Covered Entities and Business Associates Beware! HHS OCR Announces Latest Survey in Preparation for New HIPAA Audits
(March 26, 2014) Last month, the Department of Health and Human Services Office for Civil Rights (HHS OCR) announced that it will survey up to 1200 organizations as part of its plan to prepare for the latest round of HIPAA audits. More importantly, covered entities and business associates should be asking themselves – has your organization fully complied with the HIPAA Privacy, Security, and Breach Notification Rules? I. HIPAA Omnibus Final Rule In January 2013, HHS enacted a new rule to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of 1996 ...
Physicians Warned About DMEPOS Supplier “Marketing Schemes”
(March 26, 2014) Medical directors from the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs) recently issued a joint open letter to doctors warning about "various marketing schemes" perpetrated by DME suppliers. I. DME MACs The DME MACs are responsible for processing Medicare Durable Medical Equipment, Orthotics, and Prosthetics (DMEPOS) claims for a defined geographic area or "jurisdiction." CMS has established four DME MAC jurisdictions that perform numerous functions on behalf of Medicare beneficiaries and establish relationships with suppliers of DMEPOS. Currently, the four DME MAC jurisdictions include the following companies and their medical directors: A. NHIC, Corp. – Paul J. Hughes, ...
CMS’ “Medicare Care Choices Model” Will Allow Certain Hospice Patients to Receive Both Palliative Care and Curative Care
[caption id="attachment_279" align="alignleft" width="222"] Centers for Medicare & Medicaid Services (CMS) will permit Medicare beneficiaries to receive palliative care from eligible hospice providers while also receiving curative services from their traditional provider.[/caption] (March 24, 2014) With its new “Medicare Care Choices Model”, the Centers for Medicare & Medicaid Services (CMS) will permit Medicare beneficiaries to receive palliative care from eligible hospice providers while also receiving curative services from their traditional provider. CMS will then assess whether receiving both hospice and curative services improves a beneficiary’s quality of life and care, increases patient satisfaction, and reduces Medicare expenditures. I. Background and Purpose Under current ...
Criminal Attacks On Health Care Providers Rise 100% In Four Years
[caption id="attachment_874" align="alignleft" width="199"] Criminal Attacks On Health Care Providers Rise 100% In Four Years[/caption] (March 14, 2014) A recently released Ponemon Institute study reveals startling insight into new and expanded threats to the security and privacy of patient information in the U.S. health care system. Alarmingly, criminal attacks on health care providers have risen 100% since 2010. Moreover, many cite the Affordable Care Act (ACA) as one of the biggest factors putting patient health information at risk. Furthermore, increasingly complex federal and state privacy and security regulations have led to ongoing compliance problems for many providers. Nevertheless, while almost every ...
Health Law ArticlesCovered Entities and Business Associates Beware! HHS OCR Announces Latest Survey in Preparation for New HIPAA Audits CMS’ “Medicare Care Choices Model” Will Allow Certain Hospice Patients to Receive Both Palliative Care and Curative Care Criminal Attacks On Health Care Providers Rise 100% In Four Years CMS Announces RAC Audit “Pause” and Additional RAC Program Reforms Texas Medicaid Providers – Have You Implemented Your Effective Compliance Plan Yet? Read More Posts From This Category
Dental Law ArticlesMedicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of Medicaid Fraud. Medicaid Dental Fraud: Dentist Alleged to Have “Systematically Bilked” the State in Dental Fraud Scheme. Medicare Dental Services: Take Care to Ensure that Your Hospital Outpatient Dental Services Meet Medicare’s VERY Limited Coverage Requirements Before Billing the Program. Medicaid Dental Audits: Medicaid Dentists are Under the Microscope. Are Your Dental Records Complete and Accurate? TBDE Update: Texas State Board of Dental Examiners — What Types of Violations will Result in Sanctions? Read More Posts From This Category
Municipal Law ArticlesCMS Announces RAC Audit “Pause” and Additional RAC Program Reforms
The Centers for Medicare & Medicaid Services (CMS) recently announced that... [Read more of this review]Peddling and Soliciting, Municipal Regulations These Issues Can be Complex. Is Your City Clear on these Points?
(January 8, 2013): As a general rule cities can regulate hawking, canvassing,... [Read more of this review]City Contracts and Arbitration
It is recommended that cities do not agree to arbitration, either voluntarily or... [Read more of this review]Read More Posts From This Category
Business & Transaction ArticlesLiles Parker Attorney has Article Titled “Individual Liability in Medicare Overpayment Cases” Published in Law Journal.
Will the government seek to “pierce the corporate veil”? (October 16,... [Read more of this review]A Recent False Claims Act Case Being Brought Against an Individual Physician has Resulted in a Record Recovery for the Government.
(February 12, 2013): The civil False Claims Act is the primary civil enforcement... [Read more of this review]What is Civil Fraud?
(November 29, 2012): Civil fraud cases are complex and can have substantial effects... [Read more of this review]Read More Posts From This Category