OIG Report: Adverse Events in SNFs

In February 2014, the OIG determined that an estimated 22 percent of Medicare beneficiaries experienced adverse events during their SNF stays resulting in prolonged SNF stay periods or hospitalizations, permanent harm, life-sustaining intervention, or death.

OIG: Semi-Annual Report to Congress

In Fall 2014, the Office of the Inspector General (OIG) submitted a semi-annual report to Congress evaluating the effectiveness of the OIG’s effort to combat fraud, waste, and abuse in more than one hundred Department of Health and Human Services (HHS) programs.

Knowing the Difference Between HIPAA Compliance and EHR Compliance

A lot of healthcare entities mistakenly think that if they are covered for EHR HIPAA compliance, then that coverage extends to all of HIPAA’s regulations as well. But, as experts have shown in recent years, HIPAA compliance and EHR compliance are two completely different umbrellas, even if you may be caught in the same storm.

PRIME Act: Are Healthcare Providers Ready for an Increase in Costs and Compliance Burdens?

In late March 2015, a group of US Senators, having received motivation from the US House of Representatives, restored the introduction of the PRIME Act, which looks to amend the Social Security Act and harden securities against Medicare and Medi-Cal fraud and abuse and raise fraud detection measures across the board and could prove to be a double-edged sword for the healthcare industry.

What Healthcare Organizations Need to Know About Educating and Training Their Boards of Directors

Compliagent CEO Nick Merkin wrote a guest article for Corporate Compliance Insights, outlining a model educational program for directors that may be implemented by healthcare organization CCO’s and compliance personnel.

Posted on April 6, 2015 by Compliagent.

CDPH: It's Hunting Season for Compliance Violations

In a recent article published in the Los Angeles Business Journal, medical industry reporter Marni Usheroff detailed the penalties placed on several California hospitals for compliance violations, amounting to more than $700,000 in total fines.

Posted on March 13, 2015 by Compliagent.

Recent HIPAA Violations: 5 Largest HIPAA Breach Fines Since 2009

Since 2009, more than 32 million people have had their PHI violated in HIPAA privacy and security breaches. In response to the violations, The Office for Civil Rights (OCR), as the HIPAA enforcement arm of the Department of Health and Human Services, imposed more than $26 million in fines against healthcare organizations who have compromised PHI.

Posted on January 27, 2015 by Compliagent.

OCR Attorney: Last Year’s HIPAA Fines Will “Pale in Comparison” to Next Twelve Months

In the last year, OCR has imposed record fines on many healthcare entities so as to push the agenda. Since June 1, 2013, nine settlements have amounted to more than $10 million. OCR’s clampdown on HIPAA violations over the next year will be unlike anything we’ve seen in recent years.

Posted on November 11, 2014 by Compliagent and tagged Compliance Healthcare ACA OIG California Medicare Skilled Nursing Long Term Care HIPAA.

The Culture of Compliance

Corporate culture begins with the tone set by leaders and disseminates throughout the organization. It is demonstrated in all aspects of facility operations, including QA meetings, nurses' rounds, and in the daily practices of CNAs.

Posted on November 11, 2014 by Compliagent and tagged Compliance Healthcare ACA OIG California Medicare Skilled Nursing Long Term Care.

Preventing Hospital Readmissions

As stated in the 2014 OIG Work Plan, the plan aims to "determine the extent to which hospitalizations are a result of manageable or preventable conditions." In addition to often being deemed unnecessary, re-hospitalizations have been recognized as a significant cost to Medicare.

OIG Report: Adverse Events in SNFs

In February 2014, the OIG determined that an estimated 22 percent of Medicare beneficiaries experienced adverse events during their SNF stays resulting in prolonged SNF stay periods or hospitalizations, permanent harm, life-sustaining intervention, or death.

OIG: Semi-Annual Report to Congress

In Fall 2014, the Office of the Inspector General (OIG) submitted a semi-annual report to Congress evaluating the effectiveness of the OIG’s effort to combat fraud, waste, and abuse in more than one hundred Department of Health and Human Services (HHS) programs.

Knowing the Difference Between HIPAA Compliance and EHR Compliance

PRIME Act: Are Healthcare Providers Ready for an Increase in Costs and Compliance Burdens?

What Healthcare Organizations Need to Know About Educating and Training Their Boards of Directors

CDPH: It's Hunting Season for Compliance Violations

In a recent article published in the Los Angeles Business Journal, medical industry reporter Marni Usheroff detailed the penalties placed on several California hospitals for compliance violations, amounting to more than $700,000 in total fines.

Recent HIPAA Violations: 5 Largest HIPAA Breach Fines Since 2009

OCR Attorney: Last Year’s HIPAA Fines Will “Pale in Comparison” to Next Twelve Months

In the last year, OCR has imposed record fines on many healthcare entities so as to push the agenda. Since June 1, 2013, nine settlements have amounted to more than $10 million. OCR’s clampdown on HIPAA violations over the next year will be unlike anything we’ve seen in recent years.

The Culture of Compliance

Corporate culture begins with the tone set by leaders and disseminates throughout the organization. It is demonstrated in all aspects of facility operations, including QA meetings, nurses' rounds, and in the daily practices of CNAs.

Preventing Hospital Readmissions

As stated in the 2014 OIG Work Plan, the plan aims to "determine the extent to which hospitalizations are a result of manageable or preventable conditions." In addition to often being deemed unnecessary, re-hospitalizations have been recognized as a significant cost to Medicare.

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