Report on Medicare Compliance 29, no. 35 (October 5, 2020)
◆ In a major national enforcement action, the Department of Justice (DOJ) and other federal agencies said Sept. 30 they have charged 345 people, including more than 100 physicians, in a scheme involving the alleged submission of $6 billion in false claims to federal health care programs and private insurers. “The largest amount of alleged fraud loss charged in connection with the cases announced today—$4.5 billion in allegedly false and fraudulent claims submitted by more than 86 criminal defendants in 19 judicial districts—relates to schemes involving telemedicine,” DOJ said.
◆ Richard Liriano, a former information technology employee at a New York City area hospital, was sentenced to 30 months in prison in connection with a scheme to use malicious software on dozens of his coworkers’ computers , the U.S. Attorney’s Office for the Southern District of New York saidOct. 2.Liriano got access to the user names and passwords of their personal emails. “Using his victims’ stolen credentials, Liriano repeatedly compromised their password-protected online accounts, and accessed their sensitive personal photographs, videos, and other private documents,” the U.S. attorney’s office said. His intrusions also cost the hospital $350,000, including expenses to remediate the damage Liriano caused on its computer networks.