Physicians Practice July 24, 2025
Rachel V. Rose, JD, MBA, Keith A. Reynolds

Explore the intersection of HIPAA violations and the False Claims Act, highlighting compliance strategies to mitigate legal risks in healthcare.

For years, there was pushback by the Government that violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)[1] constituted a basis for False Claims Act (FCA) violations.[2] Afterall, The United States Department of Health and Human Services – Office for Civil Rights (HHS-OCR) had and continues to have the authority to enforce violations of the HIPAA Privacy, Security and Breach Notification Rules.[3]

An initial shift occurred with two events: (1) the Meaningful Use Program; and (2) the June 2016 Supreme Court Opinion in Universal Health Services, Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989,...

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Topics: Govt Agencies, HIPAA, HITECH
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