Corporate Compliance Articles by Topic: Health Law
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Compliance Monitor, Issue 28, July 13, 2011
Ruben D. McLain, 40, and Michelle Judge McLain, 38, were each sentenced to 24 months in prison and...
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Compliance Monitor, Issue 28, July 13, 2011
Leonard Langman, MD, a neurologist who owned and operated a Brooklyn, NY, medical clinic, pleaded...
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Compliance Monitor, Issue 22, June 1, 2011
On May 27 the Department of Health & Human Services (HHS) published a HITECH-required proposed...
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Compliance Monitor, Issue 22, June 1, 2011
On Thursday, May 26, the Department of Health and Human Services (HHS) announced its plans to...
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Compliance Monitor, Issue 22, June 1, 2011
Employees should only access information when they have a legitimate need to do so.
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Compliance Monitor, Issue 21, May 25, 2011
Quest Diagnostics, California’s largest provider of medical laboratory testing, will pay $241...
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Compliance Monitor, Issue 21, May 25, 2011
Doris Vinitski, a Houston-area resident and owner of Onward Medical Supply, was sentenced to serve...
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Compliance Monitor, Issue 19, May 11, 2011
Martin and Joaquin Tasis, owners of a Detroit-area medical clinic, and co-conspirator Leoncio...
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Compliance Monitor, Issue 19, May 11, 2011
Pharmaceutical manufacturer Serono Laboratories Inc. will pay $44.3 million to resolve False Claims...
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Compliance Monitor, Issue 19, May 11, 2011
American Therapeutic Corporation (ATC) and Medlink Professional Management Group Inc., pleaded...
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Compliance Monitor, Issue 19, May 11, 2011
Q: An employee is terminated for violating patient confidentiality. The organization later...
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Medicare Update for Physician Services, Issue 5, May 5, 2011
In the April 7 edition of the Federal Register, CMS released a proposed rule concerning Medicare...
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Compliance Monitor, Issue 18, May 4, 2011
The number of entities reporting breaches of unsecured PHI affecting at least 500 individuals to...
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Compliance Monitor, Issue 18, May 4, 2011
When evaluating the performance of managers and supervisors, factor in adherence to the elements of...
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Compliance Monitor, Issue 17, April 27, 2011
CVS Pharmacy Inc. agreed to pay the United States and 10 states $17.5 million to resolve...
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Compliance Monitor, Issue 17, April 27, 2011
Two Miami-area medical assistants and a physician assistant will serve time in prison for their...
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Compliance Monitor, Issue 17, April 27, 2011
Cardinal Health Inc. agreed to pay $8 million to resolve claims that it violated the False Claims...
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Compliance Monitor, Issue 17, April 27, 2011
Q: Is it permissible to list patients by name on whiteboards in the nursing units?
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Compliance Monitor, Issue 16, April 20, 2011
Dallas-based Tenet Healthcare Corp. filed a Medicare fraud lawsuit that accuses Community Health...
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Compliance Monitor, Issue 16, April 20, 2011
Two Miami-area residents and owners of a mental healthcare corporation pleaded guilty to submitting...
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Compliance Monitor, Issue 16, April 20, 2011
A jury convicted Miami physician Rene De Los Rios of five felony counts for his role in a $23...
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Compliance Monitor, Issue 16, April 20, 2011
An effective compliance program should incorporate periodic (at least annual) reviews to determine...
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Compliance Monitor, Issue 15, April 13, 2011
Q: Should we provide a complete copy of a patient’s record when a subpoena requests...
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Medicare Insider, Issue 15, April 12, 2011
CMS and the OIG have published rulemaking on accountable care organizations (ACO) and applicable...
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Medicare Update for Physician Services, Issue 4, April 7, 2011
CMS and the OIG have released display copies of a proposed rule and notice regarding accountable...
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Compliance Monitor, Issue 14, April 6, 2011
Fred Dweck, a Miami-area doctor, will serve 24 months in prison for his role in a Medicare fraud...
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Compliance Monitor, Issue 14, April 6, 2011
Carolyn Ann Vasquez of Los Angeles pleaded guilty to using fraudulent medical clinics and the...
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Compliance Monitor, Issue 14, April 6, 2011
CMS has issued MLN Matters Article MM7350 to explain how the new provider enrollment provisions...
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Compliance Monitor, Issue 14, April 6, 2011
An authorization to use or disclose protected health information (PHI) may be combined with another...
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Compliance Monitor, Issue 13, March 30, 2011
CMS has issued a final rule to implement provisions of the Patient Protection and Affordable Care...
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Compliance Monitor, Issue 13, March 30, 2011
The Greater Palm Beach Health Care Fraud Task Force arrested Selwyn Carrington, MD, 57, of Miami...
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Compliance Monitor, Issue 13, March 30, 2011
Q: We are required to report information, including patient account numbers and diagnosis codes, to...
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Compliance Monitor, Issue 12, March 23, 2011
Saints Medical Center in Lowell, MA, will pay $579,000 to settle alleged Medicare billing...
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Compliance Monitor, Issue 12, March 23, 2011
Since May 2009, the Department of Justice (DOJ) and HHS have charged 120 Detroit-area defendants...
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Compliance Monitor, Issue 12, March 23, 2011
The OCR, the enforcer of the HIPAA privacy and security rules, is asking for an increase of $5.6...
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Compliance Monitor, Issue 12, March 23, 2011
New York has a mandatory compliance program model already in place, and the federal government is...
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Compliance Monitor, Issue 11, March 16, 2011
For the second time in less than a year, health insurance giant Health Net, Inc., is involved in a...
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Compliance Monitor, Issue 11, March 16, 2011
Jerry A. Spiegel, MD, of Boynton Beach, FL, will serve 41 months in prison followed by three years...
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Compliance Monitor, Issue 11, March 16, 2011
A federal jury convicted Sunny Robinson, 42, owner of Houston-area durable medical equipment (DME...
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Compliance Monitor, Issue 11, March 16, 2011
Q: I work in patient financial services at a hospital. Like me, several of my coworkers have...
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Compliance Monitor, Issue 10, March 9, 2011
Senator Chuck Grassley introduced legislation to build on key reforms to fight fraud in Medicare...
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Compliance Monitor, Issue 10, March 9, 2011
Jummal Joy Ibrahim, 55, of Las Vegas pleaded guilty to falsely representing to Medicare that she...
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Compliance Monitor, Issue 10, March 9, 2011
An owner and a physician associated with a Detroit-area infusion therapy clinic will serve 120...
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Compliance Monitor, Issue 10, March 9, 2011
One crucial element of a good compliance program is having a supportive board and senior management.
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Compliance Monitor, Issue 9, March 2, 2011
Blue Cross Blue Shield of Illinois will pay the United States and the state of Illinois $25 million...
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Compliance Monitor, Issue 9, March 2, 2011
The General Hospital Corporation and Massachusetts General Physicians Organization, Inc., (Mass...
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Compliance Monitor, Issue 9, March 2, 2011
The HHS Office for Civil Rights (OCR) imposed a civil money penalty (CMP) of $4.3 million to Cignet...
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Compliance Monitor, Issue 8, February 23, 2011
The Medicare Fraud Strike Force charged 111 defendants in nine cities for their alleged...
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Compliance Monitor, Issue 8, February 23, 2011
Twenty southern Florida residents were indicted for various healthcare fraud, kickback, and money...
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Compliance Monitor, Issue 8, February 23, 2011
The office manager of a Los Angeles durable medical equipment (DME) company pleaded guilty today to...
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Compliance Monitor, Issue 7, February 16, 2011
The New York City Health and Hospitals Corporation (HHC) must notify 1.7 million patients, hospital...
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Compliance Monitor, Issue 7, February 16, 2011
Guy Ross, 51, a Detroit-area medical assistant, will serve 36 months in prison and pay $472,000 in...
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Compliance Monitor, Issue 7, February 16, 2011
Q: May a preadmission nurse leave messages (e.g., “This is a reminder that your surgery is...
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Compliance Monitor, Issue 6, February 9, 2011
CareSource, CareSource Management Group Co., and CareSource USA Holding Co. have agreed to pay the...
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Compliance Monitor, Issue 6, February 9, 2011
The Office of Inspector General (OIG) of the Department of Health & Human Services launched the...
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Compliance Monitor, Issue 6, February 9, 2011
Your full workforce needs privacy and security training, says Kate Borten, CISSP, CISM. That...
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Compliance Monitor, Issue 4, January 26, 2011
The government’s healthcare fraud and abuse efforts netted more than $4 billion in fiscal...
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Compliance Monitor, Issue 4, January 26, 2011
St. Jude Medical Inc. agreed to pay the United States $16 million to resolve allegations that the...
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Compliance Monitor, Issue 4, January 26, 2011
Health Net, Inc. agreed to pay the Vermont government $55,000 to resolve charges that the...
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Compliance Monitor, Issue 4, January 26, 2011
What the Department of Health and Human Services (HHS) considers a reasonable safeguard against...
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Compliance Monitor, Issue 3, January 19, 2011
Renier Vicente Rodriguez Fleitas, 60, of Miami-Dade County, will serve 37 months after pleading...
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Compliance Monitor, Issue 3, January 19, 2011
Edward Birts, 51, will serve more than five years in federal prison without parole and pay more...
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Compliance Monitor, Issue 3, January 19, 2011
University Medical Center in Tucson, AZ, fired three clinical support staff members and a...
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Compliance Monitor, Issue 2, January 12, 2011
Dahlia V. Kirkpatrick, MD, and Emmanuel M. Komandu, the owner and operator of Alpha Medical...
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Compliance Monitor, Issue 2, January 12, 2011
MSO Washington, Inc., a medical practice management and billing service company, and Charles...
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Compliance Monitor, Issue 2, January 12, 2011
Investigating privacy complaints and applying sanctions are important aspects of compliance, but...
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Compliance Monitor, Issue 1, January 5, 2011
Detroit Medical Center agreed to pay the United States $30 million to settle allegations that it...
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Compliance Monitor, Issue 1, January 5, 2011
Seven hospitals agreed to pay the United States a total of more than $6.3 million to settle...
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Compliance Monitor, Issue 1, January 5, 2011
In two separate Federal Register issues, the Office of Inspector General (OIG) and CMS solicited...
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Compliance Monitor, Issue 1, January 5, 2011
Q: How should providers prepare for Medicaid RACs?
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Compliance Monitor, Issue 48, December 22, 2010
CMS is looking to acquire new state-of-the-art fraud fighting tools to prevent wasteful and...
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Compliance Monitor, Issue 48, December 22, 2010
Bernice Brown, 56, the owner of a Detroit-area physical therapy clinic, and Daniel Smorynski, 63...
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Compliance Monitor, Issue 48, December 22, 2010
Alan Silber, MD, will serve 36 months in prison for participating in a scheme to defraud the...
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Compliance Monitor, Issue 48, December 22, 2010
Q: Our nursing staff continues to tape patient intake and output sheets outside of patient...
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Compliance Monitor, Issue 47, December 15, 2010
Abbott Laboratories Inc., B. Braun Medical Inc., Roxane Laboratories Inc., and affiliated entities...
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Compliance Monitor, Issue 47, December 15, 2010
Ken B. Beverly, former CEO of Thomasville, GA–based Archbold Memorial Hospital, was convicted...
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Compliance Monitor, Issue 47, December 15, 2010
Kos Pharmaceuticals agreed to pay more than $41 million to resolve claims that it offered illegal...
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Compliance Monitor, Issue 47, December 15, 2010
The HIPAA Privacy Rule requires that access to and disclosure of protected health information (PHI...
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Compliance Monitor, Issue 46, December 8, 2010
Oliver Nkuku and Callistus Edozie were sentenced to 120 months in prison and 41 months in prison...
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Compliance Monitor, Issue 46, December 8, 2010
Two speech therapists, Matthew Stevens and Michelle Dahlberg, and three hospitals in Eastern Idaho...
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Compliance Monitor, Issue 46, December 8, 2010
St. John’s Mercy Health System and St. John’s Health System, Inc., agreed to pay $2.2...
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Compliance Monitor, Issue 46, December 8, 2010
Q: What is fraud?
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Compliance Monitor, Issue 45, December 1, 2010
The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal...
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Compliance Monitor, Issue 45, December 1, 2010
Walter Janke, MD, his wife, Lalita Janke, and Medical Resources LLC agreed to pay $22.6 million to...
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Compliance Monitor, Issue 45, December 1, 2010
Six California hospitals and a nursing home must pay a total of nearly $800,000 for failing to...
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Compliance Monitor, Issue 45, December 1, 2010
Creating and facilitating a compliance program is no easy task, so the responsibilities should not...
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Compliance Monitor, Issue 44, November 24, 2010
U.S. District Judge Adalberto Jordan sentenced Jose Garcia, 55, to 57 months in prison for...
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Compliance Monitor, Issue 44, November 24, 2010
Florida authorities issued a criminal complainant against Albert Anthony Andrulonis, 26; Raushanah...
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Compliance Monitor, Issue 44, November 24, 2010
Ameritox, Ltd., a laboratory based in Midland, TX, agreed to pay the U.S. government $16.3 million...
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Compliance Monitor, Issue 44, November 24, 2010
Q: An insurance company is requesting copies of medical records to review our CPT ®...
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Compliance Monitor, Issue 43, November 17, 2010
St. Joseph Medical Center agreed to pay $22 million to settle allegations that the hospital paid...
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Compliance Monitor, Issue 43, November 17, 2010
The California Department of Public Health announced that 12 California hospitals have been...
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Compliance Monitor, Issue 43, November 17, 2010
Health Net of Connecticut agreed to pay $375,000 to Connecticut Insurance Department for failures...
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Compliance Monitor, Issue 42, November 10, 2010
Simi Valley (CA) Hospital paid the United States $5.1 million to resolve allegations that its...
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Compliance Monitor, Issue 42, November 10, 2010
The majority of providers that CMS suspended in 2007 and 2008 exhibited characteristics that...
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Compliance Monitor, Issue 42, November 10, 2010
Nearly three out of four (71%) of hospitals in the 100- to 600-bed range say they have inadequate...
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Compliance Monitor, Issue 42, November 10, 2010
Q: Can a recovery audit contractor (RAC) review a claim more than once?
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Compliance Monitor, Issue 41, November 3, 2010
James Roland Fuquay, 49, will serve 21 months in prison and pay $557,000 for his participation in a...
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Compliance Monitor, Issue 41, November 3, 2010
A Houston-based patient recruiter pleaded guilty in connection with a $5.2 million Medicare fraud...
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Compliance Monitor, Issue 41, November 3, 2010
If your facility has a robust compliance department, the recovery audit contractor (RAC) team may...
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Compliance Monitor, Issue 36, September 29, 2010
The U.S. House of Representatives passed a bill that expands the authority of the HHS Office of...
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Compliance Monitor, Issue 36, September 29, 2010
U.S. District Court Judge Alan S. Gold sentenced three Miami-area residents to prison for their...
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Compliance Monitor, Issue 36, September 29, 2010
On September 23, three individuals pleaded guilty in connection with a Medicare fraud scheme...
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Compliance Monitor, Issue 28, July 21, 2010
The Medicare Fraud Strike Force charged 94 people for their alleged participation in various...
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Compliance Monitor, Issue 28, July 21, 2010
Two Detroit citizens pleaded guilty in U.S. District Court for their roles in a Medicare home...
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Compliance Monitor, Issue 28, July 21, 2010
Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen...
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Compliance Monitor, Issue 28, July 21, 2010
Q: One of my colleagues made a website accessible to invitees only. He plans to upload a...
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Compliance Monitor, Issue 20, May 26, 2010
The Health Alliance of Greater Cincinnati and one of its former member hospitals, The Christ...
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Compliance Monitor, Issue 19, May 19, 2010
Nine hospitals in seven states will pay the United States more than $9.4 million combined to...
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Compliance Monitor, Issue 18, May 12, 2010
U.S. District Court Judge Donald L. Graham convicted David Marrero, of Miami, of defrauding...
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Compliance Monitor, Issue 15, April 21, 2010
Detroit resident, Wayne Smith, will serve 27 months in prison and jointly pay $4.9 million in...
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Compliance Monitor, Issue 14, April 14, 2010
U.S. District Judge, Sean F. Cox sentenced Suresh Chand to 81 months in prison and to jointly pay...
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Compliance Monitor, Issue 14, April 14, 2010
A Los Angeles durable medical equipment (DME) owner and operator pleaded guilty to submitting...
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Compliance Monitor, Issue 14, April 14, 2010
Q: Can hospitals notify the media about a patient’s condition without patient authorization?
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Compliance Monitor, Issue 13, April 7, 2010
Medical device manufacturer Guidant LLC pleaded guilty in a US District Court in St. Paul, MN, for...
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Compliance Monitor, Issue 12, March 24, 2010
A New Jersey hospital will pay the United States $6.35 million for allegedly inflating charges to...
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Compliance Monitor, Issue 12, March 24, 2010
Deborah D’Anna, owner of Palmer Park Medical Center (Palmer) in Michigan, faces fines and...
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Compliance Monitor, Issue 12, March 24, 2010
A Maryland man pleaded guilty, in the Circuit Court of Baltimore City, to fraudulently billing the...
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Compliance Monitor, Issue 5, February 3, 2010
A retired nurse faces a maximum prison sentence of 10 years and a fine of $250,000 for her role in...
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Compliance Monitor, Issue 5, February 3, 2010
Do you feel President Obama’s FY 2011 budget plan effectively addresses healthcare fraud...
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Medicare Insider, Issue 5, February 2, 2010
During the past several years, CMS has been revising and refining the “incident to&rdquo...
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Compliance Monitor, Issue 1, January 6, 2010
Visiting Physicians Association, a Michigan-based home health services provider, agreed to pay $9.5...
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Compliance Monitor, Issue 1, January 6, 2010
Wheaton Community Hospital and Stanley Gallagher, MD, (collectively WCH) agreed to pay $846,000 to...
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Compliance Monitor, Issue 1, January 5, 2010
Q: If a facility updates its Notice of Privacy Practices (NPP), does it have to redistribute the...
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Compliance Monitor, Issue 50, December 16, 2009
Roxane Laboratories, Inc.will pay $8.5 million to the state of Florida to settle claims that the...
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Compliance Monitor, Issue 50, December 16, 2009
A licensed North Carolina doctor pleaded guilty to charges of defrauding Medicare and Medicaid of...
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Compliance Monitor, Issue 48, December 2, 2009
Six Massachusetts hospitals are suing the state over claims of unfair reimbursement by policies...
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Compliance Monitor, Issue 48, December 2, 2009
Two Florida women face up to five years in prison and $5000 dollar fines on charges of operating...
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Compliance Monitor, Issue 48, December 2, 2009
The United States is intervening in a civil lawsuit against a Louisiana cardiologist accused of...
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Compliance Monitor, Issue 44, November 4, 2009
On October 30, Daisy Martinez pled guilty in Detroit’s U.S. District Court to one count of...
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Compliance Monitor, Issue 44, November 4, 2009
Noel Wayne Jhagroo, owner and operator of Trucare Medical Equipment Services, a Houston-area...
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Compliance Monitor, Issue 38, September 23, 2009
The Medicaid Fraud Control Unit arrested three Florida residents for allegedly conspiring to...
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Compliance Monitor, Issue 38, September 23, 2009
Florida’s state Legislature has created a program that will reward whistleblowers up to 25...
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Compliance Monitor, Issue 38, September 23, 2009
Noncompliance with HIPAA regulations can result in several steep penalties. Misuse of patient...
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Compliance Monitor, Issue 38, September 23, 2009
Authorities arrested an adult family care home owner for concealing an unregistered family...
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Compliance Monitor, Issue 36, September 9, 2009
Pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia & Upjohn Company Inc. will pay...
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Compliance Monitor, Issue 35, September 2, 2009
Covenant Medical Center in Waterloo, IA, agreed to pay $4.5 million to settle claims that it had...
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Compliance Monitor, Issue 34, August 26, 2009
On August 18, Jose and Arnaldo Rosario pleaded guilty to participating in a conspiracy to defraud...
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Compliance Monitor, Issue 34, August 26, 2009
On August 19, Kevin Watson and Jaqueline Jackson pleaded guilty to soliciting and paying kickbacks...
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Compliance Monitor, Issue 34, August 26, 2009
The Office of Inspector General (OIG) Supplemental Compliance Program Guidance for Hospital advises...
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Medicare Insider, Issue 35, August 25, 2009
On August 21, CMS issued transmittal R1799CP to inform contractors of new waived tests approved by...
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Compliance Monitor, Issue 33, August 19, 2009
Community Health Systems Inc., a Tennessee-based heathcare corporation, allegedly made illegal...
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Compliance Monitor, Issue 33, August 19, 2009
Reinaldo Guerra, owner and operator of 11 durable medical equipment (DME) companies, pled guilty to...
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Compliance Monitor, Issue 33, August 19, 2009
A federal appeals court revived the kickback portion of the case against Johnson & Johnson...
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Compliance Monitor, Issue 33, August 19, 2009
Q: What auditing and documentation is necessary to demonstrate HIPAA compliance?
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Compliance Monitor, Issue 32, August 12, 2009
State Medicaid Fraud Control Units (MFCU) recovered $1.3 billion in court-ordered restitution...
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Compliance Monitor, Issue 32, August 12, 2009
A federal judge sentenced Miami physician Keith Russell and physician’s assistant Jorge Luis...
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Compliance Monitor, Issue 32, August 12, 2009
One way to strengthen your compliance department is to designate a compliance committee. A...
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Compliance Monitor, Issue 31, August 5, 2009
Continuing the trend of increased fraud enforcement, the Medicare Fraud Strike Force arrested 32...
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Compliance Monitor, Issue 31, August 5, 2009
Boston Clinical Laboratories reached a settlement with authorities and agreed to pay $615,000 to...
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Compliance Monitor, Issue 31, August 5, 2009
Q: A secretary in our pathology department faxed a report to a physician’s office. After...
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Compliance Monitor, Issue 31, August 5, 2009
By Dom Nicastro, for HealthLeaders Media
The secretary of HHS shifted enforcement of the...
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Compliance Monitor, Issue 30, July 29, 2009
New York state and New York City will pay the federal government $540 million to settle allegations...
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Compliance Monitor, Issue 30, July 29, 2009
Federal prosecutors allege Simon Levich MD billed Medicare for services he never provided, billed...
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Compliance Monitor, Issue 30, July 29, 2009
The Obama administration has made it clear that cracking down on healthcare fraud and abuse is a...
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Compliance Monitor, Issue 29, July 22, 2009
On July 13, a New Jersey grand jury indicted Khashayar Salartash M.D., his office manager, Farah...
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Compliance Monitor, Issue 29, July 22, 2009
Endoscopic Technologies Inc., a medical device manufacturer, agreed to pay the United States $1.4...
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Compliance Monitor, Issue 29, July 22, 2009
Q: I’ve been receiving requests for amendments resulting from records generated prior to...
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Compliance Monitor, Issue 28, July 15, 2009
On July 8, New York Attorney General Andrew Cuomo announced the takedown of an elaborate fraud...
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Compliance Monitor, Issue 28, July 15, 2009
On July 9, California authorities arrested 20 individiuals believed to be involved in a Medicaid...
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Compliance Monitor, Issue 28, July 15, 2009
Joby George pleaded guilty to one count of healthcare fraud and entered into a civil agreement...
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Compliance Monitor, Issue 27, July 8, 2009
The Louisiana State University Health Sciences Center-Shreveport (LSUHSC) will pay $706,000 to...
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Compliance Monitor, Issue 27, July 8, 2009
Jose Luis Perez, of Golden Beach, FL, and Reinaldo Guerra, of Miami, FL, will face charges of...
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Compliance Monitor, Issue 27, July 8, 2009
A report published by the George Washington University Medical Center, Health Insurance Fraud: An...
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Compliance Monitor, Issue 25, June 24, 2009
Robert Bourseau, former board member and co-owner of City of Angels Medical Center in Los Angeles...
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Compliance Monitor, Issue 25, June 24, 2009
Judge Robert G. James sentenced Janice Davis, former owner of Aging Care Home Health Care (ACHHC...
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Compliance Monitor, Issue 24, June 17, 2009
Earlier this week, the University of Medicine and Dentistry of New Jersey agreed to pay the...
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Compliance Monitor, Issue 24, June 17, 2009
Kindred Healthcare, Inc. and its successor PharMerica Healthcare Pharmacy, LLC, agreed to pay $1.3...
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Compliance Monitor, Issue 24, June 17, 2009
Glenesha Moye and Tabitha Jones, owners and operators of EBC Healthcare, pleaded guilty to charges...
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Compliance Monitor, Issue 23, June 10, 2009
On June 4, the U.S. Deaprtment of Justice (DOJ) unsealed the grand jury indictment that charges a...
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Compliance Monitor, Issue 23, June 10, 2009
Ene Etim Hogan pleaded guilty June 5 to three counts of healthcare fraud, according to a Department...
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Compliance Monitor, Issue 23, June 10, 2009
Christopher Long, of Jefferson City, MO, pleaded guilty June 3 to billing Medicaid for home-health...
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Compliance Monitor, Issue 23, June 10, 2009
Q: I keep hearing rumors that the Department of Health and Human Services (HHS) will modify HIPAA...
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Compliance Monitor, Issue 22, June 3, 2009
MedQuest Associates Inc. and three of its companies allegedly submitted false claims to Medicare...
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Compliance Monitor, Issue 22, June 3, 2009
John Sharp M.D., of Marlington, WV, will appear before U.S. District Judge Irene Keeley to request...
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Compliance Monitor, Issue 21, May 27, 2009
On May 20, President Barack Obama signed the Fraud Enforcement and Recovery Act of 2009 (FERA...
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Compliance Monitor, Issue 20, May 20, 2009
New York Attorney General Andrew M. Cuomo recently announced an indictment that alleges Deborah...
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Compliance Monitor, Issue 20, May 20, 2009
The United States, along with 16 states, is joining two whistleblower cases filed against...
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Compliance Monitor, Issue 19, May 13, 2009
On May 11, the United States District Court in New Jersey denied Robert Wood Johnson University...
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Compliance Monitor, Issue 19, May 13, 2009
On May 5, Tampa-based WellCare Health Plans, Inc. agreed to enter a deferred prosecution agreement...
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Compliance Monitor, Issue 19, May 13, 2009
The U.S. Department of Health and Human Services (HHS) has selected New York’s Medicaid Fraud...
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Compliance Monitor, Issue 18, May 6, 2009
A federal grand jury indicted Karen Stone, former business manager of Kentucky-based...
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Compliance Monitor, Issue 18, May 6, 2009
On April 30, a federal grand jury indicted Jeffrey McElveen and Robert Cleveland M.D. on charges of...
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Compliance Monitor, Issue 17, April 29, 2009
Florida legislators took a big step towards curbing healthcare abuse this week when the state House...
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Compliance Monitor, Issue 17, April 29, 2009
A Huston jury convicted Houston area residents, Rhonda Fleming, Bose Ebhamen, and King Arthur, of...
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Compliance Monitor, Issue 17, April 29, 2009
On April 28 the Senate approved the Fraud Enforcement and Recovery Act of 2009, a bill designed to...
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Healthcare Auditing Weekly, Issue 16, April 28, 2009
Office of Inspector General Chief Counsel Lewis Morris stressed to the Senate Finance Committee...
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Compliance Monitor, Issue 16, April 22, 2009
Former and current personal care attendants at First Thessalonians Community Programs were arrested...
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Compliance Monitor, Issue 16, April 22, 2009
On April 17, Senator Chuck Grassley issued a public letter to CMS calling for the agency to respond...
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Compliance Monitor, Issue 16, April 22, 2009
Quest Diagnostics will pay $302 million to settle civil charges of misleading marketing and...
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Compliance Monitor, Issue 15, April 15, 2009
On April 7, Chaunsay Beckwith, owner and operator of International Alternative Medicine Inc...
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Compliance Monitor, Issue 15, April 15, 2009
The owners of Interstate Rehabilitation LLC, a physical therapy company located in Glendale, CA...
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Compliance Monitor, Issue 15, April 15, 2009
On April 8, U.S. District Judge Ursula Ungaro sentenced Eduardo Batista Barquin, of Miami, to...
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Compliance Monitor, Issue 14, April 8, 2009
Bic Chau Stafford MD, of St. Louis, pleaded guilty to federal charges of obstructing a federal...
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Compliance Monitor, Issue 14, April 8, 2009
The Florida Senate’s Health Regulation Committee approved a plan that would put stricter...
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Compliance Monitor, Issue 14, April 8, 2009
A Norfolk, VA, grand jury charged Ronald Poulin MD with a 45-count indictment that includes...
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Compliance Monitor, Issue 13, April 1, 2009
Houston’s Methodist Hospital agreed to pay $9.9 million to settle allegations that it...
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Compliance Monitor, Issue 13, April 1, 2009
Carmen Del Cueto, MD, andAlexis Dagnesses each pleaded guilty to one count of conspiracy to commit...
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Compliance Monitor, Issue 12, March 25, 2009
On March 20, California Attorney General Jerry Brown joined a whistleblower suit that alleges seven...
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Compliance Monitor, Issue 12, March 25, 2009
The U.S. attorney's office filed a lawsuit which alleges Miller Medical Group Chtd., a Las Vegas...
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Compliance Monitor, Issue 11, March 18, 2009
San Mateo county reached a settlement March 12 with the federal government in a whistleblower case...
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Compliance Monitor, Issue 11, March 18, 2009
The United States has reached a $2.3 million settlement with Victory Memorial, a not-for-profit...
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Compliance Monitor, Issue 11, March 18, 2009
Cornerstone Hospital, of Huntington, WV, has agreed to pay the United States $690,000 to end an...
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Compliance Monitor, Issue 11, March 18, 2009
Q: When a physician-owned lithotripsy partnership contracts with a hospital to provide a...
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Compliance Monitor, Issue 10, March 11, 2009
The United States has gotten involved in a whistleblower case that alleges Community Health Systems...
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Compliance Monitor, Issue 10, March 11, 2009
U.S. District Judge Steven D. Merryday sentenced Yosdan Castellanos to 63 months in prison for...
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Compliance Monitor, Issue 10, March 11, 2009
A federal grand jury in Puerto Rico indicted four individuals with charges of conspiracy to commit...
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Compliance Monitor, Issue 10, March 11, 2009
Medical identity theft is an ugly reality for healthcare organizations, patients, and payers...
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Healthcare Auditing Weekly, Issue 9, March 10, 2009
A Kansas cardiologist and his practice group will pay $1.3 million to the United States to settle...
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Compliance Monitor, Issue 9, March 4, 2009
Lowndes (MS) County Circuit Court Judge Lee Howard sentenced Aaron Pulsifer, 39, of Columbus, MS...
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Compliance Monitor, Issue 9, March 4, 2009
United States District Judge Inge Johnson sentenced Joel Sloan, 44, of McCalla, AL, to 18 months in...
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Compliance Monitor, Issue 9, March 4, 2009
U.S. District Judge Cecilia Altonaga sentenced Jimmy A. Soto, of Miami Lakes, FL, to 140 months in...
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Compliance Monitor, Issue 8, February 25, 2009
On February 19, a federal jury found Eugene Chen, M.D., a Las Vegas anesthesiologist, guilty of...
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Compliance Monitor, Issue 8, February 25, 2009
Walter Sanders, owner of Waltco Medical Equipment and Supplies, will serve 60 months in prison and...
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Compliance Monitor, Issue 7, February 18, 2009
The Department of Justice (DOJ) has charged six Miami-area healthcare workers with defrauding...
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Compliance Monitor, Issue 7, February 18, 2009
Police arrested Sanjay Patel and his wife, Leena Bharat Kumar Patel, in Connecticut on Feburary 13...
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Compliance Monitor, Issue 7, February 18, 2009
Ernest Hogan, owner of a Houston-area durable medical equipment (DME) company, Shanet Medical...
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Compliance Monitor, Issue 6, February 11, 2009
A mental health counselor allegedly continued to bill Medicaid for therapy services provided to...
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Compliance Monitor, Issue 6, February 11, 2009
On February 4, a federal judge sentenced William King, a consultant for skilled nursing facilities...
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Compliance Monitor, Issue 5, February 4, 2009
Q: Can a gift exchange between physicians and providers lead to a Stark violation?
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Compliance Monitor, Issue 5, February 4, 2009
A federal indictment named two more individuals in an alleged Medicare fraud scheme that recruited...
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Compliance Monitor, Issue 5, February 4, 2009
Federal authorities recently charged four Chicago-area individuals, including two physicians, in...
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Compliance Monitor, Issue 5, February 4, 2009
The latest draft of the government’s economic stimulus package protects federal employees who...
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Compliance Monitor, Issue 4, January 28, 2009
Upcoming changes to Stark Law should put financial arrangement audits at the top of compliance...
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Compliance Monitor, Issue 4, January 28, 2009
The owners and operators of two Miami-area HIV infusion clinics along with a phlebotomist employed...
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Compliance Monitor, Issue 4, January 28, 2009
An administrative law judge stripped three former Purdue Frederick executives of their...
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Compliance Monitor, Issue 3, January 21, 2009
Q: We treat many patients who come from a state prison. When these patients come to our facility...
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Compliance Monitor, Issue 3, January 21, 2009
The Alabama-based hospice organization, SouthernCare Inc., agreed to pay $24.7 million to settle...
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Compliance Monitor, Issue 2, January 14, 2009
The most common solution to obtain physicians for on-call coverage is to provide a stipend or...
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Compliance Monitor, Issue 2, January 14, 2009
Seven hospitals in New York have been accused of fraudulently billing the Medicaid program for...
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Compliance Monitor, Issue 2, January 14, 2009
A U.S. District Court judge sentenced Carlos De Cespedesand Jorge De Cespedes, brothers and...
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Compliance Monitor, Issue 2, January 14, 2009
Boston Medical Center (BMC) and East Boston Neighborhood Health Center (EBNHC) agreed to pay...
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Compliance Monitor, Issue 92, December 31, 2008
HMS Diagnostics Inc., an independent diagnostic testing facility specializing in the treatment of...
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Compliance Monitor, Issue 89, December 10, 2008
Ashley Collin Walkes, owner of Medic Management, a clinic in Port Arthur, TX, Medic Management...
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Compliance Monitor, Issue 89, December 10, 2008
Jackson Madison General Hospital, in Jackson TN, and Milan General Hospital, in Milan, TN, agreed...
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Compliance Monitor, Issue 88, December 3, 2008
On December 1, Fabian Aurignac, a cardiologist in McAllen, TX, was arrested in Austin for allegedly...
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Compliance Monitor, Issue 88, December 3, 2008
Manchester Memorial Hospital in Manchester, CT agreed to pay the federal government $712,000 to...
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Compliance Monitor, Issue 88, December 3, 2008
Condell Medical Center, in Libertyville, IL, will pay the federal government and the state of...
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Compliance Monitor, Issue 87, November 26, 2008
St. Vincent Health System Inc. will pay $1.9 million to settle allegations the company submitted...
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Compliance Monitor, Issue 87, November 26, 2008
On November 24, Carlos Contreras and Ramon Pichardo were sentenced to 37 months and 48 months in...
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Compliance Monitor, Issue 86, November 19, 2008
Another Miami HIV infusion clinic owner sentenced for Medicare fraud
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Compliance Monitor, Issue 85, November 12, 2008
DOJ recovered $1 billion in FY 2008
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Compliance Monitor, Issue 85, November 12, 2008
Miami physician and clinic administrator sentenced for roles in Medicare fraud scheme
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Compliance Monitor, Issue 84, November 5, 2008
Louisiana trio indicted for Medicare fraud
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Compliance Monitor, Issue 83, October 29, 2008
Q: The hospital to the south of us has a transfer agreement with a hospital seven miles to our...
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Compliance Monitor, Issue 83, October 29, 2008
NJ hospital pays $1.75 million to settle whistleblower claims
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Compliance Monitor, Issue 82, October 22, 2008
Louisiana Hospital pays $3.3 million to resolve Medicare fraud charges
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Compliance Monitor, Issue 80, October 15, 2008
Peoria podiatrist sentenced to year in prison for Medicare fraud
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Compliance Monitor, Issue 80, October 15, 2008
Eight indicted in South Florida AIDS/HIV infusion scheme
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Compliance Monitor, Issue 78, October 8, 2008
McKesson charged with Medicare fraud scheme
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Compliance Monitor, Issue 76, October 1, 2008
NJ Hospital pays $3.85M to settle Medicare fraud charges
