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OIG Audit of Critical Care Finds High Error Rate; No Extrapolation
In a Medicare compliance audit of critical care services provided by Lahey Clinic in Burlington, Massachusetts, the HHS Office of Inspector General (OIG) found a...
False Claims Act cases: A cautionary tale in transactional diligence
An increase in healthcare deal activity and intense diligence have resulted in False Claims Act (FCA) settlements in which the government has focused not only...
The risk is coming from inside the house: Information blocking and non-EHR data
In the classic 1979 horror film When a Stranger Calls, a babysitter phones the police to report a series of increasingly threatening and frightening prank...
Clinical trial fraud: Mitigating risk with a compliance program framework
The recent spotlight on the pathway to vaccine development during the COVID-19 pandemic has heightened discussion around science, clinical trial processes, clinical data collection, and...
USDA Implements Changes to Reduce Paperwork
The 21st Century Cures Act doesn’t impact the U.S. Department of Agriculture (USDA) as much as the NIH Office of Laboratory Animal Welfare,[1] but it...
Breach Costs Medical Center $875K; Vulnerability Was Initially Missed
A 2016 breach at Oklahoma State University Center for Health Sciences (OSUCHS) might not have seemed all that serious at the time: No data is...
After Disclosing a Reportable Event Under its CIA, Hospital Settles CMP Case With OIG
William Beaumont Hospital in Michigan has agreed to pay $1.732 million in a settlement with the HHS Office of Inspector General (OIG) that had a...
The carrot, the stick, and the donkey: A HIPAA safe harbor?
The carrot and the stick are a metaphor depicting the combination of both reward and punishment attempting to induce a desired behavioral response. We have...
Oversight considerations for ethical artificial intelligence
Imagine you are a leader at an enormously large healthcare organization, one where each functional area operates within its own silo: operations, client support, technology,...
Behavioral healthcare compliance programs: Current and future state
According to the Substance Abuse and Mental Health Services Administration, behavioral health is “the promotion of mental health, resilience and wellbeing; the treatment of mental...
