Public Hearing Scheduled Aug. 1 for Workers’ Comp Rule Changes

The Colorado Department of Labor and Employment announced it will hold a public hearing prior to the adoption of proposed amendments to the Workers’ Compensation Rules of Procedure, Rules 16 and 18, regarding Utilization Standards and Medical Fee Schedule, respectively. Specifics of the Workers’ Compensation proposed and adopted rules can be viewed here. The hearing will take place on August [...]

By |2017-07-10T11:20:28-07:00July 10, 2017|

Transparency in Health Care Prices Act Signed in to Law

In April, Gov. John Hickenlooper signed into law a bill sponsored by Sens. Irene Aguilar and Kevin Lundberg regarding the transparency of medical costs provided to patients by health care providers and facilities after it was passed by the Colorado legislature. Effective Jan. 1, 2018, the Transparency in Health Care Prices Act (SB 17-065) requires health care providers and facilities [...]

By |2017-04-20T09:56:08-07:00April 19, 2017|

Sheryl K. Bridges Joins Caplan and Earnest LLC as Special Counsel

BOULDER—April 3, 2017—Sheryl K. Bridges has joined Caplan and Earnest as special counsel with a focus in health care law. She specializes in malpractice, contractual disputes, professional licensing, compliance and regulation. Prior to joining Caplan and Earnest, Bridges worked as an attorney for Fennemore Craig and Kennedy Childs, Denver-based law firms. She also served as a law clerk to the [...]

By |2017-08-04T15:43:45-07:00April 3, 2017|

Beyond the Essential Elements of a Compliance Program

There’s no shortage of information on the internet and in training manuals on the essentials of a compliance program. From implementing written policies to developing effective lines of communication and responding promptly to detected offenses, the steps to creating a compliance program have been well-defined, but it’s no longer enough to simply have a compliance program, it must be an [...]

By |2016-12-27T11:06:18-07:00September 27, 2016|

Internal Investigations in Healthcare — Conducting an Internal Investigation (Part Two)

In the first part of this series regarding internal investigations, we discussed (1) the need to assess whether to conduct an internal investigation, and (2) if an internal investigation is appropriate, how to best prepare for the investigation. Our second part in this series covers the following: How to conduct the investigation; How to develop a corrective action plan; and [...]

By |2016-12-27T11:06:19-07:00August 25, 2016|

Ethical Dilemmas for Attorneys in the Wake of the Yates Memorandum

Dear Colleagues, I wanted to share an article that one of our respected attorneys wrote that I think you will find of interest. Meghan Pound, experienced health care attorney with Caplan and Earnest, recently published this insightful article on the Yates Memorandum for Fraud and Abuse, a publication of the American Health Lawyers Association Fraud and Abuse Practice Group. Meghan [...]

By |2016-12-27T11:06:20-07:00July 27, 2016|

Compliance and Enforcement: What to Expect in 2016

2015 was a momentous year for compliance and enforcement in the health care world and it’s only inevitable that 2016 will feel its effects. From changes in Medicare to costly false claims cases and formalized guidance like the Yates Memo, it’s clear that 2015 set the stage for an increased emphasis on accountability—a fact corporate officers, compliance oversight boards and [...]

By |2016-12-27T11:06:28-07:00January 27, 2016|

Hospital Embezzlement Scheme Highlights Critical Nature of Compliance Programs

An embezzlement scheme at a Houston-area hospital—a fraud that cost the hospital system more than $9 million over 14 years—was uncovered when an anonymous tip was issued to the compliance officer. Recognizing the severity of the matter, the officer quickly investigated, leading to charges and an arrest of a long-time manager. The embezzlement involved the manager sending himself “ghost” invoices, [...]

By |2016-12-27T11:06:40-07:00April 6, 2015|