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8 Frightening Healthcare Fraud Examples

Etactics

Fortunately, the Health Insurance Portability and Accountability Act (HIPAA) does help regulate healthcare fraud. From December 2006 to April 2010, Sabibo submitted claims for physical therapy and nerve conduction studies that fell under the category of phantom billing. This crime has serious costs and consequences.

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20 Executives Share Health IT Predictions to Watch in 2023

HIT Consultant

We’ve seen the value that using de-identified data can have on improving patient outcomes, and with recent federal regulations requiring that patients have digital access to their full health records, US healthcare companies will place a greater emphasis on and investment in data democratization and digitization.

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7 Infamous Examples Healthcare Fraud in Florida

Etactics

The defendants paid these people to come as patients to various South Florida Physical therapy clinics. In other words, a few of the defendants paid others to participate in the scheme by finding people to fake their patient status with the physical therapy clinics. and TJX Companies Inc.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Enhance Guardrails for Agent and Broker Compensation Over the last few years, CMS has issued new regulations and subregulatory guidance intended to address abusive marketing practices by third party marketing organizations (“TPMOs”) that sell MA and Part D plans.