Category Archives: Compliance

How helping whistle-blowers could cut health-care costs

Posted on June 29, 2017 by

By: Warren Richey, Staff Writer for The Christian Science Monitor Elin Baklid-Kunz never wanted to be a whistle-blower. But working as the compliance officer at a Florida hospital, she was charged with identifying and correcting potential violations of US health-care … Continue reading →

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Compliance Program Training for Your Board of Directors: What You Need to Know

Posted on June 21, 2017 by

By: Anne Novick Branan Members of the Board of Directors[1] for health care organizations have important responsibilities related to corporate compliance. Government regulators expect health care Boards to assume greater responsibility to provide oversight for the corporate compliance programs and … Continue reading →

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Compliance Leaders Offer Sound Advice at Orlando Health Care Forum

Posted on May 9, 2017 by

ORLANDO, Fla. (May 4, 2017) – The risks to Florida health care providers from enforcement activity is at an all-time high. But, how do providers develop and maintain a culture of compliance? It starts at the top, according to attorneys … Continue reading →

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Providers Attesting to Their Compliance With Meaningful Use Need to Ensure That They Truly Protected Their Electronic Health Information

Posted on December 7, 2016 by

By Gabriel Imperato and Paul R. DeMuro Providers are starting to get notices from the government that they have not met the Meaningful Use requirement with respect to protecting electronic health information. They have attested that they have and thus, … Continue reading →

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Does Ability to Pay Count for Anything Any More?

Posted on November 16, 2016 by

By: Benton Curtis Through the Health Care Fraud and Abuse Control Program Report (the “HCFAC”), the Department of Health and Human Services and the Department of Justice (“DOJ”) annually trot out their most recent efforts to combat health care fraud … Continue reading →

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A Roadmap to Licensure Investigations

Posted on November 8, 2016 by

By: Vanessa Reynolds For healthcare practitioners, few events are as anxiety-provoking as a professional licensure complaint and investigation. Even if a complaint is ultimately determined to be unfounded, responding is time-consuming and can be disruptive to a practice. The Florida … Continue reading →

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Mount Sinai Affiliated Hospitals to Pay $3 Million Settlement for Delaying Medicaid Overpayments

Posted on September 21, 2016 by

By: Fred Segal On August 24, 2016, the US Attorney for the Southern District of New York, in conjunction with the US Department of Health and Human Services, Office of the Inspector General (OIG) announced that it settled a whistleblower … Continue reading →

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Supreme Court Upholds the False Claims Act Implied Certification Theory

Posted on July 5, 2016 by

By: Stephen Siegel The following article was published in the July 2016 edition of South Florida Hospital News and Healthcare Report. TREBLE DAMAGES PLUS A PENALTY of as much as $11,000 per claim; that is the exposure a physician, hospital … Continue reading →

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Board oversight: Fiduciary duty of care and individual liability

Posted on May 2, 2016 by

By: Gabriel Imperato and Joseph Picone Directors of healthcare organizations have important responsibilities relating to corporate compliance requirements that are unique to the healthcare industry. The risks of non-compliance have grown dramatically over the last decade for healthcare organizations as … Continue reading →

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Department of Justice increases focus on organizational compliance

Posted on March 7, 2016 by

By: Gabriel Imperato The Department of Justice (DOJ) has recently articulated important enforcement policies and created the position of Compliance Counsel, which are expected to have a dramatic impact on criminal and civil prosecution of healthcare fraud matters. The policy … Continue reading →

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