OCR To Devote Greater Resources To HIPAA Breaches Affecting Fewer Than 500 Individuals

Christine Bulgozdi Associate Editor Loyola University Chicago School of Law, JD 2018   The Office of Civil Rights (OCR) announced in August that they would be focusing more efforts on investigating breaches of Protected Health Information (PHI) affecting fewer than 500 individuals.  Currently, regional offices investigate all breaches affecting more than 500 individuals, but only …
Read more

Sports Regulation and Martial Arts

Gilbert Carrillo Executive Editor Loyola University Chicago School of Law, JD 2017   In the United States, sanctioned MMA fights are a heavily regulated industry. While there are international governing organizations in the MMA industry, states permitting sanctioned MMA fights have created their own unarmed combat regulation authorities. These authorities are tasked with the responsibility …
Read more

MACRA 101: A Series on MACRA

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law by President Obama back in April 2015 and one year later, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated proposed rule.  This 962-page rule is …
Read more

Compliance Spotlight: Valerie Dixon, UC Irvine Health

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law,  JD 2017   Valerie Dixon currently serves as the University of California Irvine Health (UCI) Deputy Compliance Officer.  Ms. Dixon brings 17 years of compliance experience with her to UCI, as she started her compliance career in 1999 at UC San Diego.  Prior to …
Read more

The New Medicaid Managed Care Rule and Its Effects on Compliance Programs

Kaitlin Lavin Executive Editor Loyola University Chicago School of Law, JD 2017   The Centers for Medicare and Medicaid Services (CMS) recently published a new rule for state contracts with Medicaid Managed Care Organizations (MCO). Medicaid MCOs provide comprehensive services to beneficiaries for capitated payments. The effective date of the rule was July 5, 2016. …
Read more

False Claims Act Penalties Double with DOJ New Interim Rule

Amanda Bogle Executive Editor Loyola University Chicago School of Law, JD 2017   On June 30, 2016, the Department of Justice joined other agencies in passing a new interim final rule, significantly increasing the penalties for the False Claims Act (FCA). Before, FCA penalties ranged from $5,500 up to $11,000 per false claim. The new …
Read more

Implied Certification: What does it mean for your small business?

Brittany Tomkies Executive Editor Loyola University Chicago School of Law,  JD 2017   In a monumental decision for false claims cases, the Supreme Court of the United States (SCOTUS) unanimously affirmed the viability of the implied certification theory. The ramifications of this ruling may create additional stressors on small businesses and will likely create additional …
Read more

An Active Summer of Healthcare Fraud Enforcement Actions

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law,  JD 2017   Unprecedented DOJ Healthcare Fraud Takedown: On Wednesday June 22, Attorney General Loretta Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Burwell announced the largest healthcare fraud takedown in history.  This action was led by the Medicare Fraud Strike …
Read more

Brexit & Privacy Compliance

Ryan Meade Editor-in-Chief Director of Regulatory Compliance Studies at Loyola University Chicago School of Law   Now that the UK referendum has expressed the voters’ preference to leave the European Union, there are some fascinating questions regarding how compliance programs deal with the unwinding.  There is still considerable time to wrestle with these matters since both major …
Read more