Archive
Wade Emmert
New AI Technique Significantly Boosts Medicare Fraud Detection
From Medical Xpress, by Florida Atlantic University: Medicare is frequently targeted by fraudulent insurance claims, with the estimated annual fraud amounting to over $100 billion. Traditional…
DOJ, FTC Looking at Roll-Up Acquisitions for Anticompetitive Acts
From The National Review, by Jessica Sprovtsoff of ArentFox Schiff LLP: In December 2023, the White House announced plans to intensify antitrust scrutiny in the healthcare…
Wellness Apps and Privacy
From Seyfarth Shaw LLP, by Diane Dygert: Employers are increasingly interested in providing wellness tools, such as apps and wearables, to enhance employee benefits. These tools,…
The Corporate Transparency Act: A Reporting Guide for Medical Groups and MSOs
From Sheppard Mullin Richter & Hampton LLP, by John Golembesky, Jordan Grushkin, Leonard Lipsky, Kathleen O’Neill, Richard Rifenbark, and Carolyn Young: The Corporate Transparency Act (CTA)…
Houston Dental Clinic Operator Convicted in $6M Pediatric Fraud Scheme
From Press Release, United States Attorney’s Office, Southern District of Texas: Rene Gaviola, operator of Floss Family Dental Care clinic in Houston, admitted to submitting fraudulent…
Researchers Observe Increase in Emerging Ransomware Groups Targeting Healthcare
From HealthIT Security, by Jill McKeon: The healthcare sector experienced significant data breaches in 2023, with over 540 organizations reporting such incidents, largely due to ransomware…
CMS Finalizes its Proposal to Advance Interoperability and Improve Prior Authorization Processes
From Sheppard Mullin Richter & Hampton LLP, by Gianfranco Spinelli and Krysten Thomas: Final Rule Issued by CMS: The Centers for Medicare and Medicaid Services (CMS)…
Physician’s Assistant Convicted at Trial of Amniotic Fluid Scam
From Press Release, United States Attorney’s Office, Northern District of Texas: A 36-year-old physician’s assistant at a Fort Worth pain management clinic has been convicted of…
HHS Releases Voluntary Cybersecurity Performance Goals to Beef Up Healthcare’s Digital Defenses
From Fierce Healthcare, by Dave Mulio: The Department of Health and Human Services (HHS) has published voluntary cybersecurity performance goals for healthcare organizations, aiming to enhance…
New California Law Imposes Significant Data Management Requirements for Sensitive Health Data
From Troutman Pepper, by Brent Hoard, Emma Trivax, and Erin Whaley: Effective January 1, AB 352 introduces significant changes to the management and sharing of sensitive…