INSIDE COMPLIANCE – Page 70 – Loyola University Chicago School of Law

My Summer with the Office of Inspector General for the U.S. Department of Health and Human Services

September 11, 2017Fraud & Abuse

This summer I had the opportunity to intern with the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) in Washington, DC. I thoroughly enjoyed my time with OIG, and I learned a great deal about health care fraud, waste, and abuse. In spending my summer with OIG, I had a glimpse into the powerful regulatory bodies that protect the health care market from abuse. As I move forward with my career in regulatory work, I will take with me the invaluable experiences and skills from my internship.

corporate integrity agreementCivil Monetary Penalties LawCMSCMPEmergency Medical Treatment and Active Labor ActEMTALADepartment of JusticeDOJAnti-Kickback Statute21st Century Cures ActCenters for Medicare and Medicaid ServicesMACRAMedicare exclusionMedicare Access and CHIP Reauthorization ActmedicareMedicaidintegrity agreementOffice of Inspector GeneralOffice of Inspector General for the U.S. Department of Health and Human ServicesOIG HHSOIGfraud and abusefalse claims actFederal health care programsFederal health care program exclusionHHShealth care fraud and abusehealth care complianceHealth and Human ServicesSocial Security ActU.S. Department of Health and Human Services

Privacy in Insecurity

September 8, 2017HIPAA & Health Information

Though the rain has stopped falling, Houston is still dealing with the aftermath of Hurricane Harvey, one of the largest and most destructive rainfall events on record. Healthcare providers in particular find themselves struggling to keep up with the various health problems caused by the flooding itself, on top of getting life-sustaining care to individuals with chronic or preexisting conditions. Crises like Harvey create serious problems for the delivery of care, but also for regulating it—circumstances are so uniquely devastating that standards can feel like barriers to necessary medical attention. And when family and friends are desperate to know if their loved one is out of danger, even the right of privacy seems negligible.

However, natural disasters and emergency events shouldn’t be used as an excuse to regulate away protections individuals depend on, such as the privacy and confidentiality of their personal information. Regulators must be careful when determining how to respond in a crisis—overreaching for the sake of bringing relief or under-regulating for flexibility can leave the public high and dry when the floodwaters recede.

natural disasterhurricane harveyHIPAA waiverHIPAApublic health emergencysection 1135

It’s Time for States to Get REAL

September 7, 2017Uncategorized

After years of waiting, the final implementation extension deadlines for compliance with the REAL ID Act of 2005 are near. The most recent extensions for certain states pushed the final compliance deadline to October 10, 2017. Assuming the Federal Government does not grant further extensions, by this date all 50 states must be compliant with the Act.

CommercialcomplianceDeadlineGetREALTravelTransportationREALID

The 1500 Hours Rule Grounds the US Airline Industry

September 5, 2017Uncategorized

The 1500 Hours Rule requires first officers to have at least 1500 hours of total flight time for licensure to fly commercial aircraft. The 2010 regulation boosted the flight time requirement for first officers from 250 to 1500 hours. Due to the heightened experience requirements, regional airlines have grounded flights and reduced their services, as they have not had sufficient qualified pilots to sustain the flights.

commercial aircraftaviationFAATransportationpilots

Call for Papers: Center for Compliance Studies 2018 Symposium “What is the Role of a Regulation if it is Not Enforced?”

September 4, 2017Uncategorized

The Center for Compliance Studies at Loyola University Chicago School of Law and The Loyola Journal of Regulatory Compliance invite original paper submissions for presentation at our Second Compliance Studies Symposium: “What is the Role of a Regulation if it is Not Enforced?” The Symposium will take place at Loyola University Chicago School of Law …
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UFC and USADA Collaborate on Independent Drug-Testing

March 16, 2017Athletic Regulation

Morgan Slade Associate Editor Loyola University of Chicago School of Law, JD 2017 In 2015, the Ultimate Fighting Championship (UFC) partnered with the U.S. Anti-Doping Agency (USADA) to create a program which protects the integrity of the sport and the health of athletes. The UFC took a bold step when it chose to collaborate …
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Protected Health Information: Has it been Compromised?

March 15, 2017HIPAA & Health Information

Ryan Whitney Managing Editor Loyola University Chicago School of Law, JD 2017 HIPAA breaches occur on a daily basis. Although undesirable, many of these breaches are not serious enough to require patient notification. But others are more egregious and can cause harm to both the patient and the providing entity. This article outlines a …
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The Baxter Settlement and its Implications for FCA Liability

March 13, 2017Fraud & Abuse, Drugs & Devices

Kaitlin Lavin Executive Editor Loyola University Chicago School of Law, JD 2017 In January, Baxter Healthcare Corporation (“Baxter”) agreed to pay $18,158 million after the Department of Justice (DOJ) brought suit for violating the Food, Drug, and Cosmetic Act (FCDA) and the False Claims Act (FCA). The Baxter case is unique because it was …
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The Closing of 2016 in Regulatory Compliance

December 31, 2016Uncategorized

Ryan Meade Editor-in-Chief Director of Regulatory Compliance Studies at Loyola University Chicago School of Law Early before dawn on the last day of the 2016 Federal Register, 19 pistachio handlers in the United States were greeted with an easier compliance burden for 2017. But we’ll return to that later. Why January 1 starts the new year is a bit …
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On this Day: Federal Register Update

December 22, 2016Uncategorized

Ryan Meade Editor-in-Chief Director of Regulatory Compliance Studies at Loyola University Chicago School of Law As we approach the end of another calendar year, let’s see how the Federal Register page count is going. We have occasionally checked in on the status of the horse race of pages compared to previous years. Here is …
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