Blogs

HIPAA & Health Information Technology Blog

William Maruca, Michael Kline and Elizabeth Litten maintain a blog that provides information regarding current legal and practical issues that health care providers and business must consider with regard to the exchange of health information, including the use of electronic health records (EHR). The HIPAA Privacy Rule and Security Rule requirements are among the legal standards with which there must be compliance when utilizing EHR, as well as sharing and exchanging health information in general. This blog also considers possible solutions to maneuver the legal and other barriers to establishing an EHR system and infrastructures for the beneficial exchange of health information.

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Physician Law Blog

Todd A. Rodriguez and Edward J. Cyran maintain a blog that can be used as a resource for current legal issues and news affecting physicians and other non-institutional health care providers. Their blog provides updates on new legislation and legal issues relating to practice management, billing and coding, ancillary services, malpractice insurance, fraud and abuse developments and other important legal issues affecting physicians in their personal and professional lives.

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Recent Blog Posts

  • Proposed New Jersey Regulation would Restrict Pharma Gifts to Prescribers Gov. Christie’s Administration recently proposed a regulation to curtail the prescription of unnecessary opioid painkillers.  Christie, who serves as the Chairman of President Trump’s Commission on Combating Drug Addiction and the Opioid Crisis, expressed concern that treatment decisions of all prescribers (including physicians, dentists and advanced practice nurses) are being improperly influenced by pharmaceutical companies.  According to Christie’s press release, four out of every five new heroin users began by misusing prescription painkillers, and, in 2016, $69 million was paid... More
  • Equifax Breach Checker – Curiosity May Have a Cost (But it’s Refundable) Individuals who have received notice of a HIPAA breach are often offered free credit monitoring services for some period of time, particularly if the protected health information involved included social security numbers.  I have not (yet) received such a notice, but was concerned when I learned about the massive Equifax breach (see here to view a post on this topic on our Privacy Compliance and Data Security blog). The Federal Trade Commission’s Consumer Information page sums it up well: If you have... More
  • Electronic Health Records and HIPAA Security: A Design Problem Fixable With Blockchain Technology?   In some respects, HIPAA has had a design problem from its inception. HIPAA is well known today as the federal law that requires protection of individually identifiable health information (and, though lesser-known, individual access to health information), but privacy and security were practically after-thoughts when HIPAA was enacted back in 1996. HIPAA (the Health Information Portability and Accountability Act) was originally described as an act: To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance... More
  • Pennsylvania Begins Physician Registration for Medical Marijuana As first reported on our sister blog, “In the Weeds” (post accessible here), on July 26, 2017, the Pennsylvania Department of Health opened its Medical Marijuana Practitioner Registry.  Physicians licensed in the Commonwealth of Pennsylvania may now apply online to register to certify the use of medical marijuana for their patients.  The online application may be completed here. The Practitioner Registry will be publicly searchable and will include each practitioner’s name, business address, and medical credentials.  As noted in one of our prior blog posts on... More
  • Ten Tips for Actions by a Covered Entity after a HIPAA Breach by a Business Associate   This blog recently discussed tips for a covered entity (CE) in dealing with a HIPAA business associate (BA). Now, even though you have adopted all of the tips and more, in this dangerous and ever more complex data security world, one of your BAs suffers a breach and it becomes your responsibility as the victim CE to respond. What should you do? Our partner Elizabeth Litten and I discussed aspects of this issue with our good friend Marla Durben Hirsch who... More
  • CMS Predicts that Physicians participating in Advanced APMs in 2017 will receive a 5% Incentive Payment in 2019 Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for one of two payment “tracks”, either the Merit-Based Incentive System (MIPS) or the Advanced Alternative Payment Model (Advanced APM) track.   A physician who qualifies under the MIPS in 2017 can earn up to a 4% payment adjustment to Medicare Part B payments in 2019.  Physicians who qualify under the Advanced APM track... More
  • More Small Physician Practices May Become Exempt from MACRA On June 20, 2017, The Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule which would exempt a greater number of small practices from complying with the  Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). CMS’s Administrator, Seema Verma has been quoted as saying that CMS has “heard the concerns that too many quality programs, technology requirements and measures get between the doctor and the patient. . . That’s why we’re taking a hard look at reducing burdens.... More
  • CMS Suggests Five Ways for Healthcare Providers to Prepare for New Medicare Cards The Medicare Access and CHIP Reauthorization Act of 2015 requires Centers for Medicare and Medicaid Services (“CMS”) to remove Social Security Numbers (“SSNs”) from all Medicare cards. Physicians currently use a SSN-based Health Insurance Claim Number (“HICN”) for Medicare transactions like billing, eligibility status, and claim status. Starting April 1, 2018, CMS will begin mailing new cards with a randomly assigned Medicare Beneficiary Identifier (“MBI”) to replace the existing HICN. All Medicare cards will be replaced by April 1, 2019,... More
  • Pennsylvania Department of Health Issues Final Physician Regulations for Medical Marijuana As previously reported on our Physician Law Blog (see our post here), the Pennsylvania Department of Health issued draft “temporary” regulations regarding physician registration and certification of medical marijuana on April 11, 2017.   Following a brief comment period, the Department finalized its “temporary” regulations in the June 3, 2017 issue of the PA Bulletin.  A copy of the final regulations can be viewed here. The regulations are labeled “temporary” because they were adopted to implement PA’s new Medical Marijuana Program.  As... More
  • Washington State Passes Law Restricting Commercial Collection, Storage and Use of Biometric Data On July 23, 2017, Washington State will become the third state (after Illinois and Texas) to statutorily restrict the collection, storage and use of biometric data for commercial purposes. The law focuses on “biometric identifiers,” which it defines as “data generated by automatic measurements of an individual’s biological characteristics, such as a fingerprint, voiceprint, eye retinas, irises, or other unique biological patterns or characteristics that is used to identify a specific individual.” Notably for our readers, the law excludes all photos,... More
  • New York man sentenced to 10 years in prison for involvement in $26 million “billing mill” Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. The defendant allegedly established 6 medical clinics in Brooklyn that paid elderly people to pose as patients and billed Medicare and Medicaid for unnecessary and/or non-existent medical care and equipment. The defendant, who was not a doctor, operated the six clinics between 2007 and 2013, but because New York’s corporate practice of medicine doctrine... More
  • Keeping an Eye on Non-Compete Law USA Today, New York Times, BNA, and several other news outlets have been reporting over the last few weeks about non-competition agreements and non-compete laws especially related to low-wage workers.  There have been interesting changes and proposed changes to state laws that may affect several industries including healthcare. In a recent article on Law360, titled “Noncompete Agreements Under Siege At The State Level,” the authors highlighted some developments in non-compete law.  They posit that many areas of employment and labor law have... More
  • 6 Takeaways from Memorial Hermann HIPAA Settlement: Press Releases Lead to $2.4 Million Payout Post Contributed by Matthew J. Redding On April 26, 2017, Memorial Hermann Health System (“MHHS”) agreed to pay the U.S. Department of Health and Human Services (“HHS”) $2.4 million to settle potential violations of the Health Insurance Portability and Accountability Act of 1996(“HIPAA”) Privacy Rule. The underlying incident occurred in September of 2015, when a patient presented a falsified Texas driver’s license to MHHS’ staff upon appearing for the patient’s scheduled appointment. MHHS’ staff contacted law enforcement to verify the patient’s identification, and law... More
  • Your Business Associates Hold Your HIPAA Compliance Future in Their Hands: Eleven Things You Can Do Our partner Elizabeth Litten and I were recently featured again by our good friend Marla Durben Hirsch in her article in the April 2017 issue of Medical Practice Compliance Alert entitled “Business associates who farm out work create more risks for your patients’ PHI.” Full text can be found in the April, 2017 issue, but a synopsis is below. In her article Marla cautioned, “Fully one-third of the settlements inked in 2016 with OCR [the Office of Civil Rights of the... More
  • The Next Frontier in ADA Access Litigation – Online We invite you to read Part 1 and Part 2 in a series of posts by Fox partner Dori K. Stibolt, regarding the new trend in ADA Title III litigation involving web access for the visually impaired. Many of these cases have focused on travel, hospitality and financial services companies. However, there has been a micro trend of these web site accessibility cases naming dentists and physicians.... More