Hiding Behind HIPAA
It’s natural for someone who cares deeply about an issue to be zealous. But some have taken the Health Insurance Portability and Accountability Act to extremes. HIPAA, as it’s known, is the federal law that – among other things – guarantees medical privacy. In a continuing care retirement community, Helen Wyvill, 72, tried to find […]
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The Compliance Imperative—The End of the Quality vs. Compliance Debate
No one expects to be investigated. Yet, the federal government recovers billions every year from healthcare providers, including mental health and addiction treatment organizations.
In the past, one visible area of vulnerability for behavioral health providers was the quality of our care. For some, the perception was that the community behavioral health centers’ culture of caring conflicted with the culture of compliance, and that money was better spent on care than on “overhead” such as a compliance program.
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New Mexico Behavioral Health Fraud Unexplained
The 15 New Mexico behavioral health provider organizations that have been accused of Medicaid fraud by their Human Services Department have been put in an impossible position. The state has tried them and found them guilty in the press and the patients they serve and the staff they employ are understandably frightened and angry.
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