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Managing Healthcare Compliance in Florida

MedTrainer

Similar to other states, maintaining healthcare compliance in Florida State involves meeting state-specific regulations and requirements. This post offers an overview of must-know compliance requirements for Florida. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

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Exploring Cigna's $172 Million Medicare Advantage Settlement

Healthicity

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement $172 million is a lot of money. Specifically, the government alleged that Cigna submitted and failed to withdraw inaccurate and untruthful diagnosis codes in order to increase its payments from Medicare. government joined the action.

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False Claims Act: Prediction on Supreme Court Ruling on Government Dismissal Authority

Healthcare Law Today

The case asks whether the government has authority to dismiss an FCA suit after initially declining to proceed with the action, and if so, what standard would apply. The Petitioner-Relator filed an FCA case against EHR on July 26, 2012 which the government investigated for about two years before declining to intervene on June 27, 2014.

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Monthly Round-Up of What to Read on Pharma Law and Policy 

Bill of Health

The selections feature topics ranging from an analysis of government and industry investments for recently approved drugs, to a discussion of court decisions on mifepristone, and an examination of the added therapeutic benefit associated with the top-selling brand-name drugs in Medicare. JAMA Netw Open. 2023 Apr 3;6(4):e238835. J Law Biosci.

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Buyers Beware: Fraudulent Cisco Hardware Puts Spotlight on Procurement and Compliance

Compliancy Group

Procurement compliance and security are often put on the back burner when companies try to save money. Customers of Aksoy’s fraudulent and counterfeit devices included hospitals, schools, government agencies, and the military.”. Cisco also caught on to the scheme, sending seven cease and desist letters to Aksoy from 2014 – 2020.

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Interview: Ty Allen, Founder & CEO, SocialClimb

HIPAA Journal

Healthcare is a highly regulated industry, and ensuring compliance and data security is paramount. Recent compliance fear in the industry has healthcare companies reacting wildly by unplugging marketing analytics or halting marketing efforts all together. When did you first get involved with HIPAA compliance?

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A recent enforcement action against a compounding pharmacy

Natalia Mazina

According to the government press release, the pharmacy and the marketers provided physicians with preprinted prescription script pads that offered “check-the-box” options to maximize the amount of insurance reimbursement for the compounded drugs.