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False Claims Act Retaliation Decision Calls into Question the Heightened Burden for Employees Whose Duties Include Compliance and Fraud Investigation

Hall Render

Since 2009, the FCA’s anti-retaliation provision,(codified at 31 U.S.C. Prior to 2009, the FCA’s anti-retaliation provision more simply prohibited retaliation against an employee for conduct that was “in furtherance of an action under this section.” This category of individuals is sometimes called a “fraud alert employee.”

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. Who in the Organization Is Responsible for Healthcare Compliance?

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U.S. Healthcare Compliance Frameworks: A Guide for International Vendors

Compliancy Group

must also be mindful of these healthcare compliance frameworks. A Compliance Framework for the U.S. healthcare compliance framework serves these purposes: Protect patient privacy : Health records and protected health information must remain confidential and private, with only essential providers and personnel having access to it.

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3 Reasons Insurance Agents Need to Follow HIPAA

Total HIPAA

Health insurance agents became covered under HIPAA with the HITECH Act of 2009. Besides the moral and ethical obligation to protect American PHI, here are three reasons in favor of having a strong HIPAA compliance plan- beyond just annual training. Competitive Advantage : HIPAA compliance can be a differentiator for insurance agents.

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HIPAA Compliance Guide: All Your Questions Answered

Total HIPAA

This post aims to answer all of your HIPAA compliance questions. If you’re just learning about HIPAA compliance, or beginning the process of becoming HIPAA compliant, this article will guide you through the initial steps you must take to adhere to the law. What is HIPAA Compliance? Protected Health Information (PHI).

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HIPAA Sample Breach Notification Letter: Who Must Be Notified?

Compliancy Group

Prior to 2009, many breaches of unsecured PHI went unreported, both to the media and to breach victims. In 2009, the Department of Health and Human Services (HHS) issued the HIPAA Breach Notification Rule. Do you have an effective HIPAA compliance program? Find out now by completing the HIPAA compliance checklist.

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DOJ Recouped $2.2 Billion Under FCA in 2022

Hall Render

million to resolve allegations that it paid kickbacks to physicians who attended its programs in connection with its multiple sclerosis drugs between 2009 and 2014. Proactive compliance programs are an excellent defense and can help to identify issues before these issues potentially pose FCA risk. A pharmaceutical company paid $843.8