The Latest News
Medical Coding Billing & Compliance News
compiled by Team eduTrax
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Written by Team eduTrax
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Tuesday, 27 July 2010 00:00 |
Largest Ever Settlement for Patient Privacy Violation Under HIPAA
Another Settlement Expected Soon
Failure to securely dispose of items containing protected patient information cost two of the nation's three largest retail pharmacy chains a total of $2.25 Million and $1 Million to settle alleged violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule, the U.S. Department of Health and Human Services (HHS) announced on Tuesday, July 27.
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Last Updated on Wednesday, 28 July 2010 07:03 |
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Written by Team eduTrax
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Thursday, 22 July 2010 00:00 |
Fully Endorses Contingency Fees for Auditors
Video and Transcript Posted by The White House
President Obama signed into law today measures that hold government accountable for responsible use of taxpayer dollars and are intended to cut down on waste, fraud and abuse. The President also remarked that he has directed federal agencies to perform rigorous audits, paying companies conducting these audits based on the abuses or errors that they find. This method is already being used with great success (for the auditors) for the CMS Recovery Audit Contractors program. A video and transcript are available below.
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Last Updated on Friday, 23 July 2010 02:00 |
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Written by Team eduTrax
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Tuesday, 20 July 2010 00:00 |
Whistleblower Says Penalties Could Surpass $1 Billion
WellCare Health Plans, a Tampa-based HMO, filed a report of a Preliminary Settlement reached with the Civil Division of the U.S. Department of Justice, plus the Civil Divisions of the U.S. Attorney’s Office for the Middle District of Florida, and for the State of Connecticut, to settle their pending inquiries, on June 24, 2010. The settlement seeks to bring a close to a whistleblower case that has gone on for over three years, including over a year when the whistleblower even wore a hidden wire for federal agents, to gather evidence of possible criminal misconduct by WellCare. The Preliminary Settlement is still unsigned by all parties, as of this writing, and is therefore still subject to change.
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Last Updated on Wednesday, 28 July 2010 00:11 |
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Written by Team eduTrax
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Monday, 19 July 2010 00:00 |
DOJ/HHS Joint Press Conference, July 19, Miami, Florida: Medicare fraud strike force arrests 94
Video Posted by Miami Herald
Federal agents arrested 94 individuals, including doctors, health care owners, and executives in a nation-wide crackdown on fraudulent medicare billing, U.S. Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius announced today in Miami. In Miami alone, 24 were arrested. A video is available of the press conference, from the Miami Herald, below.
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Last Updated on Monday, 19 July 2010 18:28 |
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Connolly Healthcare, the Recovery Audit Contractor (RAC) for CMS Region C, posted nine new issues including ten new DRG Validations, late on July 14. Medical Necessity is still not approved for review under any of their posted issues.
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