Compliance

From Report on Medicare Compliance - Recovery audit contractors (RACs) will soon be back in business now that CMS has chosen vendors for the second round of the program. Read more

From Report on Medicare Compliance - A medical group in New York state has settled a false claims lawsuit over copay waivers and misuse of low-level CPT codes, two areas that seem to be dogging providers. Hudson Valley Hematology-Oncology Associates, which operates six clinics, agreed to pay $5.31 million to settle Medicare and Medicaid false claims allegations, the U.S. Attorney’s Office for the Southern District of New York said Oct. 21. 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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