Healthcare lives on data. Getting it to the patient and providers is essential for delivering quality care, but that can be a challenge.
As Eden Avraham-Katz, Vice President, Legal and Compliance at 1upHealth explains in...more
Melanie Fontes Rainer recently marked the completion of her second year leading the Office for Civil Rights at HHS. In this podcast she shared some of the accomplishments over this time as well as what the health care...more
Document retention is one of those persistent issues that comes with a great deal of complexity. As Michael Kearney, Head Solution Architect, Redgrave Data explains in this podcast, organizations have to deal with a dizzying...more
Healthcare enforcement is never quiet. There’s always something, or many things, going on, and compliance teams need to stay on top of the trends to ensure that their programs are staying ahead of the risks.
To find out...more
In late 2023, The Office of Inspector General (OIG) at the Department of Health and Human Services issued its new General Compliance Program Guidance. In this podcast, David Schumacher, Partner and Co-Chair of the Fraud &...more
Behavioral health shares many of the same compliance challenges as the rest of healthcare, but it also has several of its own.
To understand the risks, we sat down with Community Counseling Solutions’ Executive Director...more
Julie Janeway, General Counsel and principal owner, Principled Healthcare Consulting will be speaking about internal and parallel investigations at the 2024 HCCA Compliance Institute. In this podcast she slices off a bit of...more
To quote CMS, “The Open Payments program is a national disclosure program that promotes a more transparent and accountable health care system. Open Payments houses a publicly accessible database of payments that reporting...more
Cancer is not just a diagnosis between a patient and physician. In this podcast Jeremy Laws, Operations Supervisor at the Ohio Cancer Incidence Surveillance System, explains that a cancer diagnosis triggers state-by-state...more
The excitement over Artificial Intelligence (AI) is often met with concerns about its negative potential. That’s especially true in healthcare where the potential gains are met by the principled and practical requirements of...more
Having all the privacy policies and procedures in place is one thing. Having them practiced is another, and that’s where a privacy walk-through comes into play.
Jan Elezian, Director Healthcare Provider Practice, Revenue...more
The recently-released Health Care Fraud and Abuse Control Program FY 2021 report contains a treasure trove of information for healthcare compliance teams. To gain a better understanding of lessons to be learned from this...more
Conflicts of interest are a particularly challenging issue in healthcare. Medical professionals may moonlight at a rival hospital, have an interest in a medical device or real estate a hospital is thinking of acquiring, and,...more
Hybrid work is likely here to say, and, as Sheila Limmroth, privacy specialist at DCH Health System, and the author of the chapter Hybrid Work Environment in the Complete Healthcare Compliance Manual observes in this...more
4/21/2022
/ Cybersecurity ,
Data Privacy ,
Data Protection ,
Data Security ,
Electronic Protected Health Information (ePHI) ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Workers ,
HIPAA Privacy Rule ,
HIPAA Security Rule ,
Home Offices ,
Mobile Device Management ,
Multi-Factor Authentication ,
Network Security ,
Passwords ,
Personally Identifiable Information ,
PHI ,
Phishing Scams ,
Policies and Procedures ,
Remote Working ,
Risk Management ,
Risk Mitigation ,
Telehealth ,
Videoconference
Isabella Porter is the director of compliance and privacy officer of District Medical Group and author of the chapter “Patient Privacy and Security: Business Associates” in the Complete Healthcare Compliance Manual.
In this...more
The pandemic may, please, finally, we hope, be coming to an end. That’s great cause for celebration, but it also portends a period of adjustment for healthcare, according to Raul G. Ordonez, Associate Vice President for...more
As the business world embraces Artificial Intelligence (AI) it’s important for compliance teams to understand what this technology is and what risks is can bring. In this podcast and at the 2022 HCCA Compliance Institute...more
At the 2022 HCCA Compliance Institute, Tonja Wise, Corporate Director of Compliance, Sharp HealthCare will be leading a session “Your Audit Plan is on Point…but How is Your Moderating Game?” It’s a very good question, and in...more
In this podcast Rob DeConti, Assistant Inspector General for Legal Affairs within the office of counsel to the Inspector General at HHS, was good enough to share a tremendous amount of insight into what the OIG is seeing,...more
11/11/2021
/ Charitable Organizations ,
Compliance ,
Coronavirus/COVID-19 ,
Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
Fraud Alerts ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Nursing Homes ,
OIG ,
Pharmaceutical Industry ,
Physicians ,
Public Health ,
Telehealth
Healthcare risk doesn’t stop at the facility’s door. Covered entities have countless business associates (BA), each of which poses risks of its own. That, in and of itself, is a challenge, but Gerry Blass, President and CEO...more
Kim Brandt, partner at Tarplin, Downs & Young has long provided the healthcare community with her expertise in all things Washington, having spent substantial time at CMS, the OIG at HHS and on Capitol Hill.
She’ll be...more
10/21/2021
/ Biden Administration ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Medicaid ,
Medicare ,
Medicare Part B ,
Mental Health ,
OIG ,
Physician Payments ,
Physicians ,
Proposed Rules ,
Regulatory Agenda ,
Telehealth
Much has changed in the world of compliance, especially of late, but when it comes to healthcare investigations, not all should, says Pamela Para RN, MPH, CPHRM, ARM, DFASHRM, President and Chief Content Officer at CE...more
9/30/2021
/ Compliance ,
Corrective Actions ,
Documentation ,
Health Care Providers ,
Hospitals ,
Investigations ,
Nurses ,
Physicians ,
Policies and Procedures ,
Regulatory Requirements ,
Risk Management
While the pandemic put many things on hold, it did not do the same for the False Claims Act (FCA). To find out what is happening in FCA activity we spoke with Patrick Hooper, Jordan Kearney and Alicia Macklin, partners at the...more
9/9/2021
/ Administrative Procedure Act ,
Azar v Allina Health Services ,
Department of Health and Human Services (HHS) ,
Electronic Medical Records ,
Enforcement Actions ,
False Claims Act (FCA) ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Low-Income Issues ,
Medicare ,
Medicare Advantage ,
Medicare Part A ,
Medicare Part C ,
Notice and Comment ,
Opioid ,
Pay Reductions ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Press Releases ,
Provider Payments ,
Public Comment ,
Reaffirmation ,
Retroactive Application ,
SCOTUS ,
Substantive Rule ,
Vacated
Preventing data breaches is a critical task for all businesses these days, but it’s especially so in healthcare. No one wants to see health information disclosed, and the risks of a ransomware attack are enormous, literally...more
7/15/2021
/ Business Associates ,
Compliance ,
Cyber Attacks ,
Cybersecurity ,
Data Breach ,
Data Privacy ,
Data Protection ,
Data Security ,
Electronic Protected Health Information (ePHI) ,
Hackers ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Hospitals ,
PHI ,
Physicians ,
Popular ,
Ransomware ,
Risk Mitigation
When a data breach occurs, one step is often overlooked in the rush to remediate: preserving as much of the data logs and backups as possible That’s a mistake, say Debra Geroux, Shareholder at Butzel Long and Scott Wrobel,...more
6/10/2021
/ Cyber Attacks ,
Cyber Incident Reporting ,
Cyber Insurance ,
Cybersecurity ,
Data Breach ,
Data Security ,
Hackers ,
Health Care Providers ,
Incident Response Plans ,
Phishing Scams ,
Security Risk Assessments