Month: April 2019

New DOJ Guidance Confronts ‘Effectiveness’ of Compliance Programs

New DOJ Guidance Confronts ‘Effectiveness’ of Compliance Programs

The new guidance provides greater detail about what prosecutors should look for in compliance programs. By C. Ryan Barber| April 30, 2019 at 05:19 PM The U.S. Justice Department issued new guidance Tuesday detailing how prosecutors will evaluate the effectiveness of corporate programs to prevent fraud and other misconduct, a key consideration in determining the penalties imposed against companies.

CMS expands Medicare Advantage telehealth benefits

CMS expands Medicare Advantage telehealth benefits

CARE DELIVERY SHELBY LIVINGSTON   The CMS finalized a rule on Friday that would give Medicare Advantage plans more flexibility to offer additional telehealth services to seniors as part of their basic benefits package starting in 2020. The rule, proposed in October 2018, allows seniors to use telehealth services in their homes, rather than being required to […]

Feds break up $1.2B Medicare orthopedic brace scam

Feds break up $1.2B Medicare orthopedic brace scam

April 09, 2019 02:00 PM Associated Press Federal authorities said Tuesday they’ve broken up a $1.2 billion Medicare scam that peddled unneeded orthopedic braces to hundreds of thousands of seniors via foreign call centers. The Justice Department announced charges against 24 people across the U.S., including doctors accused of writing bogus prescriptions for unneeded back, […]

Spring 2019 OCR Cybersecurity Newsletter

Spring 2019 OCR Cybersecurity Newsletter

April 3, 2019   In 2019, OCR moved to quarterly cybersecurity newsletters.  The purpose of the newsletters remains unchanged: to help HIPAA covered entities and business associates remain in compliance with the HIPAA Security Rule by identifying emerging or prevalent issues, and highlighting best practices to safeguard PHI.     Advanced Persistent Threats and Zero […]