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111

How to Choose the Most Effective Healthcare Compliance Software?

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Compliance is a must for every healthcare provider or healthcare organization to provide good quality services while controlling their costs and adhering to all the applicable laws. The process requires an organization to meet the legal, ethical and professional standards applicable to it by developing effective processes, policies and procedures for patient care, billing, managed care contracting, and all other aspects. The ultimate goal of a compliance program is to prevent fraud, waste, or abuse in the healthcare segment.

112

Happy 25th Birthday HIPAA! Q&A with Rachel V. Rose

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Rachel V. Rose, JD, MBA, principal at Rachel V. Rose – Attorney at Law, PLLC (Houston, Texas) recently presented the webinar “HIPAA Celebrates 25 Years – A Synopsis of the Law’s Evolution.” Rachel returned to answer many commonly asked questions from the webinar. Enacted August 21, 1996, the Health Information Portability and Accountability Act (HIPAA) […]

113

Happy Birthday HIPAA!! 25 Years of Growing and Changing!

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Catherine Short speaks with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “HIPAA Celebrates 25 Years – A Synopsis of the Law’s Evolution.” It’s hard to believe that it’s been 25 years since HIPAA was signed into law on August 21, 1996! Over the past two and a half decades, there have been a multitude of changes in the healthcare industry and technology. The three items that remain constant are preserving the confidentiality, integrity, and availability of a patient’s protected health information.

114

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

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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.

115

Negotiations in Healthcare and Technology – An Interview with Professor Bruce Lynskey

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Rachel V. Rose, JD,MBA, principal at Rachel V. Rose – Attorney at Law, PLLC (Houston, Texas) and Bruce Lynskey, Co-Founder, Director, and Chief Executive Officer at ePrevenir, will present the webinar “Negotiations in Healthcare and Technology” on September 21, 2021. The 90-minute special presentation will be worth 1.5 CEUs. In anticipation of this event, Rachel and Bruce present this valuable interview.

117

5 Basic Features of HIPAA Compliance Management Software

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The Office of the Inspector General (OIG) of the Department of Health and Human Services, U.S. has published the seven fundamental elements of an effective compliance program. Healthcare organizations should create a compliance program that can reduce fraud, abuse liability, and waste. If the compliance management software that you are considering doesn’t have mechanisms to address all these elements, it is not a comprehensive solution and won’t fully protect you from OCR audits and fines.

120

Valuation Considerations in the Era of the New Stark Law and AKS Final Rules, Q & A with Rachel Rose and Don Barbo

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Rachel V. Rose, JD, MBA, Principal with Rachel V. Rose – Attorney at Law, P.L.L.C. (Houston, TX) and Don Barbo, CPA/ABV, MBA, Managing Director with VMG Health will lead the complimentary webinar Valuation Considerations in the Era of the New Stark Law and AKS Final Rules on June 22, 2021, at 12 pm ET. This is a special 90-minute event that offers 1.5 CEUs. In anticipation of this webinar, Rachel and Don provide answers to common questions.