From Report on Medicare Compliance - Prime Healthcare Services in California allegedly covered the bases when it came to ensuring many Medicare patients would be admitted as inpatients, not placed in observation, according to the False Claims Act complaint filed by the Department of Justice (DOJ) June 23. On the front end, Prime hospitals allegedly pressured emergency department (ED) physicians to admit patients without the medical necessity for an inpatient admission, even changing Milliman Care Guidelines. Read more
From Report on Medicare Compliance - As political campaigns heat up across the country, the cool heads in compliance may want to review the laws and regulations governing political activities by corporations and employees. There are federal, state and local laws and IRS restrictions on lobbying, gifts and political advocacy, and some of the finer points may come as a surprise. “Compliance and the political law area is not necessarily intuitive,” Minneapolis attorney John Knapp said at… Read more
From Report on Patient Privacy - Data breaches cost health care organizations worldwide an average of $355 per record and U.S organizations $402 per record, leading other industries by a hefty margin, according to a June 15 report sponsored by IBM Security and conducted by the Ponemon Institute, LLC. Education was the second leading industry, globally speaking, trailing health care at $246 per record, a significant $109 differential, according to the 2016 Cost of a Data Breach… Read more
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