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Read the latest news that impacts the healthcare compliance profession.
In $16M FCA Settlement, DOJ Alleged Outpatient Orders Were Overturned
Piedmont Healthcare Inc. in Atlanta has agreed to pay $16 million to settle false claims allegations over the twin compliance risks of billing for admissions...
Hospital Chain Pays $117M to Settle FCA Case About Medical Necessity, Therapy
Putting to rest 19 whistleblower lawsuits, Universal Health Services Inc. and UHS of Delaware Inc. have agreed to pay $117 million to settle false claims...
Integrating telehealth into compliance programs: Best practices for compliance professionals
Even before many Americans were affected by the novel coronavirus and the resulting stay-at-home orders, school closures, and business shutdowns, telehealth was one of the...
Comparative Billing Reports: Tools to support Medicare Part B providers
How do your billing and/or prescribing submissions compare to those of your peers? Even the most compliant process can benefit from comparisons and analyses of...
Misplaced trust in high-level employees: Ethical challenges in the public sector
Since the beginning of time, corruption has been a cancer of society and led to the decline of many great civilizations. “Corruption began life as...
Lifespan Pays $1M to Settle HIPAA Case Over Stolen Unencrypted Laptop
The 2017 theft of an unencrypted laptop is at the heart of a new HIPAA settlement[1] with Lifespan Health System Affiliated Covered Entity (Lifespan ACE)...
Hit with Ransomware? Here's What Your Organization Is Up Against
Ransomware attacks are changing and becoming far more sophisticated, meaning hospitals and other health care entities need to step up their games to defend against...
Institutions Pushing Back Against Removing PIs From Awards, Despite Harassment Findings
In the first six months of this year, NIH removed 24 individuals from its peer review panels, and at least 14 researchers lost their status...
DAB Affirms OIG's $1.32M Penalty on Provider for Breaching CIA
The HHS Departmental Appeals Board (DAB) has upheld the largest stipulated penalty imposed by the HHS Office of Inspector General (OIG) in years. OIG fined...
Oklahoma Hospital, Physicians Settle FCA Case for $72M; FMV Is Theme
In a complicated false claims case that boils down to fair market value allegedly run amok, an Oklahoma hospital, related entities and two physicians agreed...
