The Ultimate Guide to HIPAA Violations

hipaa violations

HIPAA violations can crop up from the simple little things you do at the office, clinic, or hospital. From your everyday documentation system to your staffs’ mode of communication, violations of HIPAA are always looming around the corner. That being said, everyone working in the medical field should treat the HIPAA or the Health Insurance … Read more

Fraud, Waste, and Abuse in the Healthcare Industry

fraud waste and abuse

Fraud, waste, and abuse (FWA) have plagued almost every sector and program in the United States, with healthcare being the most targeted one. Even before the pandemic occurs, the 2018 National Money Laundering Risk Assessment found that the healthcare sector is one of the top sources of illicit funds. In 2020 alone, the healthcare industry … Read more

False Claims Act Penalties | The Complete Guide

False claim act

Violation to the False Claim Act can have serious and severe repercussions. Whether you are an individual health service provider or a healthcare organization, breaching the Federal Claims Act can result in hefty fines and harsh penalties.It can amount from thousands to millions of dollars and even put you behind bars. So with that in … Read more

Medicare Fraud Rewards

medicare fraud rewards

In an effort to curb Medicare fraud, the government codified law and promised to pay people who provide tips or inside information leading to fraud. Through this move, even ordinary individuals like you can participate in reducing crime and shedding light on undetected fraud that has plagued the health care system over the years.  That … Read more

A Guide to Healthcare Compliance Regulations

Healthcare Compliance Regulations

Over the past few years, healthcare regulations have introduced new rules and undergone frequent revisions. So whether you are a solo practitioner or a multinational healthcare organization, it is important to adapt and take note of these changes.  In the United States, healthcare is one of the most regulated industries. Some are torn on whether … Read more

7 Common Unethical Medical Billing Practices

Unethical Medical Billing Practices

Having worked with several professionals for many years, we have noticed some of the most common unethical medical billing practices that health care providers tend to make.  Whether it is intentional or not, these unethical medical billing practices have plagued the system and made both patients’ life and medical providers’ jobs a lot difficult.  Just … Read more

What Is Unemployment Insurance Fraud?

What Is Unemployment Insurance Fraud?

Unemployment Insurance Fraud is collecting benefits based on false information. If you knowingly collect unemployment insurance benefits even if you are ineligible, then you might be committing UI fraud. Some of the examples of UI claimants’ fraud are continuing to collect UI benefits even if you already return to work; collecting more benefits by not … Read more

Is Medicare Fraud a Felony?

is medical fraud a felony?

Individuals or entities who commit Medicare fraud can be convicted of a felony. But, it is not always the case; some are just exposed to penalties, fines, exclusion, and so on. Felony is a criminal offense punishable by more than one year in prison. Medicare is a federal program, and defrauding the government and its … Read more