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FBI
Latest Headlines
Latest Headlines
Medicare finds a worm in the Big Apple
Oscar Huachillo, a former operator of New York City health clinics, pleaded guilty last week to cheating Medicare out of at least $31 million between 2009 and 2013, the FBI announced....
Home care fraud plagues government programs
The Office of Inspector General criticized the Centers for Medicare & Medicaid Services at a congressional hearing for failure to recoup inappropriate payments, and high on the list of contributors to those was the perennial issue of fraud-ridden home health services.
Dealing with records destruction in fraud investigations
A New Jersey chiropractor destroyed evidence sought by authorities investigating her billings for potential fraud, the FBI announced last week. For a federal law enforcement perspective on how to manage these types of setbacks, FierceHealthPayer: Anti-Fraud spoke to Ted Radway, an assistant United States attorney for the District of Columbia.
Healthcare security is not a back-burner issue
With stricter HIPAA audits on the horizon, the threat of the Federal Trade Commission also cracking down on breaches and the notorious Heartbleed bug looming, you would think the healthcare industry--and provider organizations, in particular--would take any measures necessary to ensure, or at least improve, privacy and security. That, however, does not appear to be the case, if news reported within the past few months is any indication.
FBI warns healthcare of vulnerability to cyberattacks
The FBI has issued two warnings this month that healthcare organization systems, including medical devices, could be vulnerable to cyberattacks.
How to work effectively with law enforcement to fight fraud
FierceHealthPayer: Anti-Fraud recently interviewed two field experts to get their best advice on how payers can improve relationships with law enforcement to serve the mutual interests of both.
FBI gains $1.2B in healthcare fraud restitution
There's no rest for the wicked. The FBI reported on Monday that its crackdown on healthcare fraud led to $1.2 billion in restitution last year. In 2011, the FBI investigated 2,690 cases, which led to
Feds should watch out for phony Medicare participants
As a pediatric surgeon, David A. Partrick has had virtually no interaction with the Medicare program. "Maybe one out of a thousand patients I've treated has been in Medicare," he told me last week in
FL hospital employee sells medical records to personal injury attourney
Just when you thought you'd heard about every possible way to misuse medical information, here's another one for your personal library of true health information crimes. In this case, according to
Scrushy says he didn't know about HealthSouth fraud
With guys like Dick Scrushy, the story never ends--it just drags on and on. The latest chapter in the Scrushy saga came this week, when he testified for the first time about the massive fraud that
