A New Hampshire doctor was arraigned on charges related to his alleged involvement in conspiracies to illegally distribut controlled substances and commit health care fraud. Read more: https://direc.to/fh2W
HHS Office of Inspector General’s Post
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#Medicalidentitytheft is a serious crime, and it occurs when someone steals your personal information to commit health care fraud or other crimes. Learn what to do if you’re a victim and how to protect yourself: https://direc.to/fgL9
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Great resource covering a host of questions regarding fraud and abuse authorities, including kickbacks, self-referrals, cash equivalents and in-kind gift cards, pharmacy benefits, electronic health record vendor pitfalls, and more. #health #fraudprevention #claims #insurance #lawenforcement #investigations
#Compliance laws are intended to help protect patients, safeguard programs, and mitigate and prevent fraud, abuse, and waste in the health care industry. Learn about the updated general questions regarding certain fraud and abuse authorities here: https://bit.ly/43d8CYl.
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📝NEW Content from the OIG as of May 31, 2023 - Guidance related to Best Practices with the use of Gift Cards and Exchanging Renumeration with Common Ownership Entities: (5) ✅ How does OIG differentiate between “cash,” “cash equivalents,” and “in-kind” gift cards? How would OIG categorize a gift card to a big-box store? How do you OIG categorize a gift card to a big-box store, the terms of this expressly limit the scope of items the consumer could purchase with the such gift card (e.g., the gift card could only be used to purchase fresh food items)? (7) ✅ Does remuneration exchanged between entities with common ownership implicate the Federal anti-kickback statute? *Visit the link below for the full list of questions and answers*
#Compliance End of
Translation laws are intended to help protect patients, safeguard programs, and mitigate and prevent fraud, abuse, and waste in the health care industry. Learn about the updated general questions regarding certain fraud and abuse authorities here: https://bit.ly/43d8CYl.To view or add a comment, sign in
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Vice President of Program Development @ L.E.A.D. | Law Enforcement Against Drugs and Violence | Master Trainer Retired Police Lieutenant | Borough of Rutherford, New Jersey
🚨 April is Alcohol Awareness Month! 🚨 Excessive alcohol use affects millions, but we're not powerless. Let's talk about tested and proven effective prevention programs like L.E.A.D. - Law Enforcement Against Drugs and Violence. According to the 2022 National Survey on Drug Use and Health, 44.5% of current alcohol users engage in binge drinking, with 18-25-year-olds most affected. It's time to invest in evidence-based strategies for healthier families and communities. 📱 609-259-2500 🔗 www.leadrugs.org #AlcoholAwarenessMonth #PreventionWorks #weareLEAD
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Alleged abuse, what needs to be reported and when⁉ ⚠ Mrs. Smith, a resident of your facility, was found to have a black eye and swollen nose. She reports that another resident hit her. You immediately ensure that Mrs. Smith is safe. What are your next steps? 📣 CFR§ 483.12 requires that you report alleged abuse within the required timeframe. Abuse that resulted in serious bodily injury must be reported immediately, but no later than two hours after the incident to local law enforcement and the DOH. All other cases must be reported within 24 hours. Investigation reports must be completed and submitted within 5 working days of the incident. 🤔 Are your facility's policies and procedures aligned with CFR§ 483.12? #Mitig8RiskReveal #Mitig8YourRisk #HealthcareCompliance #LegalNurseConsultant Hindy Katz , Lisa Fedorka Brocky
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Employment, Employee Benefits & Health Care & Insurance Risk Management & Regulatory Affairs Solutions Lawyer, Policy Advocate, Consultant & Author
This is the real fraud that HHS and DOJ need to focus on. HHS and DOJ spend too much money and resources characterizing as “fraud” and terrorizing physicians and other health care providers for treatments well within the parameters of reasonable treatment or even recognized as NIH and other credible professional quality and efficacy bodies as the new standard of care, that the HHS/DOJ attacks in subjective medical second guessing. frequently by the time HHS/DOJ gets around to it enforcement efforts against these types of care, their prosecuting healthcare providers for delivering care that is now accepted and paid for as the appropriate treatment. They are essentially punishing doctors for recognizing what the best care was before HHS/DOJ could. The hypocrisy of this type of “fraud“ is demonstrated by the Covid vaccination and treatments that the federal government not only promoted but mandated and paid for a taxpayer expense. None of these treatments would meet the standards that HHS/DOJ applies when takes enforcement actions to these subjective care decisions. It’s time for the nation and its citizens to reopen the discussion about what is, and should be prosecuted as healthcare fraud. If we don’t wanna pay for something, the regulation should be applying uniform standards, so that patients are not discriminated in the availability of care options based on the subjective determinations of government, agency officials focused on cost cutting disguised as fraud.
A Florida-based man was arrested for his role in a multimillion-dollar #Medicare scheme based on fraudulent billing for durable medical equipment. Read more: https://direc.to/fhoA
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There's still time to register for Polsinelli's Health Care Fraud & Abuse: 2023 Year in Review Webinar! Join my colleagues Dayna LaPlante, Kevin Coffey, and Andrew Ennis as they dive into our annual discussion and analysis of developments affecting health care fraud enforcement. Definitely one not to miss!
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Care providers have a critical role in recognizing potential victims of human trafficking and abuse. It is imperative to learn the 10 red flags your patent could be a victim. Human trafficking is a major health problem in Ohio, learn more in our recent blog: https://bit.ly/47QgccY #HAVHope #HumanTraffickingAwarenessMonth
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