Healthcare Risk Management
RSSArticles
-
Caution: Fake HHS HIPAA Email Is Phishing Scam
The Office for Civil Rights has issued an alert warning healthcare providers about a phishing scam disguised as an official communication from the Department of Health and Human Services.
-
UMass Settles HIPAA Violations After Malware Infection
A malware infection cost the University of Massachusetts Amherst $650,000 for potential HIPAA violations, and the school must comply with a corrective action plan.
-
Radiology Practice Settles FCA Claims for $8 million
A radiology group in New York has agreed to pay $8 million to settle claims that it knowingly submitted false claims to Medicare and Medicaid.
-
Understand Discovery Rule, How to Avoid its Effects
The discovery rule can determine whether a potentially costly malpractice case will proceed, so understanding how it works is important for risk managers.
-
Report Overpayments to CMS Carefully to Avoid More Trouble
CMS expects hospitals and healthcare systems to report overpayments within 60 days of discovery to avoid false claims allegations, but knowing when and how to report is not always easy.
-
Freestanding EDs Growing in Popularity
Hospitals are opening freestanding EDs (FSEDs) at a rapid rate and mostly in states that allow them without meeting “determination of need” requirements.
-
Freestanding EDs Can Have Special Compliance, Liability Concerns
As hospitals increasingly look to freestanding EDs as a way to serve patients better while potentially increasing profits, legal and compliance experts caution risk managers that they may bring risks beyond the familiar concerns of a hospital-based ED.
-
Doctor’s Failure to Diagnose Results in $7.7 Million Wrongful Death Verdict
A 50-year-old patient died after physicians failed to diagnose a pulmonary embolism.
-
Couple Awarded $6.8 Million for Avoidable Loss of Vision
A 50-year-old patient experienced avoidable, permanent vision loss following open-heart surgery.
-
$145 Million Settlement Largest Ever for Skilled Nursing
A rehabilitation provider in has agreed to pay $145 million to settle False Claims Act allegations that it defrauded the government by submitting claims for rehab services that were not necessary and, in some cases, not provided by skilled caregivers.