LTACH Medical Director and Medical Center Employees Receive Fines and Probation for HIPAA Violations

Posted by Jason Greis on December 5, 2009 under Articles | Be the First to Comment

In October 2009, a Federal judge in Arkansas sentenced the medical director of an Arkansas hospital-within-hospital LTACH and an account representative and emergency unit coordinator of the host hospital to fines and probation for violating the Health Insurance Portability and Accountability Act (“HIPAA”) by unlawfully viewing a high profile patient’s electronic medical records.  (U.S. v. Holland, E.D. Ark., No. 09-cr-168, sentencing Oct. 26, 2009; U.S. v. Griffin, E.D. Ark., No. 09-cr-169, sentencing Oct. 26, 09; U.S. v. Miller, E.D. Ark., No. 09-cr-170, sentencing Oct. 26, 2009).  Read More...

New York State Regulations Mandate Effective Compliance Programs for Providers

Posted by Jason Greis on November 29, 2009 under Articles | Be the First to Comment

Effective October 1, 2009, the State of New York implemented regulations (18 N.Y.C.R.R §521.1) requiring all health care providers (including LTACHs) that receive more $500,000 from the Medicaid program in a year to adopt and maintain an effective compliance program.  The effectiveness of a provider’s compliance program is to be judged by the N.Y. state commissioner of health and the Medicaid inspector general.  Read More...

Preventing and Responding to Healthcare Compliance Investigations (12/10/08)

Posted by Jason Greis on December 10, 2008 under Articles | Be the First to Comment

In the last year, there have been at least five health care fraud settlements in excess of $100 million each and total recoveries from health care providers in excess of $2 billion. Two of my colleagues recently authored an article titled “Pre- and Post- Commencement of an Investigation of Health Care Compliance: Key Considerations for All Providers.”The article discusses the means by which health care providers can minimize fraud allegations as well as mitigate damages in the event of a fraud investigation. Read More...