Compliance
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Health System Agrees to Restore Deleted Data in False Claims Act Lawsuit
In the case of United States of America et al. v. Bon Secours New York Health System, Inc., et al, a former compliance officer claims she was fired for trying to address healthcare fraud. These details are drawn from the lawsuit and other court documents.
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False Claims Case Alleging Forgery, Destroyed Email Moves Forward
A long-running False Claims Act lawsuit against Bon Secours New York Health System and its affiliates is moving forward in U.S. District Court for the Southern District of New York, after physicians came forward to attest that someone forged their signatures on documents required for billing.
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Patient Abandonment Can Occur Without Intent
The current healthcare arena, with a constricted provider marketplace and other challenges for patients seeking a new physician, can amplify the risk of inadvertent patient abandonment.
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Electronic Consent Has a Few Obstacles and Drawbacks
Adoption of electronic consent is a process that will not occur overnight.
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Future World Without Paper Consent Could Be Here Sooner Than Imagined
Remember when the IRB submission process was entirely on paper? In 2027, someone might ask the same thing of informed consent: “Remember informed consent paper documents?”
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Watch Out for False Claims Act Violations
Most False Claims Act cases are brought by whistleblowers who can receive up to 30% of the government’s recovery in a successful investigation under the act.
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More Details About Anti-kickback Statute
The federal anti-kickback statute (Section 1128B(b) of the Social Security Act) provides criminal penalties for people or entities that knowingly and willfully offer, pay, solicit, or receive remuneration to induce or reward the referral of business reimbursable under federal healthcare programs.
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Federal Officials Ramp Up Healthcare Fraud Violation Investigations
Federal enforcement of the anti-kickback statute and other laws has increased over the past decade. In the 2016 fiscal year, the Department of Justice opened 930 new civil healthcare fraud investigations and had 1,422 civil healthcare fraud matters pending.
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Develop an Outcomes-based, Survey-proof QAPI Program
The smarter ASCs create policies and procedures, train staff on how to follow them, and ask experts to review both written policies and the actions employees take to follow the organization’s policies.
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Hand and Toe Amputation Results in $10.4 Million Jury Verdict
Failure to monitor adverse drug events in a patient led to gangrene and amputation of hand and toes.