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Two Hospitals Pay $1.45M to Settle EMTALA Allegations with OIG Over 54 Psychiatric Patients
Two Tennessee hospitals have agreed to pay $1.45 million to settle allegations they violated the Emergency Medical Treatment and Labor Act (EMTALA) when they didn’t...
HC3 Warns of LockBit Ransomware Threat as Affiliates Ramp Up Attacks
The HHS Health Sector Cybersecurity Coordination Center (HC3) is warning of a rising threat from LockBit, a two-year-old ransomware variant that in June released a...
Revisions to Medicare's split/shared visit rule
For decades, Medicare has adhered to a dizzying array of Byzantine billing rules, among them the “incident-to” rule[1] and the “split/shared visit” rule. The latter...
Telehealth updates: 2022 Physician Fee Schedule proposed rule and ongoing enforcement
The COVID-19 pandemic has brought considerable transformation within the healthcare industry as well as uncertainty. Overnight, the pandemic elevated telehealth from a highly specialized and...
Training to-dos in 2022
Welcome to the new year! Hopefully 2021 was good to you and yours, and you are ready for a new year with new or updated...
Fake Histories, Calls by Staff Impersonating Subjects: A Look Inside Two Trial Fraud Cases
The trial was to be like any other that the clinical research organization (CRO) would oversee. The six-month study, known as VESTRI, would involve pediatric...
2022 Outlook: More Dangerous Ransomware Coupled With Inadequate Security Practices
As the COVID-19 pandemic enters its third year, real “security fatigue” with pandemic-related issues will combine with cybercriminals’ increasingly sophisticated capabilities to create an acceleration...
Monitoring of third parties
As healthcare providers continue to outsource functions such as health information management, information technology, revenue cycle, and others, it is important for compliance officers not...
Improve member experience with real-time benefit tools and drug price transparency
With nearly half of all Americans using prescription drugs[1] and drug costs rising at a rate exceeding national inflation,[2] vulnerable Americans are made more vulnerable...
Contract Lifecycle Management: What you don't do will cost you
Cheryl Gregory (cgregory@berrydunn.com) is Senior Manager, Compliance and Credentialing, and Markes Wilson (markes.wilson@berrydunn.com) is Senior Consultant at BerryDunn, Portland, ME. Wilson is also cofounder and...
