Centers Health Care Settles $6M Medicare Cost Report Case
Centers Health Care agreed to pay $6,063,500 to settle allegations that its 44 nursing facilities submitted false Medicare cost reports to federal regulators. The facilities either made false statements or omitted required material information in their submissions to the Centers for Medicare and Medicaid Services .
The affected facilities are located across New York, Rhode Island, Kansas, and Missouri.
Compliance Takeaway: This settlement underscores the critical importance of accurate Medicare cost reporting and robust internal controls. Healthcare providers must ensure their reporting processes include proper oversight to avoid similar violations of federal healthcare program requirements.
COMPLIAGENT CEO QUOTED IN AHC MEDIA ARTICLE ON POTENTIAL ESPN HIPAA BREACH
Compliagent CEO Nick Merkin was quoted in AHC Media's online publication on a recent potential HIPAA breach by an ESPN reporter, who posted a photo of NFL player Jean Pierre-Paul's medical record on Twitter. Nick clarified that "There may arguably be issues of journalistic ethics or integrity to debate, but as a legal matter, the press is not covered by HIPAA." Read more here.
COMPLIAGENT CONSULTANT FEATURED IN MDDI MAGAZINE ON HIPAA COMPLIANCE
Compliagent Senior Consultant Natalie LeFlore was featured in Medical Device and Diagnostic Industry Magazine discussing HIPAA Compliance in "Are Your Medical Devices HIPAA Compliant?" In the article, Natalie explains the importance of continuity, and says that "Compliance with HIPAA is an ongoing effort coordinating a company’s people, processes, and technologies." Read more here.
COMPLIAGENT CEO CITED IN HEALTHCARE DIVE ON HOW THE NIST DRAFT AFFECTS MOBILE PRIVACY AND SECURITY
Compliagent CEO Nick Merkin was cited as a Healthcare Privacy and Security Expert in Healthcare Dive, an online publication dedicated to covering breaking industry news. In the article, Nick discussed the affordability and accessibility of a new mobile security guide released by NIST and said that he would "love to see at least part of the guide targeted to smaller healthcare organizations with realistic spending constraints. Read more here.
COMPLIAGENT CEO FEATURED IN McKNIGHT'S ON THE IMPORTANCE OF PHYSICIAN CONTRACTS
Compliagent CEO Nick Merkin was featured as a guest columnist in McKnight's Long-Term Care News. Nick discussed the increased government scrutiny with physician contracts. "Simply put, if the regulators are unhappy with what they find, the penalties can be severe. Moreover, the OIG has made clear that physician contracting is going to be a matter of increased scrutiny in the coming years." Read more here.
COMPLIAGENT CEO QUOTED IN BEHAVIORAL HEALTH MAGAZINE ON CASE STUDIES ETHICS
Compliagent CEO Nick Merkin was quoted in Behavioral Health Magazine on the legal and ethical rules that apply when marketing case studies. Nick says that “the problem is that the HIPAA regulations are a catch-all,” and do not specifically address patient case study materials, posing a major risk to many organizations. Read more here.
COMPLIAGENT RELEASES JUNE 2015 NEWSLETTER: "MEDICAL NECESSITY AND THE LAW"
Compliagent's Compliance Newsletter reported on the importance of medical necessity in relation to the law. According to recent reports, "The U.S. Department of Justice (DOJ) stated that the government has recovered over $24 billion from healthcare providers through False Claims Act cases since 2009." Read more here.
COMPLIAGENT CEO FEATURED IN BLOOMBERG BNA ON OIG'S NEW COMPLIANCE GUIDANCE
Compliagent CEO Nick Merkin was featured as a guest columnist in Bloomberg BNA's "Health Care Fraud Report" discussing "What the OIG's New Compliance Guidance Means for Health Care Organizations' Boards of Directors." Nick says "it is crucial for health care organization boards of directors to understand the new OIG guidance and to invest the time and resources to execute their corporate responsibilities." Click here to access the full article [PDF].
COMPLIAGENT CLINICAL CONSULTANT SPEAKS AT CAHF CHAPTER MEETING ON ICD-10
Compliagent Clinical Consultant Kathleen Mace spoke at Long Beach / South Bay CAHF Chapter Meeting on "ICD 10 - What You Do Not Know May Hurt You" on July 9, 2015 at the Long Beach Petroleum Club. Kathleen discussed what needs to be done in preparation for ICD implementation and what to expect for SNFs. Read more here.
COMPLIAGENT BUSINESS DEVELOPMENT MANAGER FEATURED IN JSA SEARCH INC.'s NEWSLETTER
Compliagent Business Development Manager Buddy Liberman was featured as a guest columnist in JSA Search Inc.'s "Nationwide Recruiting Firm" Newsletter discussing how to "Network Your Way to Success." In the column, Buddy stresses the fact that "relationships are uniquely important for healthcare professionals in the long term care industry" and gives a few easy tips on how to make the most of your networking events. Read the full article here.
COMPLIAGENT CLINICAL CONSULTANT FEATURED IN McKNIGHT'S ON THE IMPORTANCE OF A JUST CULTURE
Compliagent Clinical Consultant Kathleen Mace was featured as a guest columnist in McKnight's Long-Term Care News. Kathleen discussed the importance of "Creating a Just Culture" in the healthcare industry. Read more here.
COMPLIAGENT CEO FEATURED IN PHYSICIAN'S MONEY DIGEST ON ICD-10
Compliagent CEO Nick Merkin was featured in Physician's Money Digest on the topic of ICD-10 implementation and what it means for the healthcare industry. Nick was quoted as stating that Compliagent "really encourages people to think of ICD-10 integration as a dynamic process." Read more here.
COMPLIAGENT COO SPEAKS ON "WOMEN IN HEALTHCARE" PANEL
Compliagent COO Paige Pennington was a panelist presenting "Women in Healthcare" on June 4, 2015, at The Buddy System event hosted by Montclair Royale Assisted Living in Montclair, CA. To attend The Buddy System's next event, please click here to contact Buddy Liberman.
COMPLIAGENT CEO SPEAKS AT IAPP KNOWLEDGENET
Compliagent CEO Nick Merkin spoke at The International Association of Privacy Professionals KnowledgeNet, a forum on healthcare privacy issues, on June 11, 2015. Nick discussed Compliagent's role in healthcare privacy advancement and policy development. Read more here.
COMPLIAGENT SR. CONSULTANT SPEAKS AT HCE'S "A DAY OF LEARNING"
Compliagent Senior Consultant Natalie LeFlore spoke at Health Care Executive - SoCal's "A Day of Learning" at Hoag Memorial Hospital in Newport Beach, CA on May 16, 2015. Natalie discussed the benefits of healthcare compliance as both an industry and a career. Read more here.
COMPLIAGENT CEO AND CLINICAL CONSULTANT PRESENT AT 2015 NATIONAL READMISSIONS SUMMIT
Compliagent CEO Nick Merkin and Clinical Consultant Kathleen Mace presented at The National Readmissions Summit 2015 in Anaheim, CA on the topic of "Readmission Prevention and the Law: What All Providers Should Know." Read more here.
COMPLIAGENT CEO PARTICIPATES IN SUN CITY GARDENS RHF PANEL DISCUSSION
Compliagent CEO Nick Merkin participated in an expert panel discussion hosted by Sun City Gardens Retirement Housing Foundation on the topic of "Kickbacks and Referral Fees: Where has the Line Gone?" Read more here.
COMPLIAGENT CEO FEATURED IN CORPORATE COMPLIANCE INSIGHTS
Compliagent CEO Nick Merkin was featured as a contributor in Corporate Compliance Insights, providing guidance on "What Healthcare Organizations Need to Know About Educating and Training Their Board of Directors." Read more here.
COMPLIAGENT COO SPEAKS AT "CHIEF OF STAFF BOOT CAMP"
COO Paige Pennington spoke at The Institute for Medical Leadership's "Chief of Staff Boot Camp," a three-day program for Medical Staff Leaders that gives them the tools to succeed in an ever-advancing industry. Compliagent also helped sponsor the event! Read more here.
COMPLIAGENT EXECS SPEAKS AT ANNUAL CAHF CONVENTION AND EXPO
CEO Nick Merkin and COO Paige Pennington spoke on Physician Contracting in Long-Term Care Facilities at the annual CAHF Convention and Expo in Palm Springs, CA. Read more here.
COMPLIAGENT CEO INTERVIEWED FOR PROFILE IN CEOCFO MAGAZINE
Compliagent CEO Nick Merkin was featured in CEOCFO Magazine. Nick explains the inspiration for Compliagent: “We quickly realized that the 'old school' law firm structure – with its reactive rather than proactive professional service model - was obsolete and ineffective for what the industry needed. We set out to do things differently." Read more here.
COMPLIAGENT SR. CONSULTANT SPEAKS AT HCE'S "A DAY OF LEARNING"
Sr. Compliance Consultant Natalie LeFlore spoke at Health Care Executive's "A Day of Learning," an informative day of presentations for Healthcare Administration students. Natalie presented the benefits of Healthcare Compliance as both a program and an industry. Read more here.
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