The FDA issued a 39-page report in November, titled “The Public Health Evidence for FDA Oversight of Laboratory Developed Tests: 20 Case Studies,” which addresses bad outcomes that result from certain laboratory-developed tests (LDTs), which are increasingly important, considering their use can lead to a patient’s diagnosis and surgery.
Five people, including the CFO of a Long Beach, CA, hospital, have been charged in connection to a long-running kickback scheme that involved thousands of illegal referrals and millions of dollars in fraudulent billings.
It is safe to say that the government has taken off the kid gloves regarding HIPAA penalties. One only has to review the Office of Civil Rights (OCR) press releases and website to see the substantial fines levied for HIPAA violations over the last two years.
The hospital may want to consider redrafting the discharge planning evaluation form to include the CMS requirements. This includes, but is not limited to, admitting diagnosis, relevant co-morbidities, past medical history, past surgical history, anticipated needs, readmission risk, and relevant psychosocial history.