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The ProviderTrust Blog

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

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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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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Industry News, Fraud and Abuse, department of justice

New DOJ Opioid Fraud and Abuse Detection Unit Created

Posted by Donna Thiel on Thu, Aug 17, 2017

Throughout the year, the Office of Inspector General (OIG), as well as the Department of Justice (DOJ) and President Trump, have made it clear that opioid abuse is a primary area of focus for government agencies. In a recent announcement, Attorney General Sessions showed that the government isn’t just talking- they are taking action. On August 2nd, Attorney General Sessions announced the formation of the Opioid Fraud and Abuse Detection Unit. This new unit of the DOJ will be a pilot program to utilize data to help combat the opioid crisis.

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