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ENFORCEMENT

Feds Take Down $2.1 Billion Medicare Genetic Test Fraud Scheme

You know that a branch of lab testing has gone from fad to mainstream when it becomes the subject of a major federal enforcement takedown. Accordingly, the newly announced breakup of a $2.1 billion genetic billing fraud scam, one of the largest Medicare frauds ever undertaken, signifies that genetic testing has officially arrived. Operation Double Helix Known as Operation Double Helix, this landmark investigation and prosecution was a joint HHS, DOJ and FBI crackdown carried out in five federal districts against 35 defendants associated with genetic testing labs (CGx) and telemedicine companies, including doctors, CFOs and CEOs that allegedly “capitalized on the fears of elderly Americans to induce them to sign up for unnecessary or non-existent cancer screening tests,” according to one of the U.S. Attorneys involved. Old Wine in… . . . read more.

INFORMATION SECURITY

HIPAA enforcement takes a dramatic new direction

Historically, HIPAA enforcement has focused predominantly on the failure of covered entities to keep protected health information (PHI) private and secure; but now the scope is broadening to encompass keeping PHI too private and too secure. The HHS Office for Civil Rights (OCR), the agency that enforces HIPAA rules, has broken new ground by fining a Florida hospital for failing to provide access to PHI to the individual it relates to. Here’s a look at the case and what it portends about the new direction in HIPAA enforcement. The HIPAA Right of Access When you hear the term “HIPAA Privacy Rule,” the first thing likely to jump into your mind is the obligation to keep PHI secure and refrain from disclosing it to third parties without appropriate authorization. But there’s… . . . read more.

HIPAA compliance with document management

By Andreas Rivera bio Recordkeeping can be one of the most stressful aspects of running a healthcare business since privacy compliance is scrutinized in healthcare more than any other industry. Anyone with experience in the healthcare industry knows that violating HIPAA comes with steep penalties. It’s a constant anxiety to make sure your records are being stored in an appropriate manner, with all the security and privacy requirements being met for each new record added. Even if you’re being diligent with how you file your paperwork, having physical paper exacerbates the possibility of human error occurring. Most of the time, the most common HIPAA violations usually occur without the facility realizing it. Here are a few common HIPAA violations when it comes to electronic data storage. Insufficient or lack of… . . . read more.

Department of Labor enters final stage of update to ‘regular rate’ rule under FLSA

By Mike O’Brien  bio Department of Labor enters final stage of update to ‘regular rate’ rule under FLSA. As we have discussed previously in these updates, the Department of Labor has been working to update the definition of “regular rate” of pay under the Fair Labor Standards Act. The regular rate is used to calculate overtime pay. The rule has not been updated in half a century, and fails to capture the realities of the modern workplace. The DOL recognized this, and has now proposed a final rule to the White House Office of Management and Budget. Although the details are not yet publicly available, prior versions of the rule clarified that forms of compensation like tuition reimbursement, employee discounts, employer-provided gym costs, wellness programs, and certain other benefits are… . . . read more.

BLOG

5 essential steps to ensure an effective HIPAA program

By Danika Brinda  bio
HIPAA Compliance is a term that is often thrown around the healthcare industry; however, I commonly ask myself: Is the meaning of HIPAA Compliance the same throughout the…


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COMPLIANCE

5 tested ways to make your billing and coding more profitable

The health of your medical practice depends on good quality coding and billing work. One of the most important roles in the medical office that…


. . . read more

YOUR CAREER

Are you “aggressive” or “assertive”? Take this quick self-evaluation and find out

To manage people, a manager has to be assertive.
But be aware that there’s a strong difference between being assertive and…


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COMPLIANCE

Job interviews: how to ask personal questions without committing discrimination

The job interview process is a breeding ground for discrimination complaints. One common mistake: asking job applicants…


. . . read more

BLOG

10 Tips for Safely Navigating Maternity Leave of Absence

By Paul Edwards  bio
As employers and managers, all of us, at one point or another, will have an employee who is or becomes pregnant and needs to take a Maternity Leave of Absence…


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MARKETING

Could your boss be the next Dr. Oz?

The medical practitioners in your office are more than knowledgeable; they are thought leaders in their respective fields. So why not…


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