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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Michael Rosen, ESQ

Recent Posts

Industry News, Fraud and Abuse, Long Term Care, SNF

Long Term Care Heroes and Villains

Posted by Michael Rosen, ESQ on Thu, Oct 12, 2017

Try not to only pay attention to the bad apples when it comes to healthcare compliance. Many times the headlines we read are negative and ridden with scandal and abuse. While these events need to receive their due diligence and be shared for awareness and continual improvement, always consider the hardworking men and women who make your day bright.

 

Today on the blog, let’s take a look at some contrasting stories of the good and the bad because let’s face it, this is the challenge we face each day.

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Healthcare Compliance, Healthcare Technology, Data Management

The Future of Healthcare Compliance Dashboards

Posted by Michael Rosen, ESQ on Tue, Oct 10, 2017

It’s hard to fathom where the digital world is taking us with how frequently our lives are changing by new technology, impacting both our work and personal lives. When most of us crave instant access and simplicity, more and more tools are being developed to help us measure, record, and evaluate. Insert artificial intelligence, algorithms, and complex information systems and your head can start to hurt with the possibilities.

Aggregated data and dashboards have become a commodity, but not all of these are created equal. Let’s explore some predictions for how we will be interacting with data in the future as healthcare and compliance professionals. 

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Industry News, Fraud and Abuse, Security

Medical Identity Theft on the Rise

Posted by Michael Rosen, ESQ on Thu, Oct 05, 2017

October is National Cyber Security Awareness Month and there’s something on our mind that we would love to discuss - identity theft. Those two simple words send shivers down our spine. Identify theft crime is the fastest growing white collar crime in the United States. We have all seen, read or heard about this callous crime as it has caused widespread public devastation with incidents like the Target breach, Anthem Health Plan, and Equifax to name a few. It’s an invasion of our privacy and an attack on our individual security.

What most people don’t know about is medical identity theft. Let’s take a look at how this issue is defined and the impact it is having in the healthcare community.

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OIG, Fraud and Abuse, OIG Exclusion

Twice the Trouble: Healthcare Fraud Continued After Exclusion

Posted by Michael Rosen, ESQ on Tue, Oct 03, 2017

Double trouble. A dual affair. Twice the trouble that could have been avoided. You get the picture. Here is a case of twin brothers who banded together to commit massive healthcare fraud to fund their lavish lifestyle. Now they are in double trouble.

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Fraud and Abuse, department of justice

Healthcare Fraud in Dental is as Simple as Pulling Teeth

Posted by Michael Rosen, ESQ on Thu, Sep 28, 2017

We read a lot today about rogue providers like doctors, nurses, home health providers and others that concoct elaborate fraud schemes for personal gain. This dental fraud case takes it to a new level and involves identify theft and  falsifying documents as a dentist.

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