CONSUMER FRAUD

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

New York Doctor Busted for Falsely Billing Medicaid for Lab Drug Tests Case: The State claims that the physician billed for $939,000 worth of drug testing services that his lab didn't and … [Read more...]

COMPLIANCE CORNER

HIPAA Compliance: The Pitfalls of PHI De-Identification & How to Avoid Them

In 2016, the Australian government released medical billing records of 2.9 million people. They tried to protect patient privacy by removing names and other identifying data. But it didn't work. … [Read more...]

HIPAA

Aetna Settles with States of Victims of HIV Meds Envelope Privacy Snafu

Case: Aetna is still paying for a disastrous miscalculation that may have revealed the HIV status of 12,000 beneficiaries that occurred in July 2017 when it mailed them information about their HIV … [Read more...]

CYBERSECURITY

Case of the Month: Anthem Settles Massive HIPAA Breach Case for Record $16 Million

Pop Quiz: What's the highest amount a health care entity ever paid to the HHS Office for Civil Rights (OCR) to settle a HIPAA violation? The answer used to be $5.5 million paid by Advocate Health … [Read more...]

CONSUMER FRAUD

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Aetna Settles with States of Victims of HIV Meds Envelope Privacy Snafu Case: Aetna is still paying for a disastrous miscalculation that may have revealed the HIV status of 12,000 beneficiaries … [Read more...]

PATIENT SAFETY

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Free Testing Supplies to Physicians Costs Massachusetts Lab $1.374 Million Case: A federal court ordered Calloway Laboratories, Inc. to pay $1,374,058 to settle claims of falsely billing … [Read more...]

WHISTLEBLOWERS

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Texas Lab and Owner Get 15-Year Exclusion for Medicare Mileage Swindle Case: What would you do if your bill for a $43 blood test included a $1,500 travel fee? The patient who actually received such a … [Read more...]

ANTI-KICKBACK

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Kickback Settlement Costs Pennsylvania Hospital $13.1 Million Case: The most expensive kickback settlement of 2018 to date features Post Acute Medical, LLC (PAM) in the starring role. The case … [Read more...]

CYBERSECURITY

TOOL: Model Employee Social Networking Policy

The purpose of this policy is to outline acceptable and unacceptable use of any computer equipment and other technology by all "employees" (as defined below) of XYZ Laboratories ("XYZ") as such use … [Read more...]

CYBERSECURITY

Case of the Month: Alabama Hospital Lab Settles Data Breach Class Action Suit

Class action lawsuits by patients victimized by data breaches have become increasingly common. And, more often than not, they prove unsuccessful. But a recent case involving Flowers Hospital in … [Read more...]


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