Archive
Wade Emmert
Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks
This toolkit provides detailed information on methods to analyze telehealth claims to identify program integrity risks associated with telehealth services. It is based on the methodology…
Supreme Court Preserves Access to Abortion Pill Mifepristone
The Supreme Court preserves access to the abortion pill mifepristone while the appeals play out. The case goes back to the 5th Circuit, where the FDA…
Supreme Court Pauses Abortion-Pill Case: What Next?
U.S. Supreme Court Justice Samuel Alito has temporarily stayed until Wednesday a Texas federal court order imposing restrictions on the distribution of the abortion drug mifepristone…
Hospice in 2023: Dying and the Dollars
Interesting statistics on hospice care, its growth, and fraud from Deborah Abrams Kaplan, writing for Managed Healthcare Executive: Hospice care really started to take hold after…
Office for Civil Rights Reminder HIPAA Flexibilities End May 2023
HHS Office of Civil Rights confirmed that that four Notifications of Enforcement Discretion (“Notifications”) will expire upon expiration of the COVID-19 PHE, which is currently scheduled…
HIPAA Privacy Rule and Disclosures of Information Relating to Reproductive Health Care
HHS Office of Civil Rights has proposed changes to HIPAA’s Privacy Rule which would prohibit disclosures to law enforcement related to obtaining or providing abortions. The…
Supreme Court’s False Claims Case Alleges Overbilling of Medicare and Medicaid
Violations of the False Claims Act require a requisite state of “knowledge” a claim’s falsity. To violate the statute, one must have “actual knowledge,” “deliberate ignorance”…
DOJ Settlements Are a Stark Reminder
Arrangements with referring physicians are common in healthcare, but they can be very danagerous if not structured properly. Too often they are used to obfuscate the…
Widespread Third-Party Tracking On Hospital Websites Poses Privacy Risks For Patients And Legal Liability For Hospitals
Web tracking technology has been in the news a lot lately. Most websites use such tools to track users as they navigate through a particular site…
OIG Approves Gift Cards to Promote Patient Compliance with a Preventive Screening Measure
OIG has approved the use of gift cards to incentivize patients to return sample collection kits, provided there are certain safeguards in place: Mailing the gift…