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Fifth Circuit vacates $4.3M HHS enforcement penalty for HIPAA violations

Milada Goturi February 23, 2021
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Last month, the US Court of Appeals for the Fifth Circuit issued a ruling vacating a $4.3 million dollar civil monetary penalty against the University of Texas MD Anderson Cancer Center by the US Department for Health and Human Services for alleged violations of the HIPAA Privacy and Security Rules. READ MORE

HHS provides updated guidance on Provider Relief Fund reporting requirements

Nicole Jobe February 3, 2021
A piggy bank wearing a medical mask on top of coins

On January 15, 2021, the Department of Health and Human Services announced it has amended the reporting timeline for those who received Provider Relief Fund payments exceeding $10,000 in the aggregate. Additionally, pursuant to the Coronavirus Response and Relief Supplemental Appropriations Act of 2021, HHS revised the methodology for calculating lost revenues. READ MORE

OIG issues special fraud alert on health care speaker programs

Nicole Jobe December 16, 2020
A podium and microphone at a speaking seminar

Last month, the Department of Health and Human Services Office of Inspector General issued a Special Fraud Alert regarding fraud and abuse concerns related to speaker programs offered by pharmaceutical and medical device companies. The OIG provided a list of factors that could potentially indicate a program is in violation of the anti-kickback statute. READ MORE

DOJ continues to pursue health care fraud during COVID-19 pandemic

Nicole Jobe April Kirkley November 24, 2020
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Despite the pandemic, the DOJ is continuing to investigate allegations of health care fraud. A recent settlement from Wheeling Hospital serves as a reminder to hospitals to review their physician compensation arrangements to ensure that they are within fair market value and considered commercially reasonable. READ MORE

Population health, care coordination, and HIPAA: Do you need patient authorization or a business associate agreement?

Tonya Oliver Rose March 5, 2020
Stethoscope over a laptop computer keyboard

As more health care entities implement population health and care coordination initiatives, questions arise concerning the application of HIPAA to such efforts. Although HIPAA applies to protected health information used and shared by covered entities in connection with population health activities, in many circumstances HIPAA permits the use and sharing of such PHI without patient authorization or business associate agreements. READ MORE

10 cybersecurity tips for a safe holiday season

December 16, 2019
Illustration of security shield on computer

Don’t let a cybersecurity incident ruin your holiday season. Follow these tips to help keep both your company-issued and personal devices and data safe during your holiday travels. READ MORE

HHS proposes significant changes to Stark, Anti-Kickback and CMP regulations

Milada Goturi October 11, 2019
Stethoscope and gavel

On October 9, 2019, the DHSS proposed significant amendments to the Stark Law, Anti-Kickback Law and Civil Monetary Penalty Law. These proposed amendments are intended to modernize and clarify these laws, encourage value-based arrangements and care coordination and reduce some of the key burdens these laws impose on health care providers. READ MORE

HHS issues voluntary health care cybersecurity guidelines

Milada Goturi January 17, 2019
Stethoscope over a laptop computer keyboard

The latest cybersecurity guidelines published by the Department of Health and Human Services, developed in response to a mandate of the Cybersecurity Act of 2015, provide healthcare organizations of all types and sizes with information on cybersecurity practices. READ MORE

OCR seeks public input on potential modifications to the HIPAA Rules

January 4, 2019
Doctor holding tablet

The Office of Civil Rights has asked for public input how the agency might modify the HIPAA Privacy, Security and Breach Notification Rules in a Request for Information. The 50 questions in the RFI reveals notable insights for the OCR’s future plans to improve care coordination and reduce regulatory burdens. READ MORE