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Health Care Lawyers - Ismail Laher Helping Providers Nationwide with (Medicare) Audits and Investigations

Ish Laher and the Attorneys at Liles Parker, PLLC represent Health Care Providers nationwide. We handles Medicare Audits Defense, Medicare Prepayment and Over Payment issues, CMS Suspension and Revocation Actions,, Compliance Plans, Hippa & Osha Mandatory Training

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$750,000 HIPAA settlement emphasizes the importance of risk analysis and device and media control policies with respect to privacy regulations

September 13, 2015 //  by AdminL

$750,000 HIPAA settlement emphasizes the importance of risk analysis and device and media control policies

Cancer Care Group, P.C. agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules with the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR).

The Indiana based Radiation oncology private physician practice paid $750,000 and will adopt a robust corrective action plan to correct deficiencies in its HIPAA compliance program.

This all started on August 29, 2012, when OCR received notification from the Group regarding a breach of unsecured electronic protected health information (ePHI) after a laptop bag was stolen from an employee’s car.

The bag contained the employee’s computer and unencrypted backup media, which contained the names, addresses, dates of birth, Social Security numbers, insurance information and clinical information of approximately 55,000 current and former Cancer Care patients.

OCR’s subsequent investigation found that, prior to the breach, the Group  was in widespread non-compliance with the HIPAA Security Rule.

It had not conducted an enterprise-wide risk analysis when the breach occurred in July 2012. It do not have in place a written policy specific to the removal of hardware and electronic media containing ePHI into and out of its facilities, even though this was common practice within the organization.

OCR found that these two issues, in particular, contributed to the breach, as an enterprise-wide risk analysis could have identified these issues.

The Group as taken corrective action with regard to the specific requirements of the Privacy and Security Rules that are at the core of this enforcement action, as well as actions to come into compliance with the other provisions of the HIPAA Rules.

 

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see source articles

http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/cancercare.html

and

http://www.hhs.gov/news/press/2015pres/09/20150902a.html

Medical Audits Survival Guide with Washington DC Attorney “Ish” Ismail Laher

THIS IS NOT A GOVERNMENT WEBSITE – Mr. Laher is an attorney in private practice with Liles Parker, PLLC. We counsel nationwide on Health Law related issues such as Medicare Audits & Fraud Defense, Medicare Prepayment and Over Payment issues, CMS Suspension and Revocation Actions, Practice Specific Gap Analysis, Compliance Plans, Hippa & Osha issues & related training, and with year round (part time) General Counsel and Certified Medical Compliance Officer Services.

 

Category: General, SettlementsTag: CAP's, Hippa, Settlement, Violations

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  • Doctors and Providers in the news
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  • Medicare Revocation Reason #2 of 14 – Excluded or Debarred from Federal Program:
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  • Official HHS OCR Guidance on conducting a Hippa risk analysis
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  • Protected: The Dreaded Revocation Letter is simply a form letter generated by your Medicare contractor
  • Protected: Medicare Enrolled Providers MUST be able to prove delivery before their reporting deadline passes
  • Protected: Medicare requires you to report within 30 days any Adverse Legal Actions to EACH TIN/EIN OR NPI they have
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  • Provider must re validate Medicare enrollment upon request
  • ANY change to information on the Medicare CMS-855 enrollment form must be reported.
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  • Enhanced Medicare Screening Requirements now require site visits for certain new enrollees,
  • Failing to Report a Final Adverse Legal Action is another is a very fast way to Losing Your Medicare Number
  • Not taking even minor licensing or other regulatory actions seriously is another way to losing your Medicare Number
  • Employing Excluded Persons/Failing to Properly and Completely Screen Employees, Contractors, Owners & Managers is another way to losing your medicare number
  • Failing to Keep Necessary Paperwork to Support Payment for Services is another way to losing your Medicare Number
  • Haphazard billing/failing to self audit is another way to lose your Medicare number
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  • This website is provided as general information only. It does not constitute legal advice and should not be used as a substitute for seeking legal counsel.
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  • CMS has directed its contractors to focus on preventing the payment of improper claims.

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