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ROBERT TRUSIAK DISCUSSES COMPLIANCE REQUIREMENTS AFTER ESCOBAR, RUCKH AND THE SET ASIDE OF $347M FALSE CLAIMS ACT JURY AWARD

My comments follow and generally address the legal and compliance considerations associated w/ the set aside of a jury verdict for $347M due to FCA violations determined by a jury related to the absence of nursing home care. These views were generally addressed in an interview by me appearing in the Report on Medicare Compliance, V. 27, #3, Jan. 22...
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SAMHSA ISSUES FINAL RULE UPDATING SUBSTANCE ABUSE CONFIDENTIALITY REGULATIONS

The Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services (HHS), has finalized proposed changes to the Confidentiality of Substance Use Disorder Patient Records regulation, 42 CFR Part 2, aimed at supporting payment and healthcare operations activities while protecting the confi...
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CMS ISSUES MEMORANDUM CLARIFYING TEXTING OF PATIENT INFORMATION AMONG HEALTHCARE PROVIDERS

In a memorandum issued December 28, 2017, the Centers for Medicare & Medicaid Services (CMS) clarified its position related to texting. In its memo, CMS stated that it "recognizes that the use of texting as a means of communication with other members of the healthcare team has become an essential and valuable means of communication among the te...
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2018 COMPLIANCE PLAN WORK

First and foremost, initially look backward before looking forward and look inward before looking outward and always be mindful of the goal of any work plan. The goal of a work plan is twofold: the obvious goal of addressing risk areas to advance fraud and abuse and HIPAA compliance as well as providing a credible narrative to regulatory and law en...
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$2.5 million settlement shows that not understanding HIPAA requirements creates risk

The U.S. Department of Health and Human Services, Office for Civil Rights (OCR), has announced a Health Insurance Portability and Accountability Act of 1996 (HIPAA) settlement based on the impermissible disclosure of unsecured electronic protected health information (ePHI). CardioNet has agreed to settle potential noncompliance with the HIPAA Priva...
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