Health Law Gurus

Health Law Gurus

Health Law: News,
Commentary & Insights

News from the Health Law Gurus™: Week of February 22, 2015

Posted in Affordable Care Act (ACA), EHR, Fraud and Abuse, HIPAA, News from the Health Law Gurus

News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories.

Meaningful Use Attestation Deadline Extended to March 20, 2015 – According to a news alert from the Centers for Medicare and Medicaid Office (“CMS”), Eligible Professionals may attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year until 11:59 p.m. ET on March 20, 2015. The deadline has been extended to allow Eligible Professional additional time to submit their data. However, CMS encourages providers to begin the attestation process as soon as possible. CMS also noted that this extension deadline allows Eligible Professionals extra time to switch programs (i.e., from Medicare to Medicaid or Medicaid to Medicare), provided that the Eligible Professionals have not already used their one switch.  Continue Reading

OIG Report Outlines Five Recommendations for Hospice Care Reform

Posted in Affordable Care Act (ACA), Medicare

The Patient Protection and Affordable Care Act requires the Centers for Medicare and Medicaid Services (“CMS”) to reform the hospice payment system, collect data relevant to revising hospice payments and develop quality measures for hospices. In a recently released report, the U.S. Department of Health and Human Services, Office of Inspector General (“OIG”) made several findings and recommendations for CMS to consider regarding hospice reform. Continue Reading

Hospice Provider Pays $4 Million to Settle Allegations of Fraudulent Billing

Posted in False Claims Act, Fraud and Abuse

Good Shepherd Hospice, Inc., a for-profit hospice providing services in Oklahoma, Missouri, Kansas, and Texas (“Good Shepherd”), has agreed to pay $4 million to the U.S. government to settle allegations that it submitted false claims for hospice patients who were not terminally ill. Good Shepherd has also agreed to enter into a five-year corporate integrity agreement with the U.S. Department of Health and Human Services, Office of the Inspector General. Continue Reading

News from the Health Law Gurus™: Week of February 1, 2015

Posted in Affordable Care Act (ACA), HIPAA, Legislation, News from the Health Law Gurus

News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories.

Millions Affected by Hackers’ Attack on Health Insurer Anthem, Inc. – “Anthem was the target of a very sophisticated external cyber attack,” announced Joseph Swedish, Anthem’s President and CEO. Anthem, Inc., formerly known as WellPoint, Inc., is one of the largest health insurance companies in the United States. The exact number of affected individuals is still unknown, but initial estimates indicate that tens of millions of individuals have been compromised as a result of this attack. To learn more, read our full blog post here. Continue Reading

Millions Affected by Hackers’ Attack on Health Insurer Anthem, Inc.

Posted in Compliance Issues, Health Insurance, Privacy, Technology

iStock_000017834353Small“Anthem was the target of a very sophisticated external cyber attack,” announced Joseph Swedish, Anthem’s President and CEO. Anthem, Inc., formerly known as WellPoint, Inc., is one of the largest health insurance companies in the United States.

The exact number of affected individuals is still unknown, but initial estimates indicate that tens of millions of individuals have been compromised as a result of this attack.   Continue Reading

IS YOUR MOBILE HEALTH APP HIPAA COMPLIANT?

Posted in HIPAA, Privacy, Technology

Mobile health apps (also known as mHealth apps) are increasingly popular with consumers. As of 2014, there were more than 100,000 mobile health apps available on iOS and Android platforms, and total revenue from mobile health apps is expected to increase to $26 billion by the end of 2017, according to a research2guidance report. Mobile health apps have the potential to revolutionize the health care industry by engaging patients in their health care and facilitating communications between patients and their physicians. However, there are many privacy and security risks associated with their use. Continue Reading

News from the Health Law Gurus™: Week of January 11, 2015

Posted in Affordable Care Act (ACA), Business Associates, Covered Entities, HIPAA, Legislation, Privacy, Uncategorized

News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories.

Top Five Resolutions for Covered Entities and Business Associates in 2015 – The New Year is here. It is time to make those 2015 resolutions, and not just those for getting fit and healthy. Resolve now to improve your organization’s compliance with the Health Insurance Portability and Accountability Act (“HIPAA”).  See the list of our suggested top five resolutions for covered entities and business associates in 2015 by reading our full blog post here. Continue Reading

TOP FIVE RESOLUTIONS FOR COVERED ENTITIES AND BUSINESS ASSOCIATES IN 2015

Posted in Business Associates, Compliance Issues, Covered Entities, HIPAA

HiResThe New Year is here. It is time to make those 2015 resolutions, and not just those for getting fit and healthy. Resolve now to improve your organization’s compliance with the Health Insurance Portability and Accountability Act (“HIPAA”).  

HIPAA requires entities that create, receive, maintain, or transmit protected health information (“PHI”) to protect that PHI from unauthorized access, use, or disclosure. Entities that must comply with HIPAA include covered entities (defined as health care providers, health plans, and health care clearinghouses) and business associates (entities that perform services on behalf of a covered entity and handle PHI on behalf of that covered entity). Continue Reading

News from the Health Law Gurus™: Week of December 14, 2014

Posted in HIPAA, Marketplace/Exchanges, News from the Health Law Gurus, Technology

Patient Medical Records Stolen from New Jersey Storage Facility – Tribeca Medical Center is notifying patients that their protected health information may be compromised. According to a privacy notice posted on Tribeca Medical Center’s website, patient records were stolen from a locked storage facility in Jersey City, New Jersey on October 21, 2014. Unidentified individuals cut door latches to enter the facility, and they stole boxes of medical records. The records included patient names, addresses, telephone numbers, social security numbers, dates of birth, gender designation, insurance information, billing information, medical diagnoses, treatment records, laboratory and test results, and pharmacy/medication records. The theft was immediately reported to the Jersey City Police Department. To read the entire privacy notice, click here. Continue Reading