Legal Compliance

To minimize potential liability for coding compliance issues, providers should go back to the basics, and familiarize themselves with high-risk areas for coding and billing audits and enforcement.

Congress and HHS appreciate that every patient’s life does not consist of “good time, noodle salad.”

Regulators have better things to do than come after small practices, right? Wrong.

Don't ignore these two important requirements.

Don't let your new tools have you run afoul of HIPAA regulations.

Hackers continue to discover new methods of getting in the way of your practice's compliance with privacy laws.

The Report highlights the important role of MFCUs in investigating and prosecuting Medicaid provider fraud, patient abuse, and neglect, and the results of the MFCUs’ work, including in obtaining healthcare fraud criminal convictions, exclusions from federal programs, and civil settlements and recoveries.

Medical devices are a new front in the cybersecurity war against health care.

Sometimes the small things, like passwords, are what bring down the operation.

Two recent settlements underscore the FTC's status as an enforcement agency with the power to enforce consumers’ rights in relation to their sensitive information.

Recently finalized changes to the Self-Referral Disclosure Protocol for physician practices to disclose group practice noncompliance under the Stark Law.

The days of sticking one’s head in the sand should be long gone.

On March 23, 2010, the 60-Day Rule was enacted as Section 6402 of the Affordable Care Act.

HHS Proposed Rule – electronic transactions and privacy rule enforcement action.

All persons with boards should be making sure that the individual board members are meeting their common law fiduciary duties, including those of loyalty and care.

Don't let the holidays get in the way of legal compliance.

Cybercriminals are waiting for your guard to be down.

The best way to protect your practice is to ensure you are using patient engagement technology that complies with regulations.

In order to cultivate a culture of compliance organizations need to take a “patient safety first” approach to cybersecurity.

There is no time like the present to review these definitions and understand their relation to information blocking

The decision addressed a proposed direct copayment assistance program of a pharmaceutical manufacturer which sought to help patients pay for an expensive drug.

More businesses recognize the importance of building their legacies, but what’s the point of registering your mark?

The risk of ransomware underscores the importance of compliance.

These types of conduct are material and offer corporate compliance officers and practice managers the opportunity to step back, assess policies and procedures, update training – both for HIPAA and fraud, waste, and abuse, and bring in outside consultants to assess risk.

Peer review privileges can apply to multiple credentialing, privileging and quality assurance and improvement processes.

There is a lot to unpack from both the Majority and the Dissent in Dobbs.

The survey's findings suggest that many AWVs conducted and billed may fail to meet compliance requirements set forth by CMS.

While the goals of consumer protection, price transparency, and cost concessions are important and necessary, the legislation is starting to present real challenges to practices’ financial stability

The new legislation would tighten the use of patients' health and location information.

Transparency is expected to add to medical cost inflation by prompting both in-network and out-of-network providers to increase charges.