From Report on Medicare Compliance - Provider-based space is getting another look-see from the HHS Office of Inspector General, according to the mid-year update to its annual Work Plan, which was released June 7. This time, OIG is eyeing provider-based space through a somewhat different lens. Read more

From Report on Medicare Compliance - Pricing in other industries generally doesn’t require as much hashing over laws, regulations and contract language as it does in health care. The upside is that providers may have more room to maneuver when it comes to pricing and discounts than they think, one lawyer says. But they have to walk a careful line to avoid running afoul of the anti-kickback statute and other laws. “Pricing has not been one of… Read more

Compliance Blog

By Lauren Clason - June 10, 2016
The same day that a Maryland federal judge dismissed a putative class action against CareFirst, Inc. for the 1.1 million record data breach the insurer revealed last May, on the opposite coast, a California federal judge approved another one against Anthem, Inc., for the massive breach it revealed...
By Lauren Clason - April 22, 2016
While they may not fall under the HIPAA umbrella (yet), the privacy of biometric and other health data captured by the influx of new apps and wearable gadgets is a source of concern among consumers and regulators alike. The rapid evolution of health IT means it’s only a matter of time before they...
By Lauren Clason - March 15, 2016
The answer is maybe not, according to a study released on March 10 by Advisen Ltd. and sponsored by ID Experts Corp. Most cyber insurance seems to be designed as a bumper guard for major breaches, while the “vast majority” of data breaches are relatively small, falling well below the average...

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