Healthcare Compliance Blog

MAY 19, 2022

The voluntary disclosure and investigation revealed that from June 1, 2013, through May 31, 2019, the hospital submitted claims to Medicare for Intensive Cardiac Rehabilitation (ICR) services provided to Medicare beneficiaries.?Before Throughout the investigation, the hospital cooperated with the above entities.

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Total HIPAA

SEPTEMBER 11, 2019

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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Healthcare Compliance Blog

MARCH 21, 2022

The sole owner and operator of a Kansas home healthcare company has pleaded guilty to employment tax fraud. The fraud scheme caused a tax loss to the Internal Revenue Service (IRS) of over $300,000. Issue: A check and balance system in payroll management can minimize any payroll fraud.

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McGuire Wood

OCTOBER 2, 2023

According to the DOJ press release, from January 2013 to July 2018, Oliver Street, doing business as U.S. Further, if ancillary services are involved, there should be analysis to confirm compliance with the Stark Law and the AKS. This settlement includes more than $5.928 million in restitution, essentially a payment of 1.49

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HIPAA Journal

OCTOBER 21, 2022

For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing. In 2013, HHS confirmed that paper-to-paper, non-digital faxes are not covered transactions).

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HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To? Other Types of HIPAA Law Violation.

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HIPAA Journal

FEBRUARY 23, 2022

Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. The provisions related to administrative simplification are discussed below, while the provisions for medical liability reform (of which there are few) only relate to whistle blower protection for reporting fraud and abuse.

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HIPAA Fraud Health Insurance Medicaid 89

Verisys

NOVEMBER 14, 2023

Proven software and technology which continuously monitors these sources will ensure that your healthcare organization is in compliance at all times. Verisys’ owned and maintained Fraud Abuse Control Information System (FACIS) is a provider data supersource.

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Total HIPAA

OCTOBER 28, 2019

A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. He altered patient records as part of a scheme to steal narcotics from a local hospital from January 2013 to May 2015. How to Maintain Compliance with HIPAA. Keeping detailed logs is the first step toward HIPAA compliance.

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Healthcare Law Blog

MAY 31, 2022

However, traditional healthcare players, subject to the Health Insurance Portability and Accountability Act (“HIPAA”), may also find themselves innovating in this space (and grappling with how to stand up a HIPAA compliance program in the metaverse). 1] “Metaverse may be $800 billion market, next tech platform,” Bloomberg Intelligence (Dec.

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Verisys

JANUARY 18, 2022

Proven software and technology which continuously monitors these sources will ensure that your healthcare organization is in compliance at all times. Verisys’ owned and maintained Fraud Abuse Control Information System (FACIS) is a provider data supersource. ISO 27001:2013 (information security).

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HIPAA Journal

JULY 24, 2023

Healthcare providers participating in federal healthcare programs are advised to regularly check the HHS OIG Exclusions List to avoid penalties for non-compliance with §1128 of the Social Security Act. This article answers the following: What is the HHS Office of Inspector General? What is the HHS OIG Exclusions List?

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Healthcare IT News - Telehealth

JULY 19, 2021

Unsecure telehealth connections can open the door for fraud, phishing and ransomware attacks, with serious reputational and financial consequences. "So we needed a telehealth solution with security measures that went beyond HIPAA compliance, while still being easy to use by patients and providers alike." " PROPOSAL.

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HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). 2022 New York EyeMed Vision Care $600,000 2.1 million 78.8

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Drug & Device Law

DECEMBER 29, 2023

2023) ( Buckman preemption barred MDL asserting fraud on EPA), cert. Negligence requires an evaluation of a defendant’s reasonableness, and all relevant NC authority includes relevant regulatory compliance in that mix. Plaintiffs’ own litigation strategy thus opened the door to compliance evidence. Monsanto Co. , denied , 144 S.

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Drug & Device Law

MAY 4, 2023

472 (2013), but that hinged largely on the duty of sameness—that is, the generic manufacturer cannot change the formulation of its drug to be different from the branded drug on which its ANDA approval depended. Ortho-McNeil-Janssen Pharms., 3d 281 (6th Cir. Bartlett , 570 U.S.

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Drug & Device Law

JANUARY 30, 2023

472 (2013), implied preemption decisions, cited only by the dissent in Wyeth v. 470 (1996), was decided – removing express preemption as a defense for manufacturers of §510(k) products So defendants moved on fraud on the FDA under an implied preemption theory and won. Kent , 552 U.S. Albrecht , 139 S. Bartlett , 570 U.S.

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Drug & Device Law

FEBRUARY 15, 2024

2022) (recognizing the following product defect liability theories: “(1) negligent design of the product; (2) negligent manufacture of the product; (3) negligent failure to warn about some aspect of the product; (4) breach of express or implied warranty; or (5) misrepresentation or fraud”). 12-cv-244, 2013 WL 12085097, at *4 (W.D.

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