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CMS is taking the training wheels off the targeted probe and educate (TPE) progam pilot that it rolled out in May and expanded in June. Effective Oct. 1, your Medicare administrative contractor (MAC) will begin to phase out most forms of medical review and replace them with TPE.

On the heels of two similar settlements, a Baltimore health system has settled a case for $122,928 in which it was accused of getting the doctors whose practice it had acquired to bill established patients as if they were new, inflating their charges.

You'd think if there were anyone whose health information should be protected, it would be people with HIV. Yet Aetna admits to exposing data indicative of both the HIV status and risk of thousands of its beneficiaries with a poorly designed envelope.

The feds' dishonor roll of entities that have sustained a HIPAA breach of 500 individuals or more has topped 2,000 for the first time.

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