Medical Record Disposal: Handle With Care to Avoid HIPAA Violations

Multiple news outlets recently reported on a case involving the dumping of patient dental records in a church dumpster in Indiana.  The records originated from a dentist who had lost his dental license due to fraudulent billing. The Indiana Attorney General’s office brought a case against the dentist for violation of HIPAA and state laws.  The dentist agreed to a consent judgment requiring payment of a $12,000 fine. Upon review of the information on the Indiana Attorney General’s website, it… Read More >

New Law Frees Some Experienced New York Nurse Practitioners from Physician Supervision Requirements

As recently reported by Modern Healthcare, the Nurse Practitioner Modernization Act brought about changes to the physician supervision requirements for nurse practitioners in New York with over 3,600 hours of clinical practice experience. Under the new rules, which took effect January 1, 2015, nurse practitioners with 3,600 hours of clinical practice experience will no longer be required to maintain a written collaborative agreement with a physician nor will they be required to submit charts to a physician for review. Instead,… Read More >

OIG Gives Green Light to Patient Assistance Program

A non-profit charitable organization’s proposal to provide assistance in the form of partial or full coverage of copayments for certain financially needy patients with Crohn’s disease or ulcerative colitis received a favorable advisory opinion by the Office of Inspector General (OIG) of the Department of Health and Human Services (DHHS). In OIG Advisory Opinion 14-11, the OIG looked at two aspects of the proposal in relationship to the Anti-Kickback Statute and the Civil Monetary Penalties for beneficiary inducement:  (1) The… Read More >

New Rules Make it Easier for CMS to Revoke Medicare Enrollment

On December 3, 2014, CMS Administrator Marilyn Tavenner announced several new rules aimed at strengthening oversight of Medicare providers and protecting the Medicare Trust Fund. These rules could have a significant impact on Medicare providers that are currently involved in Medicare audits. The CMS press release states that the “new safeguards are designed to prevent physicians and other providers with unpaid debt from re-entering Medicare, remove providers with patterns or practices of abusive billing, and implement other provisions to help… Read More >