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
From Report on Patient Privacy - The HHS Office for Civil Rights (OCR) concluded 2014 the same way it ended 2013 — by announcing a $150,000 settlement with a nonprofit organization over allegations of HIPAA violations. However, in contrast to past years, OCR collected a record $7.5 million in payments in 2014 from a record seven settlements. The most recent settlement stemmed from the potential compromise of 2,700 patient files that occurred when five workstations at Anchorage… Read more
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