skip to main content

Health Care

How "Effective" Is Your Compliance Program?

Measuring corporate compliance program  “effectiveness”  is recommended by several authorities, including the United States Sentencing Commission[1] and the Department of Health and Human Services’ Office of Inspector General (“OIG”)[2].  The goals of…

Are You A "Health Care Business" for Bankruptcy Purposes?

The day any enterprise starts contemplating a bankruptcy filing never is a happy one. If the enterprise is in the health care industry, added anxiety can arise over whether it qualifies as a “health care business” under the United States Bankruptcy…

Recent HOPD Address Issues

Beginning in April 2019, CMS started returning OPPS claims where the Hospital Outpatient Department address on the claim does not match the exact address appearing on the hospital’s Medicare Form 855A.

These include claims returned for using “Ste.”…

HIPAA, Individual Rights and Personal Representatives

The Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health or “HITECH” Act  (hereinafter “HIPAA”)1 establishes numerous obligations for HIPAA covered entities and…