COMPLIANCE PLANS

OIG Monthly Work Plan Review: April 2019

Among the 10 new Work Plan items this month, three may have potential ramifications for at least some labs. Medicaid Managed Care Organization Denials Issue: The State Medicaid agency and the … [Read more...]

WHISTLEBLOWERS

Case of the Month: Facing 3 against 1, Texas Lab Settles EHR Consulting Kickback Charges

Question: What happens when multiple whistleblowers bring separate qui tam lawsuits against a lab for the same offense? Answer: Under the False Claims Act (FCA), only the first whistleblower to … [Read more...]

EHR

Enforcement Trends: Whistleblowers Get in on the EHR “Meaningful Use” Action

Wrongful payment of electronic health records (EHR) "meaningful use" incentives has become a growth area in government health fraud enforcement. (See GCA, July 10, 2017). And now private … [Read more...]

ENFORCEMENT

EHR: Private Whistleblowers Getting in on “Meaningful Use” Crackdown

Wrongful payment of electronic health records (EHR) "meaningful use" incentives has become a growth area in federal health care fraud enforcement. And now private whistleblowers are getting … [Read more...]

FOCUS ON

EHR: Window Closes on Meaningful Use Exemptions as Congress Seeks to Make Future Compliance Easier

October has been a big month for meaningful use compliance. Oct. 1: Deadline "Hardship" Exemption Among the victims of the recent natural disasters are first-time participants in the … [Read more...]

TOP OF THE NEWS

Consortium Releases New Interoperability Standard for Lab IT Systems

With the release of a new information technology (IT) standard, the dream of true interoperability of electronic health care information has gotten one step closer to reality. The new standard, called … [Read more...]

OIG REPORT

CMS Dished Out $729.4 Million in Wrongful EHR Incentive Payments & We’re Going to Get that Money Back

Wrongful payments of Electronic Health Records (EHR) incentives are at the focus of two of the month's biggest stories in health care compliance. The first came down on May 31 when the Justice … [Read more...]

CASE OF THE MONTH

The eClinicalWorks EHR Settlement—Big Fines & Unprecedented CIA Obligations

With all the money it generates, it was only a matter of time before Electronic Health Records (EHR) technology got caught up in the False Claims Act dragnet. (See the related story on EHR … [Read more...]

NEWS

Electronic Health Records: The eClinicalWorks False Claims Settlement—Big Fines & Unprecedented CIA Obligations

False Claims Act actions targeting health care vendors have become more common. eClinicalWorks (ECW), one country's biggest electronic health records software vendors, learned that lesson the hard way … [Read more...]

PRECISION MEDICINE

Study Shows Benefits of Large-Scale, Clinical Sequencing Initiatives

Large-scale sequencing initiatives performed in integrated health care systems, such as the DiscovEHR collaboration, can advance genetic discovery and serve as a "blueprint" for adoption of … [Read more...]


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