From Report on Patient Privacy - Although covered entities (CEs) have been required since 2009 to notify affected individuals and the government, when appropriate, of breaches of unsecured protected health information (PHI), the so-called “harm” standard that triggers notice no longer exists under the new final regulations. Or does it? Are CEs really starting over when it comes to assessing whether an incident is a reportable breach under the final regulations issued on Jan. 25, which have a compliance deadline of Sept. 23? Read more
From Report on Medicare Compliance - With the explosion of external audits in recent years, the role of compliance officer is changing considerably. “Five or 10 years ago, third-party audits, especially from government agencies, were few and far between. They got handled, directed and completed by compliance officers,” Stephen Gillis, director of billing compliance for Massachusetts General Hospital and Massachusetts General Hospital Physicians Organization in Boston, said April 22 at the Health Care Compliance Association’s annual Compliance… Read more
From Report on Medicare Compliance - The CEO and CFO of a Chicago hospital were arrested on April 16 in connection with an alleged scheme to pay physicians for patient referrals, according to the U.S. Attorney’s Office for the Northern District of Illinois. CEO Edward Novak, owner and CEO of 119-bed Sacred Heart Hospital, CFO Roy Payawal and four affiliated physicians were charged with violating the federal anti-kickback law. Their alleged malfeasance was recorded by “cooperating witnesses”… Read more
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