 Million Health Care Fraud Scheme.
The Department of Justice (DOJ) recently charged a former senior executive of Tenet Healthcare Corporation (Tenet). John Holland was indicted…