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Characteristics of Telemedicine Healthcare Fraud and Abuse as Defined by DOJ & OIG

Telebehavioral Health Institute

The Office of the Inspector General (OIG) for the United States Department of Health and Human Services (HHS) recently issued a special fraud alert regarding telemedicine fraud and abuse. As asserted by the OIG in the alert, these telemedicine companies have “exploited” the acceptance and use of telehealth.

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Florida provider group to pay $24.5M after False Claims Act allegations

Healthcare IT News - Telehealth

"Billing federal healthcare programs for services that providers know are unnecessary or unreasonable undermines the quality of care that patients receive and increases the costs of these taxpayer-funded programs," said Principal Deputy Assistant Attorney General Brian M. WHY IT MATTERS.

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DOJ charges dozens in $1.1B telehealth fraud crackdown

Healthcare IT News - Telehealth

Department of Justice announced this past week that it was bringing criminal charges against 138 total defendants for their alleged participation in various healthcare fraud schemes, resulting in about $1.4 billion of that loss involved allegedly fraudulent claims related to telemedicine. billion in alleged losses. More than $1.1

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Dozens charged in sprawling $1.2B telehealth and genetics fraud crackdown

Healthcare IT News - Telehealth

The coordinated investigations primarily targeted the alleged payment of kickbacks and bribes by lab operators in exchange for the referral of patients by medical professionals working with allegedly fraudulent telemedicine and digital health companies. healthcare system at the expense of patients. Polite, Jr. in a statement.

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Arizona telehealth company owners plead guilty in $64M scheme

Healthcare IT News - Telehealth

"From September 2017 through December 2019, Luke and Laughlin conspired together and with others to unlawfully enrich themselves by submitting and causing to be submitted false and fraudulent claims to federal healthcare benefit programs," the officials alleged. ON THE RECORD.

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Florida man pleads guilty in scheme exploiting amended telehealth restrictions

Healthcare IT News - Telehealth

According to the agency , the conspiracy involved paying a telemedicine company to arrange for doctors to authorize medically unnecessary genetic testing. Department of Justice announced this week that a Florida laboratory owner had pleaded guilty for his role in a $73 million Medicare kickback scheme. Cantrell at the time of the arrests.

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What the Telehealth Expansion Act means for tackling social determinants and boosting health equity

Healthcare IT News - Telehealth

Healthcare IT News wanted to dig deep into the new law and its promises, so we sat down with Kamala Green, social drivers of health program manager at National Government Services. National Government Services empowers federal healthcare agencies to deliver care to millions of Americans through outcomes-driven innovation.