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Electronic Health Records

This archive displays posts tagged as relevant to electronic health records and fraud related to electronic health records.

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May 31, 2019

A Kansas hospital accused of submitting false claims to Medicare and Medicaid has agreed to pay $250,000 to settle a qui tam suit by Bashar Awad and Cynthia McKerrigan, with about $50,000 of the recovery going to the whistleblowers.  According to the suit, from 2012 to 2013, Coffey Health System falsely attested to having conducted or reviewed security risk analyses of electronic health records (EHR), which was a requirement under a federal incentive program that pays healthcare providers for adopting certified EHR technology.  USAO KS

May 23, 2019

Sixteen states have reached a settlement with the Medical Informatics Engineering and NoMoreClipboard, LLC, which have agreed to pay $900,000 to resolve allegations that the companies violated the Health Insurance Portability and Accountability Act (HIPAA), unfair and deceptive practice laws, notice of data breach statutes, and state personal information protection laws. The companies provide patient portals to healthcare providers, enabling patients to access their health records. Hackers allegedly infiltrated the companies' servers in May 2015, stealing the information of more than 3.9 million individuals. A consent judgment with specific compliance agreements was also entered by the court.  FL; NC

Catch of the Week – EHR Developer Greenway Health to Pay $57.25 Million to Settle FCA Allegations

Posted  02/8/19
Person in scrubs holding computer tablet projecting medical data
Electronic health records (EHR) software developer Greenway Health LLC agreed to pay $57.25 million to resolve allegations that it committed fraud by misrepresenting to its users the capabilities of its EHR product “Prime Suite” and by providing unlawful remuneration to users to induce them to recommend Prime Suite. Under the American Recovery and Reinvestment Act of 2009, the government made incentive payments...

February 6, 2019

An electronic health records provider, Greenway Health LLC, will pay $57.25 million to settle a False Claims Act case brought by the U.S. alleging that Greenway fraudulently obtained certification that is product, Prime Suite, complied with HHS requirements and therefore that healthcare providers using Prime Suite could receive payments under the Medicare and Medicaid EHR Incentive Program.  Greenway allegedly modified the software tested by the certification body to make it appear that Prime Suite was performing as required when it was not, and failed to correct known errors in the software.  In addition, the government alleged that Greenway violated the Anti-Kickback Statute by providing incentives including payments to clients to recommend Prime Suite. Greenway entered into a five-year Corporate Integrity Agreement which includes an independent monitoring process.  DOJ

Catch of the Week – Inform Diagnostics

Posted  02/1/19
Technician in laboratory safety wear using eyedropper to fill vials of blood
Texas-based pathology laboratory company Inform Diagnostics, formerly known as Miraca Life Sciences Inc., agreed on January 30th to a $63.5 million settlement to resolve allegations it violated the False Claims Act (“FCA”), the Anti-Kickback Statute (“AKS”), and the Stark Law by providing subsidies to referring physicians for electronic health record (“EHR”) technology as well as free or discounted...

Following $155M FCA Settlement, EHR Provider Hit with Class Action Suit

Posted  01/4/18
By the C|C Whistleblower Lawyer Team Last May, eClinicalWorks (ECW) resolved allegations that it misrepresented the capabilities of its software when the EHR has being tested for CMS certification. Healthcare providers that use CMS-certified EHR software qualify for incentive payments from the agency. Instead of developing software that met the relevant requirements, ECW allegedly designed software to pass the...

December 12, 2017

Florida-based 21st Century Oncology Inc. agreed to pay $26 million to settle charges of violating the False Claims Act and the Stark Law through the company’s false attestation to the use of electronic health records software and through referrals from physicians with whom the company had improper financial relationships. DOJ

Oncology Clinic Settles FCA Suit for $26M

Posted  12/13/17
By the C|C Whistleblower Lawyer Team Florida-based 21st Century Oncology Inc. and several of its subsidiaries have settled allegations regarding the practice’s use of Electronic Health Records (EHR) software. The settlement is a result of a self-disclosure of violations made under Medicare’s EHR incentive program. The incentive program allows healthcare providers that attest to meaningful use of their EHR...

December 4, 2017

 On Monday, December 4, at 10:00 AM Eastern, Whistleblower Partner Mary Inman appeared as a special guest on RAC Monitor's "Monitor Monday" radio broadcast "Developing Story: Whistleblower Suit Targets 69 Indiana Hospitals for Alleged Overcharging for EHRs" to talk about a recently unsealed whistleblower lawsuit alleging that CIOX Health and 69 Indiana hospitals misrepresented the speed at which CIOX’s Electronic Health Records (EHR) software worked in order to qualify for incentive payments from the Department of Health and Human Services.  To hear Mary's comments click here, forward to 21:36 (21 minutes, 36 seconds) into the attached broadcast.

November 13, 2017

On Monday, November 13, at 10:00 AM Eastern, Whistleblower Partner Mary Inman appeared as a special guest on RAC Monitor's "Monitor Monday" radio broadcast "Developing Stories on OPPS, OMHA and an Epic Lawsuit" to talk about a recently unsealed whistleblower lawsuit alleging that Epic Systems’ Electronic Health Records (EHR) system caused hospitals to double-bill Medicare for anaesthesia services.  Click here to listen to the broadcast.


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