From Report on Medicare Compliance - Hospitals and their attorneys may be so deep in the weeds when analyzing financial relationships that they don’t realize the fundamental flaws, said a top official from the HHS Office of Inspector General. Sometimes there’s a failure to see “the flashing yellow warning signs on the anti-kickback and Stark roads” because people get tunnel vision about whether compensation arrangements with physicians can be shoved into an exception to the Stark self-referral law or a safe harbor under the anti-kickback statute, Kevin Barry, senior counsel in the OIG Office of Counsel, said March 26 at the Institute on Medicare and Medicaid Payment… Read more
From Report on Patient Privacy - “Compliance does not equal security.” That is the big picture message the SANS Institute is sending to health care organizations based on an analysis of the data in its 2014 “Securing the ‘Internet of Things’ Survey.” The “Internet of Things” (IoT) comprises equipment and devices connected to the Web — PCs, servers, routers, medical machinery, smartphones, tablets and single purpose devices — all of which are connected to, provide information to,… Read more
From Report on Medicare Compliance - Between the lines of the HHS Office of Inspector General’s audit report on kwashiorkor billing at WellSpan York Hospital is a universal story about the fallibility of Medicare reviews. Although it was never mentioned by OIG, which concluded the hospital made mistakes on every claim reviewed for severe protein malnutrition, the audit report was the culmination of a back-and-forth between the auditors and the hospital as they hashed over cases… Read more
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