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10 May 2017, 10:20 am by Cynthia Marcotte Stamer
Her day-to-day work encompasses both labor and employment issues, as well as independent contractor, outsourcing, employee leasing, management services and other nontraditional service relationships. [read post]
26 Apr 2017, 6:14 pm by Cynthia Marcotte Stamer
OCR announced the first OCR HIPAA settlement involving a wireless health services provider Monday, April 24. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS or the Department of Labor, and… [read post]
24 Apr 2017, 5:08 pm by Cynthia Marcotte Stamer
CCDH Sanctions For Violation Of HIPAA Business Associate Agreement Rules The CCDH Resolution Agreement arises from violations of this requirement that OCR says it discovered as a result of a compliance review conducted in response to an OCR investigation of a CCDH business associate, FileFax, Inc. [read post]
18 Apr 2017, 10:44 am by Greene LLP
The whistleblower (or “relator”) in this case, the former Director of Quality and Risk Management at Prime Healthcare Services, Inc., alleges that her employer defrauded the federal government of nearly $50 million dollars by billing for “medically unnecessary” inpatient short-stay admissions. [read post]
12 Apr 2017, 9:35 pm by Cynthia Marcotte Stamer
MCPN provides primary medical care, dental care, pharmacies, social work, and behavioral health care services throughout the greater Denver, Colorado metropolitan area to approximately 43,000 patients per year, a large majority of whom have incomes at or below the poverty level. [read post]
10 Mar 2017, 1:03 pm by Green and Associates
Heilbron would bill the programs for medical services he provided to patients covered by those programs and included his medical diagnosis or other justifications for the services for which he requested compensation. [read post]
10 Mar 2017, 1:03 pm by Green and Associates
Heilbron would bill the programs for medical services he provided to patients covered by those programs and included his medical diagnosis or other justifications for the services for which he requested compensation. [read post]
Prescription Billing Errors Nature of the problem: Prescription billing errors — even small ones — can have significant consequences for specialty pharmacies. [read post]
7 Mar 2017, 11:48 am by admin
Settles Double-Billing and Mischarging Medical Services first appeared on Qui Tam 101. [read post]