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HHS OIG Releases Updated Health Care Fraud Self-Disclosure Protocol

On November 8, 2021, the United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) released an updated Self-Disclosure Protocol (SDP) (here). The revision of the SDP is an important...more

Philadelphia Issues New Update to COVID-19 Vaccine Mandates for Healthcare Employees and Students, Faculty and Staff in...

On October 6, 2021, the Philadelphia Department of Public Health (DPH) announced a series of extensions designed to allow healthcare employers and institutions of higher education to comply with the City’s vaccine mandate....more

Nebraska Children’s Hospital Agreed to Pay $80,000 in OCR’s Twentieth HIPAA Right of Access Initiative

On September 10, 2021, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced the twentieth settlement of an enforcement action under its HIPAA Right of Access Initiative...more

Philadelphia Announces COVID-19 Vaccine Mandates for Healthcare Employees and Students, Faculty, and Staff in Institutions of...

On August 13, 2021, Philadelphia’s Department of Public Health (“DPH”) announced an emergency regulation mandating COVID-19 vaccines that will affect healthcare institutions and the City’s colleges and universities. Many of...more

The Federal Government Recouped $1.8 Billion from Health Care Fraud During Fiscal Year 2020

The 24th Annual Report from the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) reports that the Federal Government won or negotiated more than $1.8 billion in health care fraud...more

New Jersey Executive Order Mandates Regular Testing for Unvaccinated Individuals in Certain Health Care Entities and High-Risk...

On August 6, 2021, New Jersey Governor Phil Murphy issued Executive Order 252 as New Jersey and the nation continues to battle COVID-19 and the Delta variant. This most recent Executive Order takes effect on September 7, 2021...more

CMS Releases Interim Final Rule to End Surprise Medical Bills

On July 1, 2021, the U.S. Department of Health and Human Services (HHS), along with several other federal agencies, issued an interim final rule to implement the first of several requirements in the No Surprises Act, which...more

OCR Settles Nineteenth Investigation in HIPAA Right Of Access Initiative

On June 2, 2021, the Office for Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS), announced that the Diabetes, Endocrinology & Lipidology Center, Inc., (DELC) agreed to pay $5,000, enter into a...more

Clinical Laboratory Agrees to Pay $25,000 to Settle Potential HIPAA Security Rule Violations

On May 25, 2021, the Office for Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS), announced that Peachstate Health Management, LLC d/b/a AEON Clinical Laboratories (Peachstate) agreed to pay...more

OIG Issues Favorable Advisory Opinion For Hospital/Physician ASC Joint Venture

In a recent advisory opinion, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) concluded that an investment by a health system, a management company, and surgeons in an...more

Two More OCR HIPAA Right of Access Initiative Settlements Announced With a Massachusetts Behavioral Health Hospital and a New...

On March 24th and March 26th, the United States Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced it settled its respective seventeenth and eighteenth enforcement actions as part of...more

Sweet 16? Regional Health Care Organization Agrees to Pay $70,000 as Part of OCR’s Most Recent Settlement Relating to Its Right of...

On February 12th, the United States Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced it settled its sixteenth enforcement action as part of its HIPAA Right of Access Initiative (the...more

2021 Health Care Predictions

One year ago – in early 2020 – most of us did not know what COVID-19 meant (co-Corona; vi-Virus; d-disease; 19 – 2019); had no idea how to “zoom”; did not know what social distance meant; and, were largely unfamiliar with...more

OCR’s Fifteenth HIPAA Right of Access Initiative Settlement Results in Not-for-Profit Health System Paying $75,000

In the first settlement under the Biden Administration, on February 10th the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced a settlement of a fifteenth enforcement action...more

Health Insurer Agrees to Pay $5+ Million Settlement Resulting From a Data Breach Affecting More Than Nine Million Individuals and...

In one of the final health care-related actions by the Trump Administration, on January 15, 2021, the United States Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced that Excellus Health...more

Large Health System Agrees To Pay $200,000 as Part of OCR’s Fourteenth Right of Access Initiative Settlement

In its first enforcement action of 2021, on January 12th, the United States Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced it settled with Banner Health its fourteenth enforcement...more

(Un)Lucky Thirteenth HIPAA Right of Access Initiative Investigation Results in Primary Care Provider Paying $36,000 to OCR

On December 22, 2020, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced a settlement of a thirteenth enforcement action under its HIPAA Right of Access Initiative (the...more

HHS Issues Special Fraud Alert Regarding Risks of Promotional Speaker Programs

On November 16, 2020, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”), issued a Special Fraud Alert highlighting the Anti-Kickback Statute (“AKS”) risks for pharmaceutical...more

Academic Medical Center Agrees to Pay $65,000 in the 12th OCR Settlement as Part of OCR’s HIPAA Right of Access Initiative

On November 19, 2020, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced it had settled its 12th enforcement action in its HIPAA Right of Access Initiative (the...more

Two Different Medical Practices Agree to Settlements in OCR’s 10th and 11th HIPAA Right of Access Initiative Enforcements

The Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) recently announced it had settled its 10th and 11th enforcement actions in its HIPAA Right of Access Initiative (the...more

City Health Department Agrees to Pay $202,400 for Alleged HIPAA Violations

On October 30, 2020, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced a $202,400 Resolution Agreement and Corrective Action Plan (CAP) with the City of New Haven, Connecticut...more

Maryland and Virginia Hospitals Settle Religious Discrimination Complaints Related to Clergy Visitations During COVID-19 Pandemic

On October 20, 2020, the Office for Civil Rights (“OCR”) within the U.S. Department of Health and Human Services (“HHS”) announced the resolution of two (2) sets of religious discrimination complaints to ensure clergy had...more

Medical Practice Agrees To Pay $100,000 as OCR Settles Its Ninth Investigation as Part of Its HIPAA Right of Access Initiative

On October 9, 2020, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced it had settled its ninth enforcement action in its HIPAA Right of Access Initiative (the...more

Hospital Pays $160,000 as OCR Settles Its Eighth HIPAA Right of Access Initiative Investigation

On October 7, 2020, the United States Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced it had settled its eighth enforcement action as part of its HIPAA Right of Access Initiative...more

Texas Hospital and Co-Defendants to Pay More Than $16 Million to Settle Lawsuits Alleging False Claims Act and Anti-Kickback...

On September 28, 2020, the U.S. Department of Justice (DOJ) announced that Lakeway Regional Medical Center LLC (LRMC) in Texas agreed to pay $13,580,822.79, and Surgical Development Partners LLC, Surgical Development Partners...more

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