robert

Mitigating Compliance Issues in the COVID-19 Environment

In the healthcare arena, compliance issues constantly arise, and especially when a crisis comes along.   COVID-19 is such a crisis, and one that has been enhanced from a compliance perspective by the Coronavirus Aid, Relief and Economic Security (CARES) Act, which released over $2.2 billion into the economy to various businesses, healthcare facilities, providers’ offices, …

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Health Care Fraud and Abuse: What Is It and How Can We Slow It Down?

We have all heard the terms”health care fraud” and “health care abuse,” and most people realize it’s become a national issue that affects everyone, either directly or indirectly.   There are any number of estimates made on an annual basis as to how much money is truly lost to fraud and abuse in the U.S.Regardless of …

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In the News: Ineligible Providers in Medicare Part C and Part D

CMS contracts with Medicare Advantage plans and private prescription drug plans to offer Part C and Part D managed care benefits to eligible beneficiaries. Federal law prohibits Medicare payments for services provided or prescriptions written by individuals or entities who are excluded from Federal health care programs when the plans know or have reason to know of the …

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In the News: Medicare Telehealth Services During the COVID-19 Pandemic, Program Integrity Risks

In response to the COVID-19 pandemic, CMS implemented waivers and flexibilities that allowed Medicare beneficiaries to access a wider range of telehealth services without having to travel to a health care facility. We will analyze providers’ billing patterns for telehealth services. We will also describe key characteristics of providers that may pose a program integrity risk …

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The 10 Most Common Fraud Schemes That Have Arose from COVID-19

Unfortunately, natural disasters represent a prime time for fraudsters to strike – with their multitude of schemes and scams – and during the period when people are likely most vulnerable.  During these times, most people aren’t thinking about fraud.  Government agencies aren’t either.  Their primary focus is onhelping people, as opposed to stopping fraudsters from …

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COVID-19 Fraud: Schemes Being Perpetrated and Their True Costs to the United States

Since the advent of COVID-19, criminals across the globe have been exploiting the virus via a multitude of fraud schemes.  This has come to the attention of the FBI and other federal law enforcement agencies, including HHS/OIG.  Sadly, this fraud is so rampant that a recent report found that over $175,000,000 has already been scammed …

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Health Care Ambulance and Transportation Fraud & Abuse

One health care fraud and abuse scheme that is incredibly common but not at the top of the list of schemes discussed relates to ambulance and transportation. Health insurance carriers, health plans, Medicare and Medicaid will reimburse for services associated with the transportation of patients and members when medically necessary.   Medicaid and Medicaid health plans …

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Retired IRS Supervisory Specialty Agent Adds Invaluable Experience To Financial Forensics Firm

Robert Church, Managing Member, and Founder of White Collar, LLC a national firm specializing in financial forensics, governmental investigations, and healthcare matters, is pleased to announce the association of Phil Hull as Managing Director to the company.  The Company represents both plaintiffs and defendants in these increasingly complex matters. Hull, a Madison, MS native and …

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