Compliance & Legal

upcoding healthcare lab tests

Photo via Google Maps

By Beth Jones Sanborn 03:22 pm July 05, 2017
DOJ says court documents show Carolinas upcoded numerous tests, triggering higher payouts from government programs.
MACRA QPP reporting
By Mike Miliard 03:53 pm June 28, 2017
Despite the flexibility promised by the Centers for Medicare and Medicaid Services, the vast majority of physicians say detailed QPP rules are too burdensome.
medicaid data
By Mike Miliard 03:33 pm June 27, 2017
Delays and hiccups in T-MSIS implementation are preventing CMS and the states from participating in a program to improve the timeliness, completeness and accuracy of health data.
Anthem settlement
By Beth Jones Sanborn 12:38 pm June 27, 2017
Per agreement, lawyer fees will soak up a third of the $115 million fund, boiling down to less than a dollar each for the 78.8 million breach victims.
By Jessica Davis 01:03 pm June 16, 2017
The healthcare administrative services and IT provider took over a year to notify 220,000 individuals of a breach to its website. HHS is determining if it’s a HIPAA-covered business associate.
CMS overpaid to incentive programs
By Jessica Davis 12:23 pm June 16, 2017
The last time the Centers for Medicare and Medicaid Services discovered overpayments it started auditing more providers. Because that could happen again, hospitals need to be sure documentation is in order right away.
MDlive privacy lawsuit
By Jonah Comstock 09:55 am June 06, 2017
The law firm Edelson PC filed a suit in April against the telemedicine company for privacy violations but just voluntarily dismissed the suit.
eClinicalWorks lawsuit
By Tom Sullivan and Jessica Davis 12:28 pm June 01, 2017
Black Book and Chilmark say a host of electronic health record vendors stand to benefit if existing eClinicalWorks customers jump ship.
eClinicalWorks whistleblower: NYC health department was indifferent to EHR flaws

Brendan Delaney was a New York City government employee implementing the eClinicalWorks EHR system at Rikers Island for prisoner healthcare

By Bill Siwicki 08:57 pm May 31, 2017
Misplaced records, medication module errors, flawed lab results tracking and security issues should have been taken more seriously, Brendan Delaney says. 
DOJ settlement with eClinicalWorks

The eClinicalWorks booth at HIMSS17. (via Twitter)

By Tom Sullivan 08:28 pm May 31, 2017
As if the hefty settlement fine execs had to pay wasn’t enough, the vendor also has to offer free upgrades, transfer customer’s data to rival EHR vendors for free, and employ an independent personal watchdog. 

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