Hospital Liability for Employee HIPAA Breaches

A hospital employee, who has been “HIPAA-trained” and admits to knowing better, accesses his ex-wife’s new boyfriend’s medical records and posts sensitive information on social media.  Is the hospital liable for the employee’s actions?

First, assume that the hospital did nothing wrong.  That requires the assumption that the employee was adequately trained, that the employee’s job required that he have access to this data, and that there was no way to otherwise limit the employee’s access. Continue reading

OIG Making Widespread Review of Questionable Billing Practices for Pediatric Dental Services – Louisiana Included

The Office of Inspector General of the United States Department of Health and Human Services is reviewing questionable billing practices related to Medicaid billing for pediatric dental services throughout Louisiana. A description of this state and national initiative can be found here. Continue reading