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DOJ Puts Academic Medical Centers in Spotlight

Client Alert | less than 1 min read | 11.29.12

On November 27, DOJ announced that Baylor University Medical Center has agreed to pay nearly $1 million to settle whistleblower claims brought under the False Claims Act, alleging that Baylor double-billed Medicare for certain procedures and billed for more expensive services when different, less expensive services should have been billed. The settlement, which DOJ hailed as an example of increased cooperation between DOJ and HHS under the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, follows a string of recent cases in which DOJ has targeted higher ed institutions under the FCA.


Insights

Client Alert | 7 min read | 08.17.26

Delayed Notification of Cyberattacks May Trigger HIPAA Breach Notification Rule

After identifying a ransomware attack in 2021, OSF Healthcare System waited until its forensic investigation had concluded before notifying the U.S. Department of Health and Human Services (HHS) — and the affected individuals — of the breach. The 110-day delay (nearly double the 60-calendar-day notification deadline mandated by the HIPAA Breach Notification Rule) triggered an investigation from HHS’s Office for Civil Rights (OCR). The health system’s investigation determined that protected health information (PHI) had been stolen....