HIT Consultant

OCTOBER 17, 2022

Each business associate or vendor opens your organization to potential risk — and that risk increases as their access increases — so, do your due diligence. During your due diligence, the organization should also review the vendor’s environmental and social impact, as that may in turn affect the organization. .

Due Diligence 52

Due Diligence HIPAA Compliance Governance 52

YouCompli

FEBRUARY 13, 2024

AI Governance Strategy : Work with key business partners to build an oversight structure to help ensure consistency and standardization as new AI is proposed and introduced into the organization. Be prepared for an oversight structure that includes new partnerships such as cloud vendors, external IT professionals, and other consulting firms.

Compliance 52

Compliance Due Diligence Compliance Officers Governance 52

HIPAA Journal

MARCH 15, 2023

The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design. Attorney’s Office for the Middle District of Florida, with assistance provided by HHS-OIG. Companies have a fundamental responsibility to protect the personal information of their website users.

Health Insurance 72

Health Insurance HIPAA Due Diligence Fraud 72

Compliancy Group

JANUARY 24, 2022

Passed in 1996 , the Health Insurance Portability and Accountability Act (HIPAA) governs how healthcare organizations (covered entities – CE) and their employees should properly collect, use and manage the protected health information (PHI) of their patients. .

HIPAA 52

HIPAA Due Diligence Compliance Health Insurance 52

Verisys

JULY 27, 2023

Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. A continuous data monitoring program such as Verisys is necessary to meet and exceed state and federal requirements for participation in government-funded programs.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Verisys

JULY 5, 2023

Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. A continuous data monitoring program such as Verisys is necessary to meet and exceed state and federal requirements for participation in government-funded programs.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Compliancy Group

APRIL 29, 2022

That starts by having effective policies and procedures to govern the use and access of PHI within your organization. Do you take the time to do real due diligence on what they deliver? In fact, they’re actually required in the HIPAA rules and regulations. But employees have to be trained on what to do and why it matters.

HIPAA 52

HIPAA Compliance Due Diligence Ransomware 52

AIHC

JUNE 6, 2023

Due-diligence is necessary to ensure their system has been tested, is compliant to government and payer standards and is affordable moving forward as AI evolves and our system or contract service with the company advances. AI technology would empower these professionals. Beware of new companies offering such services.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

YouCompli

MAY 24, 2023

The government contends that over a five-year period, the physician solicited and received prohibited remuneration from a medical device company. In this case, a laboratory settled allegations by paying the government millions of dollars. You can use publicly available data to perform some initial due diligence.

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

Health Law RX

AUGUST 10, 2021

On July 21, 2021, the DOJ announced that the government settled FCA claims against the Alliance Family of Companies, LLC (“Alliance”), a national electroencephalography (“EEG”) diagnostic testing company, and Ancor Holdings LP (“Ancor”), the private equity firm that invested in Alliance.

Due Diligence 40

Due Diligence Compliance Governance Fraud 40

AIHC

JUNE 6, 2023

Due-diligence is necessary to ensure their system has been tested, is compliant to government and payer standards and is affordable moving forward as AI evolves and our system or contract service with the company advances. AI technology would empower these professionals. Beware of new companies offering such services.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

HIT Consultant

OCTOBER 13, 2021

Healthcare entities also have to do due diligence when choosing a partner for building APIs to make sure they have extensive healthcare expertise and are capable of meeting relevant privacy and security standards. As it is said, “you can have security without privacy, but you can’t have privacy without security.”.

Due Diligence 98

Due Diligence Health Insurance HIPAA Governance 98

Provider Trust

MAY 17, 2022

Which regulations govern vendor compliance? For healthcare organizations, vendor services require a more thorough and specific due diligence in order to assess risk and to document compliance with any or all of the following regulations and laws listed below: . Vendor Z provides contract janitorial services.

Compliance 52

Compliance Medicare Medicare Due Diligence 52

Dossier

FEBRUARY 23, 2023

For the first decade, they were mostly used by the government and large healthcare systems. As part of the M&A due diligence, cloud-based competency management can ensure all individuals, departments, and facilities receive the appropriate competencies. healthcare system in the 1960s.

Due Diligence 52

Due Diligence Patient Satisfaction Hospitals Nurses 52

Health Law Advisor

OCTOBER 5, 2022

Thus, she emphasized that “if a cooperating company discovers hot documents or evidence [during a government investigation], its first reaction should be to notify the prosecutors.”. Additionally, DOJ now will “require cooperating companies to come forward with important evidence” to prosecutors “more quickly.”

Compliance Officers 52

Compliance Officers Compliance Due Diligence Governance 52

Hall Render

AUGUST 24, 2023

The Fifth Circuit Court of Appeals refused the defendants’ request to overturn the entire verdict but enforced the consequences of the government’s prejudicial delay by tying the conduct together with the government’s failure to toll the statute of limitations for many of its claims. The ruling in U.S. Aldridge v. Corporate Mgmt.,

Governance 40

Governance Due Diligence Hospitals 40

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. 2] See 86 Fed.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

Total HIPAA

OCTOBER 3, 2023

Over the years since its inception, HIPAA has been deemed government overreach and even a waste of resources. It’s not enough to simply do what you think is correct based on past experience, if a breach happens and no due diligence is present the consequences are severe.

Compliance 98

Compliance Due Diligence HIPAA Compliance Officers 98

Healthcare Law Blog

AUGUST 8, 2022

The new laws show that the government will be prosecuting COVID-19 relief fraud for the foreseeable future. The government has already brought dozens of civil and criminal enforcement actions for PPP and EIDL fraud, with more enforcement actions being brought every week.

Fraud 52

Fraud Due Diligence COVID-19 Governance 52

HIT Consultant

FEBRUARY 5, 2024

Therefore, due diligence requires background checks to identify both current and historical adverse actions to be performed. Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system.

Malpractice 92

Malpractice Licensing Due Diligence Hospitals 92

HIT Consultant

DECEMBER 28, 2023

Third-Party Vendor Assessment: Due diligence is required to thoroughly vet third-party vendors and their cybersecurity practices. Strong access control mechanisms should be implemented to prevent improper access to AI systems, underlying training models and infrastructure, and private patient records.

US Department of Health and Human Services 112

US Department of Health and Human Services Due Diligence Regulatory Compliance Compliance 112

MedTrainer

AUGUST 2, 2023

Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators. Good credentialing management opens the door to a wide range of benefits at both the facility and organization levels: Compliance With Regulatory Standards.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

MedTrainer

AUGUST 2, 2023

Insurance Reimbursement Insurance companies — along with government programs like Medicare and Medicaid — require providers to be credentialed to ensure they meet specific standards and qualifications. Selecting a credentialing provider takes a fair amount of due diligence; however, it’s time and energy that pay for themselves in short order.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

HIPAA Journal

MARCH 9, 2022

In the worst cases, substantial fines can be issued for noncompliance with safeguards organizations should have known about had they exercised due diligence. The post Guide to HIPAA Safeguards appeared first on HIPAA Journal.

HIPAA 105

HIPAA Due Diligence Ransomware Compliance 105

Verisys

JULY 13, 2023

Throughout that process, he was still on our payroll, and we hadn’t been doing our due diligence to screen him.” These issues can cause reputational damage to the manufacturer if they aren’t monitoring their faculty. He was sentenced to life in prison, and the story received national attention.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52

HIT Consultant

DECEMBER 26, 2021

Government mandates were an impetus for change, starting with the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 to “promote the adoption and meaningful use of health information technology” (Office of Civil Rights (OCR), 2017).

Due Diligence 98

Due Diligence Compliance HIPAA Nurses 98

AIHC

JUNE 22, 2022

Unfortunately, this led to another problem… Providers being denied appointment or privileges by a hospital’s governing body turned to the Sherman Act and state antitrust laws to claim that the practice of credentialing amounted to anti-competitive collusion. CFR regulations (U.S.

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52

Drug & Device Law

FEBRUARY 14, 2022

In the aftermath of the 2003 Iraq War, the government of Iraq – the government that the United States installed – allegedly allowed the Ministry of Health to be run by terrorists (the “Jaysh al-Mahdi”). government support[ed] the Iraqi Ministry of Health during th[is] period. 4th at 210-11. on plaintiffs’ theory, ‘the U.S.

Governance 59

Governance Due Diligence Pharmaceutical Industry 59