From Report on Medicare Compliance - In a pure TRICARE case, a compounding pharmacy agreed to pay $3.775 million to settle false claims allegations that it billed for prescriptions written by a physician who is married to an executive at the pharmacy, the U.S. Attorney’s Office for the Middle District of Florida said June 1. MediMix Specialty Pharmacy LLC in Jacksonville allegedly billed TRICARE for compounded drugs that were not reimbursable from Jan. 1, 2009, to Dec. 31, 2014, according to the settlement. Read more

From Report on Patient Privacy - Although it has been available for a decade or so, the cyber liability market is still something of the “Wild West,” in the words of Stephen Raptis, a partner in the Washington, D.C., office of Manatt, Phelps & Phillips LLP. Read more

Compliance Blog

By AIS Staff - July 15, 2014
The scandal at the Department of Veterans Affairs (VA) that has so outraged the nation over veterans’ access to medical care also has pointed the spotlight on whistleblowers and a covered entity’s compliance with whistleblower protection laws. This month’s issue of Report on Patient Privacy (RPP)...
By AIS Staff - June 16, 2014
Let’s say, for whatever reason, you wanted an electronic copy of your medical records. You have a right to them, by law, except that’s not what’s happening at many HIPAA covered entities. For its June issue, Report on Patient Privacy (RPP) took a look at the websites of several prominent health...
By Nina Youngstrom - March 10, 2014
Two recovery audit contractors have a bone to pick with some of the changes planned by CMS for the next round of the five-year RAC contracts and have filed “pre-award” protests with the Government Accountability Office (GAO), Emily Evans, a partner in Obsidian Research Group in Nashville, said at a...

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