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Sentara Hospitals’ $2.175 Million HIPAA Settlement

Virginia-based Sentara Hospitals has agreed to a $2.175 million settlement with the Office for Civil Rights at the U.S. Department of Health and Human Services (OCR) for alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) on behalf of its ten hospitals. On April 17, 2017, the OCR received a complaint alleging that an incorrect hospital bill, containing another patient's Protected Health Information (PHI), was mailed to a...

U.S. Attorney Announces Indictment and Arrest of New York Ophthalmologist for Healthcare Fraud

On November 22, 2019, the United States Attorney Office for the Southern District of New York (USAO) announced that an ophthalmologist with practices in New York and Connecticut has been indicted for healthcare fraud. The USAO also filed a civil fraud complaint against the physician and his medical practice under the False Claims Act.  The indictment alleges that between 2010 and 2017, the physician engaged in fraudulently billing patients, Medicare,...

Texas Health and Human Services Commission Receives $1.6 Million Civil Money Penalty for HIPAA Violations

Last week, the United States Department of Health and Human Services, Office for Civil Rights (OCR) imposed a $1.6 million civil money penalty against the Texas Health and Human Services Commission (HHSC), a state agency, after a 2015 breach notification report revealed a security vulnerability on the HHSC web-facing application for its Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities program. When transferring the internal application...

Scrutiny by the Federal Government of Hospital-Physician Financial Relationships Continues Unabated

On November 15, 2019, the Department of Justice (DOJ) announced a settlement in excess of $46 million with a number of California hospitals and affiliated medical practices. The basis for the action by the DOJ related to a variety of financial arrangements between the hospitals, and physicians and physician groups that are referral sources to the hospitals. DOJ alleged violations of both the Physician Self-Referral Law (Stark) and the Federal...

Private Equity Transactions for Medical Practices

https://www.youtube.com/watch?v=gEy5Loyag4A Part Two of a Three-part Healthcare Private Equity Video Series In this video, attorney Daniel B. Frier, Esq. discusses what is involved in a Private Equity transaction and how medical practices can prepare, including: [00:00:09] Preparing for a Private Equity transaction for Medical Practice [00:08:53] What is Involved in a Private Equity Transaction with a Medical Practice [00:17:55] Negotiating the Multiple      [00:19:55] How Payment Terms Work WATCH...