Posted and filed under Commentary.

Doctors Killing Patients

Two weeks ago, we featured a personal story of mine and related it to Elizabeth Holmes and a Mount Carmel doctor who was found to deliver inappropriate medications in a deadly way.  Thank you for those of you who responded.  Interestingly enough, one person sent an email about a healthcare provider who is thought to…

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Posted and filed under Healthcare.

Major Insurers Running Billions of Dollars Behind on Payments to Hospitals and Doctors

Anthem Blue Cross, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, say hospital officials in multiple states. Anthem, like other big insurers, is using the covid-19 crisis as cover to institute “egregious” policies…

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Posted and filed under Compliance.

HIPAA & Human Error

Many of us have visited a doctor’s office. And in many circumstances our doctors visit includes a follow up correspondence of some sort. Whether it was a medical assistant contacting a patient to set up his/her next doctor’s visit, or in some cases a follow up notification from your doctor informing you of the results…

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Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: Recidivism & Sentencing in Healthcare Fraud

The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes.  Earlier in the week, this press release came out. We spent a lot of time looking through…

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