From Report on Medicare Compliance - A year and a half after the HHS Office of Inspector General warned that physician-owned distributorships (PODs) are “inherently suspect,” the first enforcement action has burst its way onto the scene. The False Claims Act lawsuit alleges a kickback scheme embroiling Michigan neurosurgeon Aria Sabit, M.D., the spinal implant company Reliance Medical Systems, two Reliance distributorships — Apex Medical Technologies and Kronos Spinal Technologies — and the companies’ owners, Bret Berry, John Hoffman and Adam Pike, the Department of Justice said. Read more
From Report on Medicare Compliance - It wasn’t that Brookdale Senior Living didn’t screen its employees for exclusion from federal health care programs. But until mid-2013, the chain of senior living communities wasn’t using the gold standard — Social Security numbers — to do it, and an excluded employee slipped by, according to the HHS Office of Inspector General (OIG). In late July, Brookdale paid $353,248 to settle allegations that it violated the civil monetary penalty… Read more
From Report on Patient Privacy - What if…someone at Community Health Systems, Inc., had discovered the cyber intruder that had wormed its way into CHS’s network before it bundled up and off-loaded data for 4.5 million patients? With a workable incident response plan in place — which is required under the 2005 HIPAA security rule, by the way — CHS very well could have stopped the attack and prevented the data loss. A threat that is contained and… Read more
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