Jul 3, 2024 | Data Breach, HIPAA
We recently wrote about a Pennsylvania federal court’s dismissal of a proposed “online tracking technology” class action brought against a local hospital, one of a rising number of lawsuits brought against hospitals and other HIPAA-covered entities which deploy third...
Jul 3, 2024 | Health Care
The Justice Department has continued to intensify its investigative efforts to combat fraud draining billions of dollars from the United States health care system annually. On Thursday, Attorney General Merrick Garland announced charges against 193 people for their...
Jul 1, 2024 | Medicare and Medicaid
Medicare has recently intensified its focus on durable medical equipment (DME) due to concerns about fraud and overpayments. Common schemes of DME fraud include billing for equipment that was never provided, upcoding to more expensive items, or prescribing medically...
Jun 28, 2024 | Commercial Payor Audits, Medicare and Medicaid, Overpayment Appeals
As most healthcare providers know, Medicare, like most payors, operates on a “pay and chase” system; meaning, they pay the vast majority of claims promptly, and then audit and attempt to recoup overpayments later should they discover information that calls the...
