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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

The United States District Court for the Eastern District of Wisconsin recently issued a decision involving protections for employees whose jobs involve the investigation of fraud. Since 2009, the FCA’s anti-retaliation provision,(codified at 31 U.S.C. This category of individuals is sometimes called a “fraud alert employee.”

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HITECH Compliance

AIHC

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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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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HITECH Compliance

AIHC

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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The History of Healthcare Compliance

MedTrainer

At its core, healthcare compliance ensures the quality of care, patient safety, and integrity of healthcare systems. Over the years, healthcare compliance has evolved significantly, driven by changing regulations, advances in technology, and a growing emphasis on patient-centric care. What is Healthcare Compliance?

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False Claims Act Settlements Exceed $5.6 Billion in Fiscal Year 2021

Healthcare Compliance Blog

billion in settlements and judgments have been recovered by the Department of Justice Department (DOJ) related to civil cases involving fraud and false claims in fiscal year 2021. In 2009 and 2010, further improvements were made to the False Claims Act and its whistleblower provisions. More than $5.6

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DOJ’s FY 2022 False Claims Act Recoveries: A Mixed Bag

Health Law Advisor

The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. Not insignificantly, recoveries in declined cases led the way in all fraud recoveries, not just in health care. 1] While total recoveries exceeded $2.2 Last year, $1.2

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