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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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Employee Snooping & Insider Threats

1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of “Employee Snooping & Insider Threats.” Ray joins our host Catherine Short to discuss snooping and insider threats and why user monitoring and ePHI access strategies are vital to the security of sensitive patient information and data protection. 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. Listen as we identify signs of unauthorized access, provide guidelines to prevent snooping, and offer procedures to detect insider threats.

Catherine Short
Company Culture, compliance program, Compliance Tips, Compliance Training, Cybersecurity, Data Collection, Data Privacy, Data Security, Employee Training, Employee Zone, Ethics, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, HIPAA, HIPAA Privacy Rule, HIPAA Zone, HITECH, medical identity theft, medical records, mobile security, PHI, Podcasts, Privacy, Protected health information, Risk Management, Security, security breach, Security Zone, social media, Training, Whistleblower, Wrongdoing
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A Harassment-Free Workplace vs the Right to Engage in Concerted Activity

1st Talk Compliance features guest Lauren Moak Russell, Counsel at Young Conaway Stargatt & Taylor, LLP in Wilmington, Delaware, on the topic of “A Harassment-Free Workplace vs the Right to Engage in Concerted Activity.” Lauren joins our host Catherine Short to discuss how the National Labor Relations Board under the Biden Administration has expressed a renewed interest in expanding its influence into non-unionized work forces. This includes reviewing and–in the right circumstances challenging–employers’ use of workplace civility, confidentiality, and anti-harassment policies. Listen as we discuss what you need to know to safely navigate the National Labor Relations Act while ensuring that your employees enjoy a safe and respectful work environment.

Catherine Short
Business Associate, Business Associate Agreements, Company Culture, compliance program, Compliance Tips, Compliance Training, Data Privacy, Employee Training, Employee Zone, Employment Law, Ethics, Fair Labor Standards Act, Healthcare Compliance, Healthcare Law, Human Resources, Podcasts, Privacy, Protected health information, Security, security breach, Security Zone, social media, Training, Uniformed Services Employment and Reemployment Rights Act, USERRA, Whistleblower, Wrongdoing
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Fraud, Healthcare, COVID-19 and the False Claims Act

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.

Catherine Short
False Claim Act, false claims act, FCA, Podcasts, Security, Whistleblower, Wrongdoing
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Fraud & Covid-19 Webinar

Fraud, Healthcare, COVID-19, and the False Claims Act

Shauna Itri, Partner at Seeger Weiss LLP will be presenting for us today. 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 practical Course 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. The second half of the Course will go into recent trends in cases brought (or could be brought) under the False Claims Act including cases involving mined data and potential fraud related to COVID-19.

Catherine Short
AKS, Anti-Kickback Statute, COVID-19, DOJ, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, Podcasts, Security, Whistleblower
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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…
Julie Sheppard, BSN, JD, CHC
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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Testimonials

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

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