Posts Tagged: fraud prevention

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: Judge Approved a $74 Million Settlement Against Premera Blue Cross for a 2014 Data Breach. Becker’s Hospital Review. August 6, 2019. Federal Judge approved a $74 million settlement to resolve a class action lawsuit against… Read the rest »

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: Blue Cross of Michigan Sued for $40 Million for Unpaid Behavioral Health Claims. Crains Detroit. July 31, 2019. Substance-abuse treatment centers in Michigan sued Blue Cross Blue Shield of Michigan for more than $40 million… Read the rest »

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: Cancer Treatment Centers of America Report Data Breach. Becker’s Health. July 22, 2019. It was determined that an unauthorized third party gained access to an employee’s email account. Cancer Treatment Centers of America notified 3,900… Read the rest »

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: CMS to Pursue Recoup of $30 Billion that Medicare Advantage Plans Over-Billed. Kaiser Health News. July 16, 2019. CMS is proposing enhanced audits to recoup $1 billion in Medicare Advantage over-payments by 2020. 2) Nine… Read the rest »

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: Oakwood Physician Settles Lawsuit for More than $3 Million. Crains, June 25, 2019. A jury awarded more than $3 million to a person who was misdiagnosed with epilepsy. She is one of hundreds to accuse… Read the rest »

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss: 1) OIG to CMS: Make EHR fraud prevention efforts a priority. Healthcare IT News, April 1, 2015.  The Office of Inspector General is yet again calling out CMS for failing to address fraud vulnerabilities in… Read the rest »