2013 Compliance US Department of Health and Human Services 
Healthcare Compliance Blog
MAY 9, 2022
A home health services company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.
Med-Net Compliance
OCTOBER 19, 2022
The settlement resolves allegations that between 2013 and 2020, the company paid remuneration to its home health medical directors in Oklahoma and Texas for the purpose of inducing referrals of Medicare and TRICARE home health patients. The corporate officers were previously the CEO and COO of the company.
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HIT Consultant
MARCH 25, 2024
The US health system is in a desperate cybersecurity state of affairs. For example, throughout 2023 about one in three Americans were affected by health-related data breaches. Most of the largest hacks targeted vendors who bill, mail, or provide other services for hospitals, doctors, and other health providers.
Healthcare Compliance Blog
MAY 19, 2022
Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The Throughout the investigation, the hospital cooperated with the above entities. Issue: False claims can be generated in a variety of capacities.
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).
Medval Compliance Blog
MARCH 10, 2022
by Frank Fairchok, Vice President of Medicare Reporting Services. Last week, the Centers for Medicare & Medicaid Services (CMS) advanced the rulemaking process in two long-awaited areas. 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047). 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047).
Healthcare Law Blog
MARCH 25, 2022
Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. The Risk-Adjustment Program.
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