Kloe Korby’s Post

Over 39 million dollars in false billing have been oncovered as a result of this conspiracy to government health care programs. Justice Dept. Charges 193 Defendants in a National Enforcement Action: Ronald David Dean, a Montana physician, pleaded guilty to charges as part of the Justice Department’s 2024 National Health Care Fraud Enforcement Action. Dean faces a maximum of 10 years in prison, a $1 million fine and three years of supervised release. Dean pleaded guilty to being paid a telemedicine company to sign orders for durable medical equipment that patients did not need. Dean then fraudulently charged Medicare, CHAMPVA and the Railroad Retirement Board programs for telemedicine office visits that did not occur. The telemedicine company also used Dean’s information to prescribe unneeded and unnecessary covid tests to patients. #unitedseniorassociation #USA #eldercare #FDA #seniorliving #ADA #AI #NIH #patientcare #compliance #hospitals #OIG #healthcare #HHSOIG #digitalhealth #HSS #CMS #assistedliving #nursinghomes #seniorcare #medicare #seniorcitizen #homehealthcare #caregiver #dementia #inhomecare #seniorhealth #kloekorby #alzheimers #mentalhealth

For 2024, #healthcare #fraud has already been rampant, according to the U.S. Department of Health and Human Services (HHS) Office of Inspector General. Below are the key areas Office of the State Inspector General seems to focusing on lately with regard to #nursinghome enforcement: 1. Protect residents from #fraud, #abuse and# neglect and promote #qualityofcare 2. Promote #emergencypreparedness and response efforts 3. Strengthen frontline oversight 4. Support federal monitoring of nursing homes to #mitigate #risks to residents #heallt #agingservices #seniorliving #skillednursingfacility #skillednursing #compliance #healthandsafety Jean Bourgeois, MBA, RHIA Beth Wilson Cathy Napoli Carrie Bencic Sharon Ezzone, MBA Grace Jindra Michelle Dietrich Terri Lightner Melinda Mallari Carey Marousek https://lnkd.in/edAncUma

Currently At Least 100 Lawsuits: Odom Law Firm Attorney Monte Sharits said in March 2024 that a judge ruled to get rid of the statute of limitations for these cases, allowing them to help patients dating back to 2018. "We have over 140 clients. The remarkable thing about their story is how similar they are to everyone else's story that we've visited. Along with the civil lawsuits already filed, Dr. Hyatt has two pending criminal charges of Medicaid fraud. "These people went and got the help. They were preyed upon for having done that, this is a predatory practice that was in place," Sharits said. "They believed that they could do this to these patients because they'd never be able to advocate for themselves. And if they tried, no one would believe them." One former patient who had been experiencing suicidal thoughts checked into the unit in 2021 after being sexually assaulted, but to their shock, they said that they didn't receive any counseling or medical attention. "It was a very traumatic experience…Some of the things I saw happen to other patients— you didn't want that to happen to you," the patient said. "So you kind of just follow the rules and listen to what you're being told to do because they didn't hide what they were doing to other patients." #unitedseniorassociation #USA #eldercare #FDA #seniorliving #ADA #AI #NIH #patientcare #compliance #hospitals #OIG #healthcare #HHSOIG #digitalhealth #HSS #CMS #assistedliving #nursinghomes #seniorcare #medicare #seniorcitizen #homehealthcare #caregiver #dementia #inhomecare #seniorhealth #kloekorby #alzheimers #mentalhealth

A sad and true reflection of the culture across many industries: dishonesty and fraud. Unprofessional. Remember all the fraudulent NDIS claims? Everybody is aware of rorting in government projects, and the list goes on. Not to forget about the behaviour of many politicians - same pattern. Ultimately this comes down to the failure of the government to act. There are usually no consequences and no deterrents, so the rort continues. Just look at the building industry, leaving at trail of destroyed lives. Most politicians are masters of deception, by stating that they would take action, but ultimately nothing happens... - No integrity - No leadership skills - Just self-interest #leadership #australia #healthcare #culture #fraud #crimes #government Fraud, waste and abuse: How some doctors are exploiting Medicare and turning patients into 'cash cows' - ABC News https://lnkd.in/gfymmWhd

Miami Medicare Fraud: A Serious Concern for Caregivers & Aging Loved Ones A recent Miami Herald article exposed a shocking Medicare fraud scheme right in our community. This highlights the risks seniors and their families face when navigating complex healthcare systems. For professionals with aging relatives or those advising clients on eldercare, this news is especially alarming. Our new blog post offers guidance: - How to identify fraudulent activity and protect your loved one's benefits. - The importance of choosing ethical in-home care providers - How Golden Companions prioritizes transparency and personalized care. Caring for aging loved ones shouldn't mean risking financial exploitation. Let's work together to safeguard our seniors. Read the full post: https://lnkd.in/eRM6yKvi Tag colleagues, clients, or healthcare organizations who might find this valuable. #MedicareFraud #ElderCare #Caregiving #Miami #SouthFlorida #Healthcare

In the senior living industry, ensuring the safety of residents and their sensitive information is paramount. Background checks play a critical role in achieving this goal. It's essential to comply with state and federal government requirements and debarment lists to avoid losing Medicare or Medicaid funding. SRA Screening offers background screening services tailored to the senior living industry. To learn more, click the link below. https://lnkd.in/e5_eWytk #backgroundchecks #seniorliving #privacy #privacylaw #medicare #medicaid

Interesting summary prepared by my colleagues here in the Health Care Industry Team about OIG enforcement activity during August 2023. A must read!

Medical feild violations -Nurses/Doctors and staff members will be exposed and charges will be imposed Gossiping – Talking about specific patients and disclosing their health information to family, friends & colleagues Theft of PHI for personal gain Use of PHI to cause harm Improper disposal of PHI – Discarding protected health information with regular trash Leaving PHI in a location where it can be accessed by unauthorized individuals Disclosing excessive PHI and violating the HIPAA minimum necessary standard Using the credentials of another employee to access EMRs/Sharing login credentials Sharing PHI on social media networks (See below)

The U.S. Dept. of HHS’ Office for Civil Rights recently finalized long-awaited modifications to the Confidentiality of Substance Use Disorder (SUD) Patient Records regulations at 42 C.F.R. Part 2. These changes are significant for healthcare providers that offer, or are considering offering, SUD treatment services. Check out this article that myself and Noreen Vergara prepared, which highlights several significant changes to the Part 2 requirements: https://lnkd.in/gguNUKAg #healthcareregulations #privacyprotections #patientrecords

The Justice Department's recent nationwide crackdown on health care fraud exposed a disturbing truth: nearly $2.7 billion in false claims were submitted. This isn't just a financial issue; it puts patient safety at risk. Here's a closer look: In Arizona, over $900 million in bogus claims were submitted for unnecessary wound grafts on elderly patients, including those in hospice care. Some tragically died shortly after receiving the grafts. Native Americans were falsely billed for addiction treatment services and sober homes that did not perform the services, continuing a history of exploitation. In Florida, HIV drugs and other counterfeit medications were misbranded and sold to unsuspecting pharmacies, putting patient health in jeopardy. Beyond stolen money, messing with the healthcare system is disrupting quality and ability to live a healthy and equitable life. How can we leverage technology to better detect and prevent fraud? How can we strengthen oversight and enforcement mechanisms? #HealthTech #Healthcare #Fraud #Policy #Research