Verisys

JULY 5, 2023

Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance Continuous Data Monitoring is Key to Patient Safety Employing quality providers results in better patient outcomes. That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Health Care Law Brief

JUNE 5, 2023

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. Despite not providing the foregoing, Jelly Bean represented compliance with its contract with FHKC.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

HIPAA Journal

MARCH 15, 2023

While Jelly Bean Communications Design acted as a business associate under HIPAA, the action was taken over violations of the False Claims Act under the Department of Justice’s 2021 Civil Cyber-Fraud Initiative. Attorney’s Office for the Middle District of Florida, with assistance provided by HHS-OIG.

Health Insurance 80

Health Insurance HIPAA Due Diligence Fraud 80

AIHC

JUNE 6, 2023

AI Use in Healthcare Research & Quality As posted in the American Institute of Healthcare Compliance (AIHC) June monthly newsletter, the Agency for Healthcare Research & Quality (AHRQ) grantee is testing AI for use to improve breast cancer screening accuracy and efficiency. Beware of new companies offering such services.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. However, healthcare receives federal funding, and thus OFAC is an additional sanction list that you should add to your vendor compliance plan/program. Case Study: S. Bay Mental Health Centers (and the associated PE firm) U.S. Martino-Fleming v. Get Daily Vendor Monitoring.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

AIHC

JUNE 6, 2023

AI Use in Healthcare Research & Quality As posted in the American Institute of Healthcare Compliance (AIHC) June monthly newsletter, the Agency for Healthcare Research & Quality (AHRQ) grantee is testing AI for use to improve breast cancer screening accuracy and efficiency. Beware of new companies offering such services.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Hall Render

NOVEMBER 1, 2023

This Safe Harbor Policy (“Policy”) is aimed at incentivizing acquiring companies to identify and timely disclose misconduct discovered during the due diligence and post-acquisition integration process. Transactions that might have been abandoned or restructured due to the discovery of misconduct can now potentially move forward.

Due Diligence 40

Due Diligence Compliance Fraud 40

Healthcare Law Blog

APRIL 3, 2023

Has the PE firm evaluated the operational and financial practices of its portfolio companies to ensure compliance with unique healthcare requirements? These concerns come about as part of an evolving emphasis by the government on preventing fraud and abuse in health care. On March 25, 2021, the U.S. million to the U.S.

Due Diligence 52

Due Diligence Fraud Governance Compliance 52

Verisys

JULY 20, 2023

3: Allowing a physician to treat patients before credentialing is completed Courts have held hospitals liable when a physician falsifies credentials, and the hospital fails to do its due diligence in verifying them. Therefore, due diligence requires background checks to identify current and historical adverse actions.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 52

HIT Consultant

FEBRUARY 9, 2023

A lack of regulatory compliance, network and technical vulnerabilities, unencrypted information, unsecured mobile devices, and weak credentials all play a part in putting a healthcare organization at risk for a data breach. Paul Banco, CEO of etherFAX    How secure is your data? How Can a Data Breach Be Prevented?

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 52

Hall Render

JANUARY 11, 2023

As payor coverage expands for certain telemedicine services and technology, app and digital health technology developers will need to do their due diligence in determining coverage and reimbursement under federal and state health care programs and be cognizant of any fraud and abuse laws that apply under the various programs.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Verisys

JULY 22, 2024

integrated FACIS® (Fraud and Abuse Control Information System), a comprehensive sanction and exclusion database for healthcare providers, into its vetting process. By uncovering a candidate’s hidden history of fraud and sanctions, Tabb Inc. ” – Brian Bodkin, Founder Tabb Inc. The Solution Tabb Inc.

Due Diligence 52

Due Diligence Fraud Hospitals Licensing 52

Verisys

JULY 22, 2024

integrated FACIS® (Fraud and Abuse Control Information System), a comprehensive sanction and exclusion database for healthcare providers, into its vetting process. By uncovering a candidate’s hidden history of fraud and sanctions, Tabb Inc. ” – Brian Bodkin, Founder Tabb Inc. The Solution Tabb Inc.

Due Diligence 52

Due Diligence Fraud Hospitals Licensing 52

MedTrainer

AUGUST 2, 2023

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Healthcare Law Blog

FEBRUARY 2, 2023

healthcare compliance and reimbursement), and sometimes tax and employee benefits. From a buyer’s perspective, the LOI should reserve for additional items that may be discovered through diligence. These may include representations regarding regulated industries (e.g., Schedule certain defined terms. Define purchase price adjustments.

Due Diligence 52

Due Diligence Fraud Compliance 52

Health Law RX

AUGUST 10, 2021

It based its position on the grounds that Ancor, through its due diligence prior to the purchase of Alliance, learned about the alleged conduct and had the ability to remedy the conduct after the closing of the transaction. In that way, the Board is ultimately responsible for ensuring the company’s compliance.

Due Diligence 40

Due Diligence Compliance Governance Fraud 40

Verisys

JULY 13, 2023

How to Tackle Pharma’s 3 Biggest Compliance Risks Head-On with Verisys How often have you started at a new organization and heard these phrases? “ Some companies make decisions based on compliance standards and optics, while others may be more lax. Clinical trial compliance can offer unique challenges for pharmaceutical companies.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52