What happens when a whistleblower uses confidential medical records from work to prove that her employer is making false claims to Medicare or another government healthcare program? The answer depends on what the whistleblower does with the information. The Health Insurance Portability and Accountability Act (HIPAA) provides that private medical records and information may be disclosed if the following criteria are met: First, you must be a “workforce member” or a “business associate” of the employer. A “workforce member” includes an employee, volunteer, trainee, or other person under the control of the employer, whether or not you are paid. A “business associate” includes independent contractors, consultants, and other non-employees who provide legal, actuarial, accounting, consulting, data aggregation, management, administrative, accreditation, or financial services involving the use or disclosure of protected health information. Second, you must have a good faith belief that the employer “has engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services, or conditions provided by [the employer] potentially endangers one or more patients, workers, or the public.” Third, the disclosure may only be made to an appropriate person. Appropriate persons are either: (A) A health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of the employer or to an appropriate health care accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by the employer; or (B) An attorney retained by or on behalf of the workforce member or business associate for the purpose of determining the legal options of the workforce member or business associate with regard to the unlawful, unprofessional or potentially dangerous conduct. If you have information that false claims are being made to Medicare, Medicaid, or another government program, you should consult with an experienced lawyer immediately. To schedule a free and confidential consultation by telephone or in person, call my office today at (917) 652-6504 or click here to communicate with me via email. John Howley New York, New York The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. I invite you to contact our law offices and welcome your calls, letters and electronic mail. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. I practice law and offer legal services only in jurisdictions where I am properly authorized to do so. I do not seek to represent anyone in any jurisdiction where this web site does not comply with applicable laws and bar rules.
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If you live in Maryland or Illinois, then you are protected by new "Facebook Laws" that prohibit employers from asking for the passwords to your social media accounts. These laws distinguish between what you put out there for public consumption and what you decide to keep private behind password-protected walls. The big question is: Why hasn’t every state made that distinction? Employers cannot tap our home phones to listen in on our private conversations with our close friends and family. They cannot open the private letters we send by U.S. mail. Why should they be able to see what we say confidentially to our friends and family via our password-protected social media accounts? In fact, there is a very significant danger when employers start peering into our password-protected private communications. They may learn about our religious beliefs, family relationships, pregnancies, disabilities, sexual orientation, and other very personal information. Employers are prohibited from asking us about these topics in job interviews – and they are prohibited from making employment decisions based on this information. Why do they have the right in 48 states to require that we turn over our social media passwords so they can look at this type of information as a condition of employment? Business organizations have opposed the new laws. They argue that sometimes we say things that are relevant to job decisions in our private, password-protected communications with close friends and family. Really? We make the same types of job-related comments in private conversations in our living rooms, over the phone, and even in love letters. Would anyone really argue that employers have such a compelling need to explore all possible sources of job-related information that they have the right to demand access to our phone calls, living rooms, and love letters just in case we said something that might be job-related? Were employers hamstrung in their efforts to hire acceptable employees for the couple of centuries that preceded the development of Facebook? Of course not. Employers never needed access to our private communications in the past, and they don't need to intrude on our privacy today either. California, Delaware, Michigan, New Jersey, and Washington are considering similar legislation to protect our right to keep employers out of our private, password-protected communications. With the two states that have already passed “Facebook laws,” that makes a total of seven out of the 50 states. What about the other 43? John Howley New York, New York The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. I invite you to contact our law offices and welcome your calls, letters and electronic mail. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. I practice law and offer legal services only in jurisdictions where I am properly authorized to do so. I do not seek to represent anyone in any jurisdiction where this web site does not comply with applicable laws and bar rules. |
John Howley, Esq.
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