Raymond Ribble is the CEO and Founder at SPHER, Inc. a market-leading compliance analytics, cyber-security solution addressing: HIPAA compliance, State Privacy Laws, and ePHI security threats and our presenter for this webinar. Snooping and Insider threats are exactly why user monitoring and ePHI access strategies are vital to the security of sensitive patient information and data protection. While it is an unsettling thought, not all cybersecurity incidents are traced from employee negligence. With so much attention and money surrounding cybersecurity in the healthcare industry, malicious employees may decide to purposefully disclose patient information. Since employees and contractors may have knowledge of your network setup, vulnerabilities, and access codes, snooping employees with malicious intent hold the key to exposing your organization to a series of unwanted risks and threats.
1st Talk Compliance features guest Kathleen W. McNicholas, MD, JD, CHC, CCEP, Consultant and Patient Advocate with Medical Legal Patient Advocacy Inc., on the topic of “Medical Error & Patient Advocacy – How Can We Have More Candor?” Kathleen joins our host, Catherine Short to review medical error and provide an approach to harmed patients. The CANDOR program of Communication and Optimal Resolution will be explained. CANDOR is well established and has been successfully adopted by many medical centers. Without CANDOR in place, patients may benefit from the use of the principles and the help of a board-certified patient advocate.
1st Talk Compliance features guest Catherine Walters, a partner at BYBEL RUTLEDGE LLP and management-side labor and employment attorney representing employers of all sizes, on the topic of “Employment and Labor Law Digest.” Catherine joins our host, Catherine Short to update employers and human resources professionals on recent employment and labor law developments and discuss specific hot topics.
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.
First Healthcare Compliance hosts C. Trey Scott, Coordinating Attorney at Kennedy, Attorneys & Counselors at Law, for an interactive discussion on “Under Pressure: Reporting Requirements with OCR for Breaches.” Attendees will learn the reporting requirements for a data breach of a healthcare provider.
Catherine Short converses with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX and Bruce J. Lynskey, Co-Founder at ePrevenir, on the topic of “Negotiations in Healthcare and Technology.” Negotiating occurs in every facet of business and law. From contractual negotiations through settlement negotiations, it is a delicate dance. There are a variety of classic negotiation techniques, which include extreme posturing and “anchoring”. Healthcare and cybersecurity present unique challenges because of the looming exposure to a government investigation and either a civil and/or criminal action, even if a settlement is reached between two private parties. Here we will discuss approaches when negotiating contracts, settlements, and other items, which arise in healthcare and the cybersecurity industries.
First Healthcare Compliance hosts Catherine Walters, Esq., Partner at BYBEL RUTLEDGE LLP a management-side labor and employment attorney representing employers of all sizes, for an interactive discussion on “Employment and Labor Law Round-up With 2022 Forecast and Other HOT Topics.” During 2021 as the COVID pandemic raged on and the new Administration faced unprecedented challenges, extensive changes occurred in the employment and labor law landscape, and even more extensive changes are anticipated for 2022. This program will provide a quick update of 2021’s most important developments and forecast what employers can expect in 2022. Attend this program to catch up on the Biden Administration’s progress on its labor agenda, relevant Supreme Court decisions and how they affect employers, DOL agency activities, issues to worry about in 2022 and other hot topics, including OSHA, vaccination rules/policies, wage and hour issues, remote workplace tips, cannabis, restrictive covenants, to name a few.
Catherine Short speaks with Shauna Itri, Partner at Seeger Weiss LLP on the topic of “Fraud, Healthcare, COVID-19 and the False Claims Act.” A whistleblower or qui tam action can provide financial rewards to individuals who have information that a company/individual has committed fraud. The primary statutes under which this relief may be sought are the federal and state False Claims Acts (“FCAs”). In addition to the FCAs, there are other statutes which apply to tax fraud, securities fraud, and in California, fraud on private insurance companies. This episode will provide an overview of the False Claims Acts, the knowledge and skills to be able to recognize a potential whistleblower case, and understand the unique procedures utilized in filing whistleblower cases/tips. We will also delve into recent trends in cases brought (or that could be brought) under the False Claims Act including cases involving mined data and potential fraud related to COVID-19.
John Shegerian, Co-Founder and Chairman/CEO of ERI and co-author of the cybersecurity book, “the Insecurity of Everything” will be presenting a talk about cybersecurity titled “The Insecurity of Everything: How Hardware Data Security is Becoming the Most Important Topic in the World” and will share some of the latest information about the very real problem of hardware hacking in the world of healthcare and beyond and how that issue became even more serious during the pandemic, with so many people working from home. He will also be explaining critical information for health-related businesses to help them keep their private data – and the data of their patients and customers – protected!
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. Effective January 1, 2022, the No Surprises Act has implications for patients, providers, and insurance companies alike. The impetus behind the legislation, as well as the regulations, is to prevent patients from receiving bills for certain services that were performed or delivered by providers out of their plan’s network. The scope is limited and providers and plans alike need to take steps to understand the appeal process when a payment or claim is challenged. The purpose of this presentation is to provide a brief overview of the evolution of the United States’ healthcare system and its relevance to the No Surprises Act. From there, the No Surprises Act and regulations will be explained, along with the appeal process. Finally, compliance tips will round out the presentation.