Tag archive: law

RehabCare settles FCA allegations for $30 Million

Next time you wonder how serious the government is about anti-kickback law, think about the latest False Claims Act settlement of $30 Million.  This settlement was part of the government’s emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, partnering Department of…

OIG, CMS release Final Rule for the Stark Exception, Anti-Kickback Safe Harbor for Electronic Health Records (EHR) Donation

While the donation of a valuable item such as an EHR program would raise fraud and abuse concerns, exemptions under Stark Law and Anti-Kickback Safe Harbor were designed to encourage the widespread implementation of EHR  and to let smaller providers accept gifts of EHR software without violating the law or statute. The final rule for…

St. James Healthcare agrees to pay $3.85 Million to settle Stark Law, Anti-Kickback Allegations

The Justice Department announced that St. James Healthcare, a hospital in Butte, Montana, and its parent, Sisters of Charity of Leavenworth Health System, based in Denver, CO, agreed to resolve allegations of violations of the Anti-Kickback Statute, the Stark Law and the False Claims Act by improperly providing financial benefits to physicians and physician groups…

Dermatology Practice Settles Potential HIPAA Violations

Adult & Pediatric Dermatology, P.C., of Concord, Mass., (APDerm) has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy,  Security, and Breach Notification Rules with the Department of Health and Human Services, agreeing to a $150,000 payment. APDerm will also be required to implement a corrective action…

One delay, two delay for the Affordable Care Act!

First, the administration delayed the implementation of the employer mandate until January 1, 2015.  That means large employers will not be responsible for shared responsibility payments/penalties, if applicable, until 2015. Second, on October 24, 2013, the Obama Administration confirmed that “it will give Americans who buy health insurance through new online marketplaces an extra six…

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