For EHR-Related Fraud, Former Hospital Employee Faces Jail Time

Dec. 1, 2014
A former employee at Parkland Memorial Hospital in Dallas is pleading guilty to identity theft through his exploitation of the provider's electronic health record (EHR) system.

A former employee at Parkland Memorial Hospital in Dallas is pleading guilty to identity theft through his exploitation of the provider's electronic health record (EHR) system.

According to the U.S. Department of Justice, Viju Mathew, 49, of Garland, Texas, pleaded guilty to one count of fraud and related activity in connection with identification documents, authentication features and information. The DOJ says that Mathew used his position as a registration specialist at Parkland to gain access to confidential patient information, including names, telephone numbers, dates of birth, participation in the Medicare program, and government-issued health insurance claim numbers. His used that information for his own economic benefit by contacting prospective patients for his home health care business.

Mathew could be jailed up to five years and fined $250,000 for this. According to Dallas News, Mathew was found out and fired in 2011. Not only did he use the EHR to find potential patients, but once they were found, he would call them for services they didn't need and then bill Medicare, says the Dallas News.

Read the source article at Front Page

Sponsored Recommendations

How Digital Co-Pilots for patients help navigate care journeys to lower costs, increase profits, and improve patient outcomes

Discover how digital care journey platforms act as 'co-pilots' for patients, improving outcomes and reducing costs, while boosting profitability and patient satisfaction in this...

5 Strategies to Enhance Population Health with the ACG System

Explore five key ACG System features designed to amplify your population health program. Learn how to apply insights for targeted, effective care, improve overall health outcomes...

A 4-step plan for denial prevention

Denial prevention is a top priority in today’s revenue cycle. It’s also one area where most organizations fall behind. The good news? The technology and tactics to prevent denials...

Healthcare Industry Predictions 2024 and Beyond

The next five years are all about mastering generative AI — is the healthcare industry ready?