July 30, 2021
NHCAA SmartBrief
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N.C. man admits to role in illegal drug distribution
(Pixabay)
Charles Adams Jr. from Dobson, N.C., pleaded guilty to one count of conspiring to use the DEA registration number of another provider to prescribe controlled substances, among other counts. Court documents showed Adams, who worked as a counselor for a company that operated Virginia-based medical clinics, influenced medical decisions and treatments of patients, which included the prescribing of Suboxone and Schedule II pain medications.
Full Story: Department of Justice (7/29) 
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Law Enforcement & The Courts
Debbie Moore of Springfield, Mass., was sentenced to five years of supervised release and was ordered to pay $261,933 in restitution after pleading guilty to one count of government theft. Authorities said the Social Security Administration deposited $261,933 in social security retirement benefits intended for Moore's relative into a bank account controlled by Moore after the relative died in 2003.
Full Story: Department of Justice (7/28) 
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Kentucky resident Brandy Rock was charged with TennCare fraud. Authorities said Rock falsely reported a Tennessee address and falsely claimed to have dependent children in her custody, allowing her to fraudulently receive $11,700 from TennCare.
Full Story: WATE-TV (Knoxville, Tenn.) (7/29) 
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Reynold Diaz, a Dominican national who resided in Taunton, Mass., entered a guilty plea to one count of making a false statement relating to a federal health care program and one count of false representation of a Social Security number. Authorities said Diaz obtained a Massachusetts driver's license ad applied for MassHealth benefits using the name and identifiers of a US citizen for at least 18 years, among other offenses.
Full Story: Department of Justice (7/29) 
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Policy & Regulatory News
Tools & Technology
Eighty percent of respondents to a Harris Poll expressed concern about digital COVID-19 vaccination certificates, and though 68% said they would sign up for one, only 45% said they would be very likely to use one. Digital credentials may be less prone to fraud than paper vaccine cards, but standardization, consistent adoption and strict privacy rules are necessary, and researchers at the Brookings Institution are urging the federal government to promulgate regulations that ban companies from selling or mishandling personal health information.
Full Story: Fast Company (tiered subscription model) (7/29) 
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DirectTrust issues draft standard for health care IM
(Pixabay)
DirectTrust is seeking approval from the American National Standards Institute on Trusted Instant Messaging Plus standards for secure, real-time communication within and between health care enterprises. DirectTrust's TIM+ Consensus Body is holding an information session Aug. 24 and is seeking stakeholder input and comments on the draft standard by Sept. 14.
Full Story: EHR Intelligence (7/28) 
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Medical News
NHCAA News
Over three days, hear 10 power-house sessions from your peers in the health care anti-fraud industry. Speakers will examine the skills and strategies needed to conduct effective investigations of complex cases and shifting schemes. Speakers, utilizing case studies, will unravel schemes through a focus on case management, internal collaboration, analytics, team development, investigative skills, and partnership with law enforcement. This is the ideal program to enhance the skills of middle managers and investigators on the rise. Register now.
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NHCAA Partner Webinars enable companies with anti-fraud solutions the opportunity to showcase their expertise through training hosted on their own webinar platform. Partners receive and manage all registration data. NHCAA provides promotion for your webinar in one targeted email and a spotlight on our website. For more info on Partner Webinars, please contact us at antifraudexpo@nhcaa.org with any questions or ideas.
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It is a time in which we will redefine what it means to be human, for this is not just the start of a revolution, it is the start of an evolution.
David A. Sinclair,
biologist, professor of genetics
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