Two Major Health Insurance Companies Impacted by Third Party Ransomware
A third-party vendor, who specializes in billing and IT solutions, was a victim of a ransomware attack that has impacted two major health insurance companies.…
PA Caregiver Arrested for Using Fraudulent and Stolen Information of Intellectually Disabled Clients
A Pennsylvania caregiver has been arrested stealing the personal identifying information of several intellectually disabled persons in his care. The stolen information was used fraudulently…
Managed Care Provider in GA Found Liable for Violating Federal Law by Refusing Reasonable Accommodation
The US Equal Employment Opportunity Commission (EEOC) has announced that a managed care provider in Georgia has agreed to settle a lawsuit after it was…
CMS Updates Web-based Training on the Assessment and Coding of Section GG
Recently, the Centers for Medicare and Medicaid Services (CMS) released an updated web-based training series on the assessment and coding of Section GG on the…
MN Department of Health Takes Control of a Minneapolis Nursing Home to Protect Resident’s Safety
The Minnesota Department of Health (MDH) filed for receivership and has assumed control of a Minneapolis nursing home. This temporary measure will allow operations and…
Updated COVID-19 Technical Assistance Issued by EEOC
On October 25, 2021, the US Equal Employment Opportunity Commission (EEOC) posted updates to their expanded technical assistance related to COVID-19. The updated technical assistance…
Washington Health Plan Settles with DOJ to Resolve Claims of Failure to Provide Interpreter Services
On October19, 2021, the US Department of Justice (DOJ) and a Washington health plan resolved allegations from multiple complainants that it repeatedly failed to provide…
DOJ Submits Annual Report to Congress on Activities to Combat Elder Fraud and Abuse
The Department of Justice (DOJ) has submitted their Annual Report to Congress on its work to Combat Elder Fraud and Abuse. The report that was…
Michigan Man Sentenced to Seven Years in Prison for Hacking into Pittsburgh Medical Center Database
In October 2021, a Michigan man was sentenced to the statutory maximum sentence of five month’s of prison for Conspiracy to Defraud the US and…
False Claims Allegations Lead to Largest Settlement of Government Healthcare Fraud
A private equity firm and former executives of a Boston Mental Health Center have agreed to pay $25 million for allegedly causing fraudulent claims to…