Healthcare Compliance Blog

FEBRUARY 15, 2022

In 2009 and 2010, further improvements were made to the False Claims Act and its whistleblower provisions. Other leading sources include: Combatting the Opioid Epidemic Medicare Advantage Program (Medicare Part C) Unlawful Kickbacks Unnecessary Medical Services Procurement Fraud COVID-Related Fraud Other Fraud Recoveries.

Fraud 59

Fraud Governance Compliance Medicare 59

HIPAA Journal

OCTOBER 21, 2022

However, in 2015, Congress partially relented its stance by passing the Medicare Access and CHIP Reauthorization Act which requires the Centers for Medicare and Medicaid to remove Social Security Numbers from Medicare cards and replace them with Medicare Beneficiary Numbers.

HIPAA 96

HIPAA Compliance Medicare Medicare 96

AIHC

MAY 30, 2024

Advancing RCM Operations Every year, more than five billion medical claims are processed by Payers in the United States for reimbursement, according to the Centers for Medicare & Medicaid Service, CMS.gov. Compliance and Risk Management : Fraud Detection : AI systems can identify unusual patterns that may indicate fraudulent activities.

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

MedTrainer

JUNE 29, 2023

Get familiar with the big four, and you’ll be well on your way to navigating healthcare compliance with confidence. Health Information Technology for Economic and Clinical Health Act (HITECH) HITECH is an essential component of the American Recovery and Reinvestment Act of 2009. Why are Healthcare Regulations Important?

Fraud 52

Fraud HIPAA Compliance Governance 52

HIPAA Journal

FEBRUARY 23, 2022

The preamble could give the impression that the Administrative Simplification provisions of HIPAA Title II will improve accessibility to and affordability of the Medicare and Medicaid programs, or that the development of a health information system would streamline the provision of healthcare between providers. being ordered to pay $2.25

HIPAA 88

HIPAA Fraud Health Insurance Medicaid 88

Health Law Advisor

FEBRUARY 10, 2023

The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics for fiscal year (FY) 2022, which ended on September 30, 2022. [1] 1] While total recoveries exceeded $2.2

Fraud 52

Fraud COVID-19 Governance Medicaid 52

AIHC

NOVEMBER 6, 2023

HITECH” is the acronym for the Health Information Technology for Economic and Clinical Health (HITECH Act), which is title XIII of division A and title IV of division B of the American Recovery and Reinvestment Act of 2009 (ARRA), Pub. However, your organization should not address only “HIPAA” or only “HITECH”. Why HITECH?

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To? Other Types of HIPAA Law Violation.

HIPAA 135

HIPAA Due Diligence Compliance Fraud 135

AIHC

NOVEMBER 6, 2023

HITECH” is the acronym for the Health Information Technology for Economic and Clinical Health (HITECH Act), which is title XIII of division A and title IV of division B of the American Recovery and Reinvestment Act of 2009 (ARRA), Pub. However, your organization should not address only “HIPAA” or only “HITECH”. Why HITECH?

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIPAA Journal

NOVEMBER 4, 2022

The Department of Health and Human Services (HHS) is the Sector Risk Management Agency (SRMA) for the healthcare industry, but within the HHS agencies such as the Office for Civil Rights (OCR), Centers for Medicare and Medicaid Services (CMS), and the Food and Drug Administration (FDA) have their own jurisdictions and cybersecurity policies.

HIPAA 113

HIPAA Governance FDA Medicaid 113

Hall Render

FEBRUARY 27, 2023

million to resolve allegations that it paid kickbacks to physicians who attended its programs in connection with its multiple sclerosis drugs between 2009 and 2014. Proactive compliance programs are an excellent defense and can help to identify issues before these issues potentially pose FCA risk. A pharmaceutical company paid $843.8

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

Healthcare IT Today

DECEMBER 20, 2023

Fragmented Healthcare Data is Costly for Patients and Providers Signed into law by President Obama in 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH) mandated the adoption of Electronic Health Records (EHRs) across healthcare systems.

Compliance 109

Compliance Regulatory Compliance COVID-19 Hospitals 109

Health Law RX

JUNE 9, 2023

Background The HBNR was first implemented in 2009 in response to the anticipated proliferation of online personal health record (PHR) services — many of which are now defunct (e.g., The FTC issued the Notice of Proposed Rulemaking on May 18, 2023, and comments are due 60 days after publication in the Federal Register.

HIPAA 52

HIPAA Health Insurance Medicare Medicare 52

Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage. The SRFs included in the HEI may be expanded over time.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

DECEMBER 14, 2022

The Centers for Medicare and Medicaid Services (CMS) also published an interoperability rule in March 2020 that applies to Medicare- and Medicaid-participating short-term acute care hospitals, long-term care hospitals, rehabilitation hospitals, psychiatric hospitals, children’s hospitals, cancer hospitals, and critical access hospitals (CAHs).

HIPAA 128

HIPAA COVID-19 COVID-19 Vaccine Compliance 128

HIPAA Journal

JANUARY 9, 2023

Those HIPAA updates were followed by the incorporation of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which saw the introduction of the Breach Notification Rule in 2009 and the Omnibus Final Rule in 2013. It is now 10 years since the last major HIPAA update took effect.

HIPAA 111

HIPAA COVID-19 COVID-19 Vaccine Compliance 111

Drug & Device Law

JANUARY 30, 2023

555 (2009), and rated only a “ cf. 555 (2009), concurring in the 6-3 no-preemption result. 2019), or Mutual Pharmaceutical Co. Bartlett , 570 U.S. 472 (2013), implied preemption decisions, cited only by the dissent in Wyeth v. Levine , 555 U.S. citation in PLIVA, Inc. Mensing , 564 U.S. Walsh , 538 U.S. Dow Agrosciences LLC , 544 U.S.

FDA 72

FDA Fraud Governance Medicare 72