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False Claims Act “Hot Areas” – What You Need to Know: Audio Version of the Webinar

Expert presenter, Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX guides us through current trends and tips.
With its roots stemming back to 1863, the False Claims Act continues to be the U.S. Department of Justice’s primary enforcement tool for returning money to the Federal Treasury. It is also considered one of five fundamental fraud, waste, and abuse laws, which potentially impact a provider every time a claim is submitted to Medicare, Medicaid, and other government programs because of the attestation language. The purpose of this webinar is to provide a synopsis of the False Claims Act and the current landscape in relation to coverage determinations and the federal Anti-Kickback Statute.

Catherine Short
Abuse, Compliance Tips, Compliance Training, DOJ, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, General Compliance, Podcasts, Training, Waste
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A Practical Approach to The Safe Harbor Law

1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of A Practical Approach to The Safe Harbor Law. Ray joins our host Catherine Short to discuss how HIPAA data breach penalties typically get measured in millions of dollars, even following an organization implementing NIST cybersecurity framework measures. However, with the new HIPAA Safe Harbor Law, signed in January 2021, HHS and OCR may consider some penalty mitigation. It is important to understand that the Safe Harbor Law, while offering substantial protection, does not provide a true safe harbor and only offers some protection. This episode will examine what the established security practices for healthcare are, and how to pivot your organization’s security profile to mitigate breach penalties if an event occurs.

Catherine Short
Abuse, AKS, Anti-Kickback Statute, Business Associate, Company Culture, compliance program, Compliance Tips, Compliance Training, Ethics, Fraud, Fraud, Waste, and Abuse, General Compliance, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, HHS, OCR, PHI, physician self-referral law, Podcasts, self-disclosure, Stark Law, Vendor Zone, Waste, Whistleblower, Wrongdoing
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Safe Harbor Law 2023

The Safe Harbor Law: A Practical Approach – Audio Version of the Webinar

Raymond Ribble is the CEO and Founder at SPHER, Inc. HIPAA data breach penalties typically get measured in millions of dollars even following an organization implementing NIST cybersecurity framework measures. It is important to understand that the Safe Harbor Law, while offering substantial protection, does not provide a true safe harbor. Our presentation will examine what are the established security practices for healthcare, and how to pivot your organization’s security profile in order to mitigate breach penalties in the event of an event.

Catherine Short
Abuse, Breach, Business Associate, Business Associate Agreements, compliance program, Data Collection, Data Privacy, Data Security, Fraud, Fraud, Waste, and Abuse, General Compliance, Healthcare Law, HHS, HIPAA, HIPAA Privacy Rule, HIPAA Zone, HITECH, OCR, PHI, Podcasts, Privacy, Protected health information, Risk Management, Security, security breach, Vendor Zone, Waste
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DMEPOS – In Compliance with CMS

1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., on the topic “DMEPOS – In Compliance with CMS.” Rachel joins our host Catherine Short to discuss special payment rules associated with durable medical equipment, prosthetics, orthotics and supplies. DMEPOS products must meet quality standards, suppliers need to be accepted by Medicare to participate, similar to providers, and are subject to fraud, waste, and abuse laws. This episode will provide an overview of participation and quality requirements, relay the latest compliance and requirements updates, and discuss the consequences of non-compliance, as well as submitting false and fraudulent claims. 

Catherine Short
Abuse, AKS, Anti-Kickback Statute, Audits, Billing, Company Culture, compliance program, Compliance Tips, Compliance Training, Employee Training, Employee Zone, Ethics, Fraud, Fraud, Waste, and Abuse, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, Medicaid, medical records, Medicare, Medicare Rules, mobile security, physician self-referral law, Podcasts, Policy Management, Risk Management, Security, self-disclosure, Stark Law, Training, Vendor Zone, Waste, Whistleblower, Wrongdoing
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HIPAA Cybersecurity Criminal Webinar

The Criminal Side of Cybersecurity and HIPAA – Audio Version of the Webinar

Expert presenter, Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX guides us during this important and informative webinar. Breaches and the lack of the requisite technical, administrative, and physical safeguards can have criminal consequences. While most people are familiar with civil cases, there is the potential for HIPAA violations and ransomware attacks to be prosecuted criminally. The purpose of this webinar is to highlight potential areas of criminal liability, give specific examples, and address mitigation techniques – both before and after a government discovery request or grand jury subpoena emerges.

Catherine Short
Abuse, Breach, Compliance Tips, Cybersecurity, Data Collection, Data Privacy, Data Security, Employee Training, Fraud, Fraud, Waste, and Abuse, Healthcare Law, HIPAA, HIPAA Privacy Rule, HIPAA Zone, HITECH, medical identity theft, mobile security, Patient Safety, Podcasts, Privacy, Protected health information, Risk Management, Security, security breach, Security Zone, text messaging, Waste
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DMEPOS Webinar

DMEPOS – CMS Compliance and Requirements Updates: Audio Version of the Webinar

Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely subject for us. Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) includes an “entity or individual, including a physician or a Part A provider, which sells or rents Part B covered items to Medicare beneficiaries.” There are special payment rules associated with DMEPOS. DMEPOS products have to meet quality standards, DMEPOS suppliers need to be accepted by Medicare to participate (similar to providers), and are subject to fraud, waste, and abuse laws. The purpose of this webinar to provide an overview of participation and quality requirements, relay the latest compliance and requirements updates, and address False Claims Act cases involving DMEPOS companies.

Catherine Short
Abuse, Billing, Business Associate, CMS, Company Culture, compliance program, Compliance Tips, DOJ, effective compliance program, Employee Training, Employee Zone, Ethics, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, General Compliance, Human Resources, Medicare, Medicare Rules, Podcasts, Resource Allocation, Risk Management, self-disclosure, Stark Law, Waste, Wrongdoing
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The Biggest Recent Health Care Scams & How to Avoid Being a Target

Catherine Short speaks with Stephen Bittinger, Health Care Reimbursement Partner at K&L Gates, about the topic of “The Biggest Recent Health Care Scams & How to Avoid Being a Target.” We will be learning the mechanics of some of the largest recent health care fraud scams, how many providers became victims of these scams, and how to avoid these types of risks in the future. We will study the mechanics of health care fraud scams and the impact on providers caught in them, discover how to identify health care fraud scams and discuss resources for providers to educate themselves, and learn from other providers’ mistakes on how to avoid health care fraud scams and decrease risk to revenue cycle.

Catherine Short
Abuse, Anti-Kickback Statute, compliance program, Compliance Tips, effective compliance program, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, General Compliance, Healthcare Compliance, Podcasts, Waste
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Healthcare Regulatory Compliance Solutions

Jumpstart Your Compliance Program

The beginning of the New Year is a popular time for new initiatives. Many healthcare organizations are looking for ways to improve quality and reduce risk. A compliance program is…
Catherine Short
1st Healthcare Compliance, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, compliance program, Covered Entity, Dashboard Zone, effective compliance program, FCA, Fraud, LEIE, OIG, OIG Work Plan, Stark Law, Uncategorized, Waste, Whistleblower
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Beware of Individual Liability: Yates Memo

On September 9, 2015, the Department of Justice (DOJ) Deputy Attorney General Sally Yates released a policy memorandum, titled “Individual Accountability for Corporate Wrongdoing,” also known as the “Yates Memo.”…
Catherine Short
1st Healthcare Compliance, Abuse, Anti-Kickback Statute, Audit Zone, Blog, Corporate Integrity Agreement, DOJ, Fraud, Individual Accountability, OIG, Overutilizaton, physician self-referral law, Quarterly Zone, Uncategorized, Waste, Whistleblower, Wrongdoing, Yates Memo
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OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for protecting the integrity of the programs in Health and Human Services against fraud, waste and abuse as well as recommending…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, false claims act, Fraud, HHS, HIPAA, HIPAA Zone, HITECH, ICD-10, Imaging, Medicare, Medicare Rules, OCR, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, self-disclosure, Stark Law, Waste, Whistleblower
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Testimonials

  • Robert Henry, PA-C, CEOAmbient Care, Seaford, DE

    In an era of ever changing regulations, First Healthcare Compliance has given us the tools to seamlessly and efficiently stay on top of our compliance requirements. This allows us more time to focus on patient care and other aspects of practice management.

  • Kris Jones-Bartley, CPCPresident,
    Healthcare Management System

    The First Healthcare Compliance solution allows our business and our clients to save time and money, and mitigate compliance risks. I highly recommend it to other healthcare billing companies.

  • Anne Elkin, EsquirePractice Manager, Boothwyn Medical Associates

    The solution has been a great help to our practice. We can now organize all our compliance data in one place.

  • Mary Ann Tyler, Practice AdministratorSinclair Retina Associates, PC, Media, PA

    Compliance in all areas always seemed to take a back seat to day to day operations. First Healthcare Compliance has developed a solution that easily brings any size office into compliance. It gives me peace of mind.

  • Paul Smiley, NHAAdministrator, Gilpin Hall

    The First Healthcare Compliance solution offers a simple and effective centralized system to access and assemble our compliance data with minimal effort and maximum return. I highly recommend it!

  • Neil S. Kalin, MDKalin Eye Associates, Newark, DE

    I’d been searching for a compliance plan for many years. The First Healthcare Compliance solution is cost-effective and efficient. All of the compliance materials are in one place.

  • Dr. Marc D. Grobman, DO FACPInternal Medicine & Primary Care, Wilmington, DE

    Using this solution, I am confident that I am meeting the guidelines or that I can seek help for areas in which I cannot perform the requirements on my own.

  • R.K. Conell, Practice ManagerAlexiou Hearing and Sinus Center, PLC and Harrisonburg Dermatology, PLC, Harrisonburg, VA

    The First Healthcare Compliance solution has everything you need to get started. It helps a practice become compliant on a very timely basis. Without this, it would have been a very extensive and intensive process.

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