From Report on Medicare Compliance - In a false claims complaint based partly on copay waivers, the Department of Justice alleges they led to medically unnecessary tests and procedures at a Florida cardiology practice. According to the complaint, which was announced on Jan. 5, interventional cardiologist Asad Qamar, M.D., routinely waived Medicare copayments, which allegedly encouraged some patients to submit to vascular interventions and other services they didn’t need. Qamar and his medical group, the Institute for Cardiovascular Excellence (ICE), are accused of defrauding Medicare of millions of dollars from 2008 to 2011. Read more

From Report on Patient Privacy - A five-hospital system in suburban Virginia, which was to be the first in the nation to implement a “trusted identity” system that verifies patients’ identities using a national driver’s license database before permitting them access to their medical records, has delayed the pilot, RPP has learned. But Inova Health System is committed to the concept that underlies the Cross Sector Digital Identity Initiative (CSDII), the log-in system developed with a $2.3… 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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