A Price Worth Paying?
An Update on SEF, IDB and Swap Regulation from Chris Ferreri of ICAP
Suzanne Folsom & Christopher Burnham on Private Sector Lessons
Confirmations: Plugging Into Electronic Confirmations
Corporate Law Report: Economic Espionage Act, Top FCPA Enforcement Actions, Trademark Audits, and More
The U.S. Government Accountability Office (GAO) recently published the results of a study examining the effectiveness of CMS’s contractors that conduct postpayment claims reviews to identify improper payments (i.e., Medicare...more
Following a detailed study of the manner by which the Centers for Medicare and Medicaid Services (“CMS”) engages in postpayment claims reviews to identify improper payments, the U.S. Government Accountability Office (“GAO”)...more
Proactive self-audits help providers identify potential problems -
The Federal Government is using every tool available to fight health care fraud and recover overpayments from health care providers. According to the...more
Several governmental agencies, including the Internal Revenue Service (IRS), Department of Labor (DOL), Securities and Exchange Commission (SEC) and Department of Health and Human Services (HHS), have stepped up their audit...more
Earlier this week we attended the National Institute of Standards and Technology (NIST) and HHS Office for Civil Rights (OCR) 6th Annual Safeguarding Health Information Conference in Washington, D.C. (the NIST-OCR...more
The government has been increasing its focus on healthcare fraud involving “quality” of care. This is an extremely difficult issue, especially for prosecutors. It is very difficult to define “quality” standards and then...more
The HHS OIG has conducted a nationwide audit of the use and reimbursement of Herceptin (also known as trastuzumab), a Medicare-covered drug used to treat metastatic breast cancer, and has concluded in three audits released in...more
Originally published in Compliance Today on December 1, 2012.
..Covered entities are now subject to privacy and security audits by OCR.
..OCR published audit protocols regarding its standards for such...more
One of the less well-known provisions of the Health Information Technology for Economic and Clinical Health (or "HITECH") Act is the requirement that the U.S. Department of Health and Human Services ("HHS") periodically...more
On June 26, 2012, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) released on its website the protocol that it has developed to serve as a guideline for recently-implemented HIPAA...more
Protocol provides clues regarding areas of focus for ongoing HIPAA audits assessing compliance with the Privacy, Security, and Breach Notification Rules.
The Office for Civil Rights (OCR) at the Department of Health...more