Med-Net News & Views (July Edition)

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Med-Net
August 3, 2018
News & Views

compliance

Developing a Privacy Plan within a Compliance and Ethics Framework

Jeannine LeCompte, Publishing and Research Coordinator All healthcare providers are legally

Compliance with Financial Business Practices: Cost Reporting Guidelines

Jeannine LeCompte, Publishing and Research Coordinator Skilled Nursing Facilities (SNFs) are

Ensuring Compliance with Financial Business Practices: Billing Routines

Jeannine LeCompte, Publishing and Research Coordinator Skilled Nursing Facilities (SNFs) are

Demonstrating Compliance with Exclusion Checks

Jeannine LeCompte, Publishing and Research Coordinator Earlier this year, a California

QAPI vs Compliance and Ethics: What’s the Difference?

Jeannine LeCompte, Publishing and Research Coordinator All long-term care facilities (LTCs)

Mandatory All-Staff Training: Compliance

Jeannine LeCompte, Publishing and Research Coordinator Medicare- and Medicaid-approved long-term care

Mandatory Compliance Training for All Staff

Jeannine LeCompte, Publishing and Research Coordinator The Centers for Medicare &

Communication with Your Governing Body: Identifying Compliance Risks

Jeannine LeCompte, Publishing and Research Coordinator The primary purpose of a

Completing the Compliance Annual Assessment: Duty of Care to Residents

Jeannine LeCompte, Publishing and Research Coordinator Annual long-term care facility (LTC)

Adhering to the Law: Ensuring Vendor Compliance

Jeannine LeCompte, Compliance Research Specialist The third element of the Office

Adhering to the Law: Ensuring Employee Compliance

Jeannine LeCompte, Compliance Research Specialist Skilled Nursing Facilities (SNFs) are under

Enforcing a Structured Compliance Program Administration

Jeannine LeCompte, Compliance Research Specialist Once a skilled nursing facility has

The Purpose of a Compliance and Ethics Program

Jeannine LeCompte, Compliance Research Specialist The Office of the Inspector General

The Workings of a Compliance and Ethics Committee in the LTC Environment

The Workings of a Compliance and Ethics Committee in the

Med-Net News & Views (July Edition)

Med-Net News & Views (May Edition)

Montana Healthcare System to Pay $24 Million to Settle False Claims Act Allegations

Does a healthcare system violate the False Claims Act by

Tennessee Health Department Halt Suspends New Admissions to Nursing Home

Compliance Perspective - Suspends: The Compliance Officer should review the facility’s

Fifteen California Nursing Homes Sued for Knowingly Understaffing to Increase Profits

Compliance Perspective - Understaffing: The Compliance Officer will review the facility’s

Staffing Concerns Cause Nearly 1,400 Nursing Homes to Get Lower Medicare Ratings

Compliance Perspective - Medicare Ratings: The Compliance Officer should review the

Employees at Florida Nursing Home Charged with False Imprisonment and Elder Abuse

Compliance Perspective - False Imprisonment & Abuse: The Compliance Officer should

Lawsuit Filed Against Nursing Home Where Elderly Resident Died After Being Attacked by Another Resident

Healthcare Compliance Alert - Elderly Resident: The Compliance Officer should review

Employees Forced to Resign After Denial of Reasonable Accommodation Basis for EEOC Lawsuit

Compliance Perspective - EEOC Lawsuit: The Compliance Officer should review with

Nursing Home Resident Tested Positive for Legionnaires’ disease

Compliance Perspective: The CMS has issued a clarification on Facility Requirements

14 Arizona Assisted-Living Centers Found Discriminating Against Prospective Deaf Residents

Healthcare Compliance Perspective: The Compliance Officer will review the policies and

Nurse Staffing Agency and Nurse Aide Sued in Death of 101-Year-Old Nursing Home Resident

Healthcare Compliance Perspective - Death of a Resident: The Compliance Officer

Increase in Respiratory Illnesses in Illinois Nursing Home Being Investigated

Healthcare Compliance Perspective - Respiratory Illnesses: The Compliance Officer should review

Medicaid Provider Agrees to Lifetime Exclusion from Medicaid

Healthcare Compliance Perspective - Lifetime Exclusion from Medicaid: The Compliance Officer

Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation Center in Virginia

Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation

Employee Checks in a SNF Environment—Employer Obligations

Employee Checks in a SNF Environment—Employer Obligations The extensive penalties imposed

Woman Sues Houston Area Nursing Home for Wrongful Termination

Healthcare Compliance Perspective - Wrongful Termination: The Compliance Officer will review

Home Healthcare Provider Agrees to $3 Million False Claims Settlement

Healthcare Compliance Perspective - False Claims Settlement: The Compliance Officer will

July Heatwave Forces New Jersey Nursing Home Evacuation When Air Conditioning System Fails

Healthcare Compliance Perspective - Nursing Home Evacuation: The Compliance Officer will

Resident of Skilled Nursing Home Injured in Smoking-Related Accident

Healthcare Compliance Perspective - Resident Injured: The Compliance Officer should review

SNF and Employee Checks—Mandatory and Permissive Exclusions

SNF and Employee Checks—Mandatory and Permissive Exclusions The Office of the

20 months After Family Files Complaint Unlicensed Nurse Finally Faces Charge

Healthcare Compliance Perspective - Nurse Faces Charge: The Compliance Officer should

Kentucky Skilled Nursing Facility, Corporate Management and Owner Agree to Pay $540,000 to Resolve False Claims Allegations

Healthcare Compliance Perspective - False Claims Allegations: The Compliance Officer should

Former Business Manager Arrested and Charged with Embezzling $227,000 from Healthcare Agency

Healthcare Compliance Perspective - Embezzling: The Compliance Officer should review business

Kentucky Man Jailed for Allegedly Stealing from Nursing Home Residents While “Squatting” in an Unoccupied Room

Healthcare Compliance Perspective - Squatting: The Compliance Officer should evaluate the

Med-Net News & Views (June Edition)

Staffing Agency Settles EEOC Sex Harassment and Retaliation Suit for $30,000

Healthcare Compliance Perspective - Retaliation Suit: The Compliance Officer will confer

Wound Services Provider to Pay Almost $400,000 for False Claims Act Allegations

Healthcare Compliance Perspective - False Claims: The Compliance Officer should verify

Nearly $50,000 in Overstated Medicaid Claims by Nursing Home Revealed by Tennessee State Auditors

Healthcare Compliance Perspective - Medicaid Claims: The Compliance Officer will involve

Hidden Camera Footage Supports $1.2 Million Awarded in Nursing Home Abuse Case

Healthcare Compliance Perspective -Nursing Home Abuse: The Compliance Officer should involve

VA Hospital Worker Pleads Guilty to Identity Theft of More Than 1,000 Patients

Healthcare Compliance Perspective - Identity Theft: The Privacy Officer needs to

Woman Sentenced to Five Years for Setting Nursing Home Fire Two Years Ago

Healthcare Compliance Perspective Nursing Home Fire: The Compliance Officer should ask

Guidance for the Installation and Maintenance of Bed Rails

Guidance for the Installation and Maintenance of Bed Rails The correct

Snapchat Used by Nursing Home Employees to Post Videos of Elder Abuse

Compliance Perspective - Elder Abuse: The Privacy Officer should investigate the

Charlottesville Nursing Home Resident Dies After Falling into Creek

Healthcare Compliance Perspective: The Compliance Officer should review with the Compliance

North Carolina Nursing Homes Fined $567,976 by Medicare for Resident Abuse

Healthcare Compliance Perspective - Resident Abuse: The Compliance Officer together with

Healthcare Company to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy

Compliance Perspective - False Claims: The Compliance Officer should work with

Resident of Assisted Living Center Files Suit Over Staff Accusations She Hallucinated About Bedbug Infestation

Healthcare Compliance Perspective - Bedbugs: The Compliance Officer should investigate any

Legal Considerations When Using Bed Rails

Apart from considerations of resident comfort, there are a number

Underinflated Air Mattress May Have Contributed to a Resident’s Fall and Injury

A resident who was alert and who did not normally

Former Nursing Home Owner and Manager Charged with Multiple Felonies

Healthcare Compliance Perspective - Multiple Felonies: The Compliance Officer should be

Deaf Resident Sues Nursing Home for Lack of Access to Interpreter

Healthcare Compliance Perspective - Resident Sues Nursing Home: The Compliance Officer

Facility Blamed in Death of Former Presidential Adviser’s Father

Healthcare Compliance Perspective: A Compliance Officer faced with multiple concerns, e.g.,

Former Employee Files Suit Claiming Wrongful Discharge and Unlawful Retaliation

Healthcare Compliance Perspective - Wrongful Discharge: The "Ethics" of a Compliance

Bed Rails in a SNF Environment: Physical Restraint or Resident Aid

Bed Rails in a SNF Environment: Physical Restraint or Resident

Nurses and the Opioid Prescription Drug Epidemic

The news media is full of articles about what the

Middle Tennessee Podiatrist Sentenced to Federal Prison for Health Care Fraud Scheme

Healthcare Compliance Perspective - Healthcare Fraud Scheme: Compliance Officers should develop

Walmart, Sam’s Club to Pay $825,000 to Resolve Fraud Allegations Concerning Auto Refilling Medicaid Prescriptions

Healthcare Compliance Alert - Fraud Allegations: The Compliance Officer should audit

Florida Nursing Homes Get Ready for 2018 Hurricane Season

Healthcare Compliance Perspective - Hurricane Season: The Compliance Officer needs to

Man in New York Recovery Center Found Dead and Decomposing

Compliance Perspective: A Compliance Officer's primary role is to be available

Med-Net News & Views (May Edition)

Two-Year Investigation of Medicaid Transportation Fraud Based in Essex County Results in the Arrest of 12 Individuals

Healthcare Compliance Perspective - Medicaid Transportation Fraud: Compliance Officers must audit

Nursing Home Resident Indicted and Committed to Mental Health Facility for Raping Another Resident

Healthcare Compliance Perspective: A reasonable suspicion of a crime must be

Former Employee of Speech Recognition Software Company Accesses Thousands of the Company’s Healthcare Provider Clients’ HIPAA Protected Health Information

Healthcare Compliance Perspective - HIPAA Protection: What should a healthcare provider

CNA Accused of Stealing Money and Using Personal Identity Information of Elderly Couple to Defraud

Healthcare Compliance Perspective - Defraud: A healthcare provider which uses independent

The Importance of the I-9 Form and Compliance

With Immigration and Customs Enforcement (ICE) increasing actions to curb

Dealing with HIPAA Privacy Breaches

In 2017, the Department of Health and Human Services’ Office

Georgia Healthcare System Assessed Largest Hospital Drug Diversion Civil Penalty Settlement in U.S. History

Healthcare Compliance Perspective - Hospital Drug Diversion: Effective 11/28/2017, CMS requires

Nursing Home Miscalculated Resident’s Fall Risk, Possibly Contributing to Her Death

Healthcare Compliance Perspective - Fall Risk: CMS regulation F689 Accidents requires

Neglect of Elder Abuse Cases ‘Deep and Pervasive’ in the State of Minnesota

Healthcare Compliance Perspective - Elder Abuse Cases: While states provide broad

Georgia Man Gets 5-Year Sentence for Filing Fraudulent Income Tax Returns and Cashing U.S. Treasury and Other Checks

Healthcare Compliance Perspective - Fraud: Under the HIPAA privacy rule a

Massachusetts Skilled Nursing Facility Agrees to Settlement of Government Suit Alleging Disability Discrimination Involving Patient

Healthcare Compliance Perspective - Disability Discrimination: In light of growing concern

The Development of a Resident Privacy Policy

An HIV-positive patient asked an office manager to fax his

Family Practitioner and Orthopedic Surgeon Convicted of Healthcare Fraud

Healthcare Compliance Perspective - Healthcare Fraud: Knowingly making false statements and

Woman Convicted and Sentenced for Healthcare Fraud

Healthcare Compliance Perspective - Healthcare Fraud: Knowingly billing Medicare for services

Missouri Nursing Home Being Investigated for Providing Sub-Standard Care to Residents

Healthcare Compliance Perspective In general, all reported or filed complaints

Chicago Area Physician Indicted for Allegedly Pocketing Nearly $1 Million in Medicare and Insurer Payments for Nonexistent False Claim Treatment

Healthcare Compliance Perspective: The submission of a false claim based on

Skilled Nursing Will See Medicare Pay Raise

Come 2019, skilled nursing facilities could see significant increases in

Massachusetts Doctor Convicted by Jury of Illegally Sharing Patient Medical Files

Healthcare Compliance Perspective: Although the initial act of allowing unauthorized individuals

Athens County Home Health Care Agency Owner Sentenced for Committing $2M Fraud

Healthcare Compliance Perspective: Fraudulent behavior often involves all opportunities available

Internal Structural Requirements for HIPAA Compliance

A medical employee was fired in 2017 after she violated

Congressional Democrats Propose Legislation that Would Ban Noncompete Agreements

Democratic senators helped reign in the new month with proposed

Three Deaths and Numerous Incidents of Alleged Abuse and Neglect Result in Iowa Nursing Home’s Fines of $45,750

Healthcare Compliance Perspective - Abuse and Neglect: Compliance Officers should be

Nurse Assistant Arrested for Sexual Assault on an Elderly Patient in South Texas Nursing Home

Healthcare Compliance Perspective - Sexual Assault: A Compliance Officer must

Northeast Texas Hospital Self-Discloses and Resolves Healthcare Compliance Concerns

Healthcare Compliance Perspective: A Compliance Officer, with guidance from Compliance Attorney,

Medical Records Leaked by Transcription Service

A medical transcription service provider was notified last week by

Case Study: Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches

Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches A

Nursing Home Fighting $25,000 State Fine

Healthcare Compliance Perspective - Nursing Home State Fine: Policies and procedures

Med-Net News & Views (April Edition)

New CMS Rules on the Management of Controlled Substances

In response to a growing problem in drug diversion in

Owner of Assisted Living Home in Florida Accused of Elder Abuse Charges, Arrested and Jailed

Healthcare Compliance Perspective / Elder Abuse Charges: Unresolved citations for substandard

Pittsburgh Pharmacist Sentenced to Prison for Misbranded Drug Scheme

A federal district court judge has sentenced a resident of

New CMS Controlled Substance Control Guidelines

The Centers for Medicare & Medicaid Services (CMS) set the

Tennessee Nursing Home Fined and Admissions Suspended After Annual Survey

Healthcare Compliance Perspective: Failure to investigate and prevent the continuing

No Water and a Faulty Sprinkler Alarm Cited in Nursing Home Fire

Healthcare Compliance Perspective: Emergency preparedness auditing requires a hands on

U.S. DOJ Charges Missouri Nursing Home’s Social Services Director with Identity Theft from Elderly Residents

Healthcare Compliance Perspective: Suspicious activity that could potentially alert staff to

Scenario: Medication Error

A resident was given the wrong IV medication by a

Exclusion List/License Checks

Exclusion List/License Checks Case A certified nursing assistant had been working at

Doctor Lands in Prison for Unlicensed Staff

Anthony Enrico, a Passaic County Podiatrist, was sentenced to three

Med-New News & Views (March Edition)

Scenario: Needle Stick

A nurse gave a resident her insulin injection and accidentally

VA OIG Report Reveals New York VA Medical Center Personnel Failed to Try and Resuscitate a Dying Patient

Healthcare Compliance Perspective: Licensed employees must not only refrain from acting

Nurse Accused of Removing Fentanyl Patches from Nursing Home Residents

Healthcare Compliance Perspective: The Compliance Officer will work with the Pharmacy,

Heart Pump Manufacturer Agrees to Pay $3.1 Million to Resolve Kickback Allegations

Healthcare Compliance Perspective: Light meals may be offered in conjunction with

Justice Department Launches Initiative to Fight Sexual Harassment in the Workplace

Healthcare Compliance Perspective: Healthcare providers must develop a written policy and

Academic Medical Center Employees Fired for Snooping into Patients’ Private Health Information

Healthcare Compliance Perspective: It is essential for skilled nursing facilities to

Internet Robots (Spiders, Crawlers and Web Bots) May Put Healthcare Organizations at Risk for HIPAA Violations

Healthcare Compliance Perspective: Inappropriate use of healthcare provider computers increases the

Employee Screening in Skilled Nursing Facilities: An Introduction

Most SNF employers are aware of the necessity of screening

Getting Compliance Right: Disciplinary Steps and Procedure Reassessment

Skilled nursing facilities (SNF) receiving federal funds are obligated to

U.S. Files False Claims Act Complaint Against Compounding Pharmacy, Private Equity Firm, and Two Pharmacy Executives Alleging Payment of Kickbacks

Healthcare Compliance Perspective: Fraud, based upon kickbacks, always involves an emphasis

Former Long-Term Care Ombudsman Pleads Guilty to Stealing from Nursing Home Resident

Healthcare Compliance Perspective: Public officials must maintain integrity for our

Springfield Nursing Home Residents Take Narcotics from Unsecured Medication Drawer

Healthcare Compliance Perspective: Audits must address medication diversion must account

California Nursing Home Sued for Injury to Former Resident’s Eye

Healthcare Compliance Perspective: Individual occurrences, in an of themselves, are

3 New Cases of Legionnaires at Illinois Veterans’ Home

Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires

Woman Found Dead Inside Speedway Nursing Home Leads to Licensing Complaint

Healthcare Compliance Perspective: A licensed healthcare professional is responsible, not only

Cousins Committing $2.6 Million in Healthcare Fraud Get Suspended

Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires a

Navigating Alternative payment models (APM) and the Data in 2018 for Home Care Agencies:

By ShirleyAnn Janulewicz RN, BSN, PHN Competing in today’s healthcare market

Wisconsin Nursing Homes Close as Costs Rise and Reimbursement Rates Can’t Keep Up

Healthcare Compliance Perspective: In situations of financial distress, it is important

Getting Compliance Right: Training and Auditing

Skilled nursing facilities (SNFs) receiving federal funds are obligated to

Elopement Assessment After Hospitalization

A resident was readmitted from the hospital, and staff did

Resident’s Death Raises Alarm About Security

Healthcare Compliance Perspective: It is essential to develop elopement risk prevention

Getting Compliance Right: Structure and Policies

Skilled nursing facilities (SNFs) receiving federal funds are obligated to

Physician Admits Guilt in Conspiring to Unlawfully Distribute and Dispense Controlled Substances and Health Care Fraud

Healthcare Compliance Perspective: It is essential that healthcare providers conduct background

Pathologist Testifies Nursing Home Staff Had Chance to Save Lives

Healthcare Compliance Perspective: It is essential to have clear policies and

Attorney General Sues Fentanyl Maker for Deceptive Promotion of Prescription Opioid

Healthcare Compliance Perspective: Prescription drug off-label marketing potentially injures many people

Home Health Care Provider to Pay $6.4 Million to Settle Allegations of False Medicaid Billing

Healthcare Compliance Perspective: Medicare Fraud and Abuse is serious problem that

U.S. Obtains $16.2 Million Judgment Against MRI Provider for Submitting False Claims

Healthcare Compliance Perspective: Medicare reimbursement requires medical services be performed in

Hospital Agrees to Pay $89,000 to Settle EEOC Religious Discrimination Suit

Healthcare Compliance Perspective: A Compliance Program assists a healthcare provider in

Doctor and Patient Recruiters Charged in $18 Million Illegal Distribution of Prescription Drugs Scheme

Healthcare Compliance Perspective: All offers of employment for any position within

Dealing with an EEOC Charge Relating to Sexual Harassment/Discrimination

If all attempts to settle a complaint of sexual harassment

Georgia State Authorities Dismantle Systematic Elder Abuse and Medicaid Fraud Scheme

Healthcare Compliance Perspective: Sometimes a fraud comes along that is just

Healthcare Provider to Pay $2.3 Million to Settle Potential HIPAA Violations

Healthcare Compliance Perspective: When a potential breach of Protected Health Information

Kmart Corporation to Pay U.S. $32.3 Million to Resolve False Claims Act Allegations

Kmart Corporation, a wholly owned subsidiary of Sears Holdings Corporation

California Healthcare Corporation Agrees to $325K Settlement in Disability Discrimination Class Action Suit

Healthcare Compliance Perspective: All employees in the workplace are responsible for

Medicaid Fraud Complaint Filed Against Former Physicians and Their Business Entities for Filing False Claims

Healthcare Compliance Perspective: Compliance Perspective: False claims and billing fraud may

Training Staff to Avoid Sexual Harassment Incidents

The best way an institution can avoid damaging sexual discrimination

Former Nursing Home Executives Plead Guilty in Kickback Scheme

Healthcare Compliance Perspective: It is essential that all current employees and

Nursing Home Resident Received a Wound Possibly from a Cigarette Burn

A resident has a wound that he claims is related

U.S. Sues Diagnostics Company for Allegedly Billing Medicare for Unnecessary Home Sleep Tests

Healthcare Compliance Perspective: Each employee and vendor of a healthcare provider

Virginia Doctor Sentenced to 30 Years for Oxycodone Distribution Conspiracy

Healthcare Compliance Perspective: Vendors must be screened prior to conducting business

Resident Died and No Defibrillator (AED) Was Used

A resident notified a nurse that she would like to

Arrests Made in Alleged Cover Up of Neglect and Abuse in Nursing Home

Healthcare Compliance Perspective: Intentional and/or reckless false documentation is a crime,

Three New York Diagnostic Testing Facility Owners Charged for Fraud Scheme

Healthcare Compliance Perspective: Physicians, employees, diagnostic testing facilities, and various other

Defining Sexual Harassment and Discrimination

Having a clear definition of what constitutes sexual harassment and

Imaging Companies and Owners Resolve Swapping and Medicare Fraud Allegations

Healthcare Compliance Perspective: The Anti-Kickback Statute makes it a crime to

Oncology Company Agrees to Pay $26 Million to Settle False Claims Act Allegations

Healthcare Compliance Perspective: Facilities should consistently audit various aspects of their

Med-Net News & Views 2017 (December Edition)

Connecticut Nursing Home Fined

Healthcare Compliance Perspective: Substandard quality of care arising from ineffective

Medical Center Agrees to Settle ADA Claim with Individual Who Is Deaf

Healthcare Compliance Perspective: Residents/patients have the right to be fully informed

Investigation: The Third Stage of the CMS New Survey Process

The “Investigative Process” forms the third major component of the

Facility Evacuation Due to Area Fire Danger

Case Study: Emergency Preparedness A fire in the vicinity caused

Hospital Pharmacy Technician Suspended for Diversion of Medications and Compounding Medication Errors

Healthcare Compliance Perspective: Employees for healthcare companies shall adhere to a

Sample Selection: The Second Stage of the CMS’s New Survey Process

“Sample Selection” forms the second major component of the Centers

DPH Assesses Fines on Nursing Homes for Care Infractions

Healthcare Compliance Perspective: A pattern of submitting claims to Medicare or

EEOC Sues Foundation for Race and Age Discrimination

Healthcare Compliance Perspective: Healthcare providers must be committed to equal opportunity

Former Owner and Co-Conspirator of Sleep Study Clinics Charged With Estimated $200 Million in Health Care Fraud and Tax Evasion

Healthcare Compliance Perspective: Under federal law, directors, officers, and physicians who

Nurse Charged in Resident’s Death for Medication Errors

Healthcare Compliance Perspective: Each resident's drug regimen must be free from

Home Healthcare Company Settles EEOC Disability Discrimination Suit for $25,000

Healthcare Compliance Perspective: Healthcare providers, under the Americans with Disabilities Act,

Initial Pool: The First Stage of the CMS’s New Survey Process

The “Initial Pool Process” (IPP) forms the first major component

CNA Accused of Credit Card Theft Has License Placed Under Emergency Restriction

Healthcare Compliance Perspective: Healthcare providers must ensure that employed individuals have

Sensitive Medical Records Carelessly Dumped in Public Recycling Bin

Healthcare Compliance Perspective: Healthcare providers must ensure that any documentation containing

Physician-Owned Hospital to Pay $7.5 Million to Settle Kickback Allegations to Physicians in Exchange for Surgical Referrals

Healthcare Compliance Perspective: The Anti-Kickback Statute makes it a crime for

The New Survey Process: What is it, and Why?

November 28, 2017 was the Centers for Medicare & Medicaid

Man Sentenced on Health Care Fraud Conviction

Healthcare Compliance Perspective: Medicare Fraud is knowingly submitting false claims to

Social Media and HIPAA Violations: A Risk for Healthcare Providers

Social Media and HIPAA The time when social media involved only

Woman Pleads Guilty to Stealing from Nursing Home Residents

Charged with 20 criminal counts of "theft and receiving stolen

Operator of Purported Durable Medical Equipment Providers Pleads Guilty

Healthcare Compliance Perspective: Compliance Officers must focus on ensuring that products

Lawsuit Accuses Senior Living Facility of Elder Abuse and Negligence

Healthcare Compliance Perspective: Healthcare Providers can work in partnership with local

Creating the “Systematic Analysis and Systemic Action” Element of a QAPI

The “Systematic Analysis and Systemic Action” element of the Centers

Doctor Pleads Guilty to Billing Health Care Programs with No Medical License or Office

Healthcare Compliance Perspective: It is the obligation of the employee to

Med-Net News & Views 2017 (November Edition)

Nursing Home Companies Settle Allegations of Poor Care

Healthcare Compliance Perspective: Knowingly submitting claims for services provided that are

Setting up the “Performance Improvement Project” Element of a QAPI

The “Performance Improvement Project” (PIP) element of the Centers for

Federal Agents Investigating Exposure of Patient Data

Healthcare Compliance Perspective: If a breach of protected

Hospital and Heart Specialists’ Practice Settle Lawsuit for $20.7 Million

Healthcare Compliance Perspective: Compliance Officers must emphasize with management to refrain

San Diego Pharmacy to Pay $60,000 to Settle Equal Pay Discrimination Suit

Healthcare Compliance Perspective: Healthcare providers are prohibited from basing pay rates,

Bed Rails Cited as Cause in Nursing Home Death

Healthcare Compliance Perspective: The inappropriate use of restraints constitutes substandard quality

Physician Sentenced to Prison for Fraudulent Prescriptions

Healthcare Compliance Perspective: Civil penalties for violating the Federal False Claims

Nurse Sentenced to 2 Years in Prison for Misappropriating Residents’ Pain Pills

Healthcare Compliance Perspective: Quality Assurance and Performance Improvement studies can be

Preparing the “Governance and Leadership” Element of QAPI

The “Governance and Leadership” element of the Centers for Medicare

Nursing and Rehabilitation Center Fined for Financial Abuse of Resident

Healthcare Compliance Perspective: Compliance Officers need to monitor their staff for

Bomb Threat Causes Evacuation of Assisted Living and Rehab Facility

Healthcare Compliance Perspective: It is required by law for all healthcare

Employee’s Claims of Sexual Harassment by Patients Is Not Severe Enough to Support Her Claim of a Hostile Working Environment

Compliance Perspective: Harassment occurs when the unwanted conduct is a condition

Staffing Concerns Cause Nearly 1,400 Nursing Homes to Get Lower Medicare Ratings
Federal Court Awards Nearly $3 Million in Damages and Penalties for Medicaid Fraud Scheme

Med-Net News & Views (July Edition)

Two Men Charged in $39M Personal Protective Equipment Fraud Scheme

Doctor Sentenced for Participating in $30 Million Scheme to Defraud Medicare and Medicaid

Nursing Home Resident’s Spouse Complains About Neglect ̶ Leads to Probe and Arrests

Convicted Psychiatric Nurse with Revoked License Arrested Again

The Key to Safeguarding Electronic Protected Health Information (ePHI) is Knowing Exactly Where It Is

HHS Issues Revised Notice of Reporting Requirements and Reporting Timeline for Recipients of Provider Relief Fund Payments

Heart Pump Manufacturer Agrees to Pay $3.1 Million to Resolve Kickback Allegations

Montana Nurse Sentenced to Prison for Stealing Opiates from Healthcare Facilities

Ineligible Medicaid Provider Arrested for Defrauding Medicaid of More Than $68K

Former Nursing Home Biller Charged With Medicaid Fraud

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