In CMS
Oct 30th, 2018
Thousands of consumers’ files in the Federally Facilitated Exchanges (FFE’s) Direct Enrollment pathway may have been compromised. The Centers for Medicare & Medicaid Services (CMS) said “anomalous activity” was detected in the portal on Oct. 13 and a breach was declared on Oct. 16. CMS issued a press release on Oct. 19. “At this time,” ...
It can rob a patient’s health and jeopardize a provider’s good-standing, too. By Edie Hamilton, MA, CPC, CPC-I Identity theft is a hot topic in the field of medical fraud. According to research on privacy, data protection, and information security policy conducted by Ponemon Institute, more than 2.3 million people have been victims of medical ...
In CMS
Dec 15th, 2011
In our digital age, identity theft is a growing concern for everyone—physicians included. Identity thieves steal providers’ personal information and use it to receive illegitimate Medicare payments, leaving the victimized providers with overpayment demands, tax liabilities, and credit degradation. Often, a provider does not know that his identity has been compromised until he receives overpayment ...
Mar 1st, 2011
Whether it is a staged accident or upcoding a physician service, fraud costs everyone. By Anita Barsalou, CPC Working in the insurance industry for over 27 years has led me to realize just how much insurance fraud costs us as consumers and as a society. This is not a victimless crime. We’re all affected by ...
In Billing
Jul 2nd, 2010
The head of the Federal Trade Commission (FTC) now says physicians should not be included in the Red Flags Rule’s definition of a “creditor,” but it would take congressional action to exempt them. “We agree with you that the Red Flags Rule reaches too far,” said FTC Chair Jon Leibowitz June 14 at the American Medical ...