At patient options we always want to keep you up to date with what is happening in our world of compliance. Lets look at the 2018 report of major trends. After a relatively slow first six months, 2018 turned into an active year for HIPAA enforcement, with the Department of Health and Human Services’ (HHS)…

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A quick way to see what we are going to deal with as providers down the road is to look into what the healthcare fraud industry’s latest advances. Insight partners has released a report on the future of the fraud detection industry in their report, “Healthcare Fraud Detection Market Size and Key Trends in terms…

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Let’s delve into Stark law and how it impacts the delivery of healthcare. Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity providing designated health services (“DHS”) if the physician (or an immediate family member) has a financial relationship with that entity. This weeks article…

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Keep an eye on your billing companies. If you use a billing company you will want to read this story coming out of Miami Florida. The Miami Herald originally ran this article, Their company did medical billing. Now, four of them are headed for federal prison by David J. Neal. This is a pretty sobering situation for…

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U.S. charges hundreds in healthcare fraud, opioid crackdown Nate Raymond (Reuters) – The U.S. Justice Department on Thursday announced charges against 601 people including doctors for taking part in healthcare frauds that resulted in over $2 billion in losses and contributed to the nation’s opioid epidemic in some cases. The arrests came in dozens of…

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HDL labs is being accused of fraud to the tune of $84 million dollars by Cigna healthcare. Healthcare fraud comes with a hefty bill for any healthcare organisation but lets get some nice excerpts out of the article, “HDL sued for $84 million, accused of fraud” by Burl Rolett for RichmondBizSense.com. Cigna, a Connecticut-based insurer,…

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WP health care cost

Healthcare is expensive. I think we can all agree with that statement. Lets take a look at this excerpt from a Washington post letter to the editor, “The real villians in the health-care cost crisis” resonates with you as a doctor. Once again, doctors and hospitals are called the bad guys in the discussion regarding the…

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