Quackery

Healthcare False Claims Act Cases Account for Two-Thirds of Fraud Recoveries in Federal Fiscal Year 2023

Retrieved on: 
Mercredi, février 28, 2024
Human services, Quackery, Pharmacy, Court, Accusative case, Federation, Government, HHS, SCOTUS, FCA, Health care, Ground substance, DOJ, Bass, False Claims Act, FY, Publication, Supreme court, Controlled Substances Act, Pharmaceutical industry

NASHVILLE, Tenn., Feb. 28, 2024 /PRNewswire-PRWeb/ -- The U.S. Department of Justice (DOJ) reported civil fraud recoveries of nearly $2.7 billion in fiscal year (FY) 2023, with two-thirds of those recoveries in the healthcare industry, according to the 12th annual Healthcare Fraud & Abuse Review published today by law firm Bass, Berry & Sims.

Key Points: 
  • In its 12th annual Healthcare Fraud & Abuse Review, Bass, Berry & Sims provides analysis of healthcare fraud enforcement actions and False Claims Act developments probing SCOTUS cases, opioid enforcement and other areas.
  • -- Brian D. Roark
    Qui tam lawsuits filed by whistleblowers under the False Claims Act continue to be a driving force behind the government's civil healthcare fraud enforcement efforts.
  • Other hot-button issues likely will include the intersection of the False Claims Act with cybersecurity issues and the Controlled Substances Act, among others."
  • Providers should expect to see Controlled Substances Act compliance and the False Claims Act continue to intersect in enforcement actions.

NICB Announces New Board of Governors Chair and Vice Chair

Retrieved on: 
Lundi, décembre 18, 2023
NICB, Quackery, Chair, SIU, Marist College, Fraud, Insurance, GEICO, PIP, Crime, National Insurance, Fire, Special Investigations Unit, Private investigator

Murphy previously served as Vice Chair of the Board and replaces James McSheffrey.

Key Points: 
  • Murphy previously served as Vice Chair of the Board and replaces James McSheffrey.
  • Along with Murphy's election, Jeremy T. Connor of GEICO was elected Vice Chair and will assume that role.
  • "I look forward to working with Matthew and Jeremy in their new roles as Chair and Vice Chair of NICB's Board of Governors," said David J. Glawe, President and CEO of the National Insurance Crime Bureau.
  • Murphy was elected to the NICB Board of Governors in 2014 and has served as NICB's Vice Chair since 2022.

ASRT Celebrates Radiologic Technologists and the Discovery of the X-Ray

Retrieved on: 
Mardi, novembre 7, 2023
Neoplasm, X-ray, National Radiologic Technology Week, Physician, News, Health, Spouse, Society, Advertising, Archive, Tablet, Mammography, Injury, Medicine, World Health Organization, Radiation, Physics, Hospital, American Society of Radiologic Technologists, Artifact, Nobel Prize, Quackery, Nuclear medicine, Radiographer, Roentgen, Nursing, Medical imaging, Safety

His accidental discovery forever changed medicine and it has been a key tool in diagnosing and treating injuries and diseases for 128 years.

Key Points: 
  • His accidental discovery forever changed medicine and it has been a key tool in diagnosing and treating injuries and diseases for 128 years.
  • The news of Roentgen’s discovery spread quickly and far beyond its intended use.
  • The general public’s interest in the newfound ability to photograph the inside of the body fueled imagination that brought misunderstandings and quackery.
  • The discovery also paved the way for the development of radiologic science modalities used today like computed tomography, mammography, nuclear medicine, radiation therapy and many others.

Codoxo Showcases Program Integrity Innovation and Case Study at NAMPI Conference

Retrieved on: 
Mardi, juillet 25, 2023
Bose, State, Quackery, Medicaid, The Westin Kierland Resort & Spa, CPC, CPMA, Albert Siu, Use case, PBM, Artificial intelligence in healthcare, Artificial intelligence, RN, National Association, Fraud, Conference, Pharmaceutical industry, Nightclub

DULUTH, Ga., July 25, 2023 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), will spotlight a variety of artificial intelligence (AI) successes and innovations at the NAMPI 2023 Annual Conference in Scottsdale, AZ on July 30-August 2, 2023 at the Westin Kierland Resort & Spa.

Key Points: 
  • Together with MVP Health Care, Codoxo will co-present "From Detection to Investigation: A Use Case of Impossible Days."
  • "Codoxo's innovations are driven by continuous research and development and first-hand insights from customers and agencies navigating fraud, waste and abuse.
  • This is why we proudly sponsor NAMPI – to engage with front-line leaders who want better business outcomes from their healthcare cost containment programs," said Dr. Musheer Ahmed, CEO and Founder of Codoxo.
  • "As a technology leader in a swiftly-evolving industry, it's important to share real-world successes of our differentiated healthcare AI in action.

Healthcare Fraud Prevention Partnership Releases White Paper on Telehealth-Related Fraud, Waste, and Abuse

Retrieved on: 
Mercredi, mai 10, 2023
Quackery, Partnership, Telehealth, Education, PHE, Fraud, Law enforcement, COVID-19, Stanford University School of Medicine, Computer, Tablet, Patient, Growth, Federation, Pharmaceutical industry

Providers can remotely make diagnoses, supervise care, provide health coaching or education, and consult with patients who face challenges accessing healthcare.

Key Points: 
  • Providers can remotely make diagnoses, supervise care, provide health coaching or education, and consult with patients who face challenges accessing healthcare.
  • Telehealth services are an essential method of healthcare delivery due to the simplified and prompt access patients have to their providers.
  • In support of these efforts, the Healthcare Fraud Prevention Partnership (HFPP) has released its latest white paper, "Exploring Fraud, Waste, and Abuse Within Telehealth" , developed in collaboration with researchers from the Stanford University School of Medicine.
  • The Partnership aims to identify and reduce fraud, waste, and abuse across the healthcare sector through collaboration, data and information sharing, and cross-payer research studies.

Healthcare Companies to Face Intensifying Scrutiny of COVID-19 Provider Relief Funds from Government and Whistleblowers

Retrieved on: 
Lundi, février 13, 2023
Quackery, Organization, Justice, FCA, Controlled Substances Act, Data mining, Pharmacy, Physician, Government, Hospital, Accusative case, California Department of Justice, DME, Bass, New England, CSA, Telehealth, Fraud, DOJ, Database, False Claims Act, Federation, Meal, Region, Economic security, Biogen, Person, Health care, Blog, ARPO, Coronavirus, COVID-19, Economy, Pharmaceutical industry

NASHVILLE, Tenn., Feb. 13, 2023 /PRNewswire-PRWeb/ -- In 2022, the federal government set the stage for wider scrutiny of billions of dollars in pandemic relief funds for healthcare provider groups in 2023 and beyond, as described in the Healthcare Fraud & Abuse Review 2022 published today by Bass, Berry & Sims.

Key Points: 
  • NASHVILLE, Tenn., Feb. 13, 2023 /PRNewswire-PRWeb/ -- In 2022, the federal government set the stage for wider scrutiny of billions of dollars in pandemic relief funds for healthcare provider groups in 2023 and beyond, as described in the Healthcare Fraud & Abuse Review 2022 published today by Bass, Berry & Sims .
  • "We expect that this is the beginning of a years-long effort to pursue cases concerning provider relief funds that may involve far more complex circumstances than the blatant fraud that DOJ has prosecuted so far.
  • We also expect whistleblowers to target alleged fraud in use of COVID-19 relief funds in qui tam cases filed under the False Claims Act."
  • The Department of Justice's (DOJ) proactive focus on fraud in COVID-19 relief programs fits a pattern of more government-initiated healthcare fraud enforcement activity overall.

Codoxo Releases Trends and Predictions Report for Healthcare Cost Containment in 2023

Retrieved on: 
Mardi, janvier 24, 2023
Cloud, Health, Movement, Machine learning, Key Change, Martin PBM Mariner, Pressure, COVID-19, Insurance, Growth, AI, Data, GDP, Council for Affordable Quality Healthcare, FWA, Quackery, Organization, Patient, Healthcare Cost and Utilization Project, HITRUST, ROI, Health care, Pharmaceutical industry, Fraud

ATLANTA, Jan. 24, 2023 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), today announces its "Trends & Predictions for Healthcare Cost Containment in 2023" report. Compiled by Codoxo leaders and domain experts, this second annual roundup of industry trends for fraud, waste and abuse (FWA) and payment integrity highlights factors affecting FWA growth, measures being adopted by healthcare organizations to battle it, and reforms taking shape in healthcare payments, among other trends.

Key Points: 
  • New report addresses what to expect for AI, FWA, payment integrity, cloud data security and more over the next 12 months
    ATLANTA, Jan. 24, 2023 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), today announces its "Trends & Predictions for Healthcare Cost Containment in 2023" report.
  • "Fraud, waste and abuse in the healthcare system adds up to hundreds of billions of dollars each year.
  • As innovators tracking market forces, we're uniquely poised to guide healthcare leaders as they develop their strategic imperatives for the coming year."
  • Codoxo's report takes an in-depth look at five key trends:
    Consumerization of Healthcare Leads to Payment Reforms: Consumers are seeking easier, faster and better payment experiences.

Platinum Member Codoxo to Present at 2022 NHCAA Institute for Health Care Fraud Prevention's Annual Training Conference

Retrieved on: 
Jeudi, novembre 10, 2022
SIU, CPMA, HITRUST, Leadership, FWA, Fraud, RN, Quackery, Martin PBM Mariner, ReMarkable, Solution, AI, Special Investigations Unit, Hyatt, Program, Conference, PBM, Hyatt Regency Kathmandu, Medicaid, Industry, CPC, Pharmaceutical industry, Audit

ATLANTA, Nov. 10, 2022 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers and agencies, today announced it will present live at the NHCAA Institute for Health Care Fraud Prevention's Annual Training Conference on Thursday, November 17 at 10:00 a.m. Eastern Time at the Hyatt Regency in Orlando, Florida. Platinum Member, Codoxo, is thrilled to support the industry's leading healthcare anti-fraud events, as it serves to share information on best practices to detect, investigate, prosecute, and prevent fraud, waste, and abuse (FWA).

Key Points: 
  • Platinum Member, Codoxo, is thrilled to support the industry's leading healthcare anti-fraud events, as it serves to share information on best practices to detect, investigate, prosecute, and prevent fraud, waste, and abuse (FWA).
  • Derik Ciccarelli, Healthcare Fraud Analyst with Codoxo, will co-present "Coordination Is King: Use Case of Impossible Days" alongside Sandra Caffarella, RN, CPC, CPMA, AHFI, Leader of Investigations, Special Investigations Unit, MVP Health Care.
  • MVP Health Care and Codoxo will share best practices, including the steps that MVP Health Care's SIU team took to quickly move into action, procure recovery, and achieve cost avoidance.
  • Codoxo is a member of NHCAA and has a stated mission "to make healthcare more affordable and effective for everyone."

Advize Health Announces Appointment of Two New Experts: Jaysen Eisengrein and Matt Kochanski

Retrieved on: 
Vendredi, septembre 16, 2022
Program director, Senior management, UPIC, Medicare, Risk, Special agent, Certified Unified Program Agency, Senior, SIU, Review, Industry, HHS, Program, Government, District, Medicaid, CEO, State, Special Investigations Unit, Quackery, Martin Eisengrein, Special Investigation Branch, Fraud, Federation of State Medical Boards, NASA, Health, Pharmaceutical industry, Trip Advizer – The Very Best of Julian Cope 1999–2014

ORLANDO, Fla., Sept. 16, 2022 /PRNewswire-PRWeb/ -- Advize Health LLC, a national healthcare consulting company offering high quality solutions and tech-enabled services, announced today the addition of two foremost retired law enforcement officers and prior senior leaders of the Unified Program Integrity Contractor (UPIC) East and West Coast. Jaysen Eisengrein, former Senior Vice President of UPIC Western Jurisdiction and Matt Kochanski, former Program Director, of UPIC Northeast Jurisdiction.

Key Points: 
  • Jaysen Eisengrein and Matt Kochanski, two foremost retired law enforcement officers and prior senior leaders of the Unified Program Integrity Contractor (UPIC) East and West Coast join the Advize Team.
  • Jaysen Eisengrein, former Senior Vice President of UPIC Western Jurisdiction and Matt Kochanski, former Program Director, of UPIC Northeast Jurisdiction.
  • Eisengrein has over 40 years of experience fighting fraud, waste, and abuse through investigation and audit of complex financial and health programs, particularly relating to Medicare and Medicaid.
  • "We are able to do this by continuing to add industry leading subject matter experts like Matt and Jaysen to the Advize team.

Asia Pacific Healthcare Fraud Analytics Market to Grow at a Significant CAGR of 23.7% Through 2028 - ResearchAndMarkets.com

Retrieved on: 
Vendredi, septembre 9, 2022
Security, Other Health, Health, Technology, Health Insurance, Machine learning, Mining, Application, Artificial intelligence, Government, Surgeon, CAGR, Population, Algorithm, Fraud, Efficiency, Country, Quackery, Patient, Pharmaceutical industry

The "Asia Pacific Healthcare Fraud Analytics Market Size, Share & Industry Trends Analysis Report By Delivery Model, By Application, By End User, By Solution Type, By Country and Growth Forecast, 2022 - 2028" report has been added to ResearchAndMarkets.com's offering.

Key Points: 
  • The "Asia Pacific Healthcare Fraud Analytics Market Size, Share & Industry Trends Analysis Report By Delivery Model, By Application, By End User, By Solution Type, By Country and Growth Forecast, 2022 - 2028" report has been added to ResearchAndMarkets.com's offering.
  • Similarly, many skilled and qualified surgeons and other healthcare professionals are found making high level healthcare fraud with carefully designed schemes to conceal the fraud.
  • The China market dominated the Asia Pacific Prescriptive Analytics Market by Country in 2021, and is expected to continue to be a dominant market till 2028; thereby, achieving a market value of $116.5 million by 2028.
  • The Japan market is Poised to grow at a CAGR of 23.6% during (2022 - 2028).