AIHC

APRIL 10, 2024

Since 2009, HITECH has given “teeth” to HIPAA law. This act was signed into law by President Obama back in 2009. Does your practice have a procedure for notifying the Health & Human Services (HHS) Secretary when there is a breach of 500 or records? What’s the difference between HIPAA and HITECH?

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Hall Render

FEBRUARY 27, 2023

This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Health Care Fraud Actions Medicaid. Unnecessary Services. DOJ also exercised enforcement action against providers who billed for services that were not medically necessary.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

HIT Consultant

FEBRUARY 9, 2023

In addition to the monetary costs stemming from a data breach, organizations also face remediation activities, regulatory inquiries, service disruptions, and a hit to their reputation. The first step in preventing a data breach is to utilize solutions and services that meet strict regulatory compliance standards.

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 52

HIPAA Journal

OCTOBER 21, 2022

For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing. Only one penalty was issued in each of 2008 and 2009, 2 in 2010, 3 in 2011, and 6 in 2012. The National Patient Identifier.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

The Health Law Firm

AUGUST 19, 2013

The nonprofit organization is accused of fraudulently billing Medicaid and other government programs for health services provided by some of its Texas clinics between 2003 and 2009, according to the DOJ. Indest III, J.D., Board Certified by The Florida Bar in Health Law Planned Parenthood Gulf Coast recently paid $4.3

Medicaid 40

Medicaid Medicaid Fraud Governance 40

AIHC

APRIL 10, 2024

Since 2009, HITECH has given “teeth” to HIPAA law. This act was signed into law by President Obama back in 2009. Does your practice have a procedure for notifying the Health & Human Services (HHS) Secretary when there is a breach of 500 or records? What’s the difference between HIPAA and HITECH?

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

HIPAA Journal

DECEMBER 31, 2022

The evidence that there may be a misunderstanding about what a HIPAA violation is comes from the Department of Health and Human Services (HHS) Enforcement Highlights web page. They were significantly increased in the HITECH Act of 2009; and, since 2015, they have been adjusted for inflation annually.

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

Health Blawg

JANUARY 16, 2019

The final piece of this trifecta is the privacy rule applicable to substance abuse service providers, aka 42 CFR Part 2. Then, in 2009, as part of the Recovery Act, Congress passed the HITECH Act, one title of which is a statute that amended the HIPAA regulations — regulations that were drafted in the absence of a specific statute.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

The final piece of this trifecta is the privacy rule applicable to substance abuse service providers, aka 42 CFR Part 2. Then, in 2009, as part of the Recovery Act, Congress passed the HITECH Act, one title of which is a statute that amended the HIPAA regulations — regulations that were drafted in the absence of a specific statute.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Total HIPAA

SEPTEMBER 11, 2019

HIPAA is regulated by the Department of Health and Human Services (HHS) Office of Civil Rights (OCR). If you use a Managed Service Provider or IT contractor, you must have a signed Business Associate or Business Associate Subcontractor Agreement with them. HITECH Act (2009). HIPAA can also be enforced by State Attorneys General.

HIPAA 52

HIPAA Compliance US Department of Health and Human Services Health Insurance 52

Healthcare IT Today

NOVEMBER 11, 2022

Several respondents say that government regulations from the Meaningful Use era, starting in 2009, make it hard to comply without loading each note down with duplicate information. I heard one anecdote suggesting that pulling forward could lead to fraud. Follow the money.

Doctors 96

Doctors Nurses Electronic Medical Records Fraud 96

Hall Render

APRIL 26, 2024

in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St. health dept. processed 1.5

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

NOVEMBER 11, 2022

US flu hospitalization rate highest its been since 2009 swine flu pandemic, experts say. Color Health expands into behavioral health to tackle access challenges for mental care services. Terry Reilly Health Services awarded funds to expand behavioral health services in Idaho. Walgreens’ VillageMD completes $8.9B

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

MARCH 29, 2024

after cyberattack CHI St. after cyberattack CHI St. after cyberattack CHI St. lawmakers agree to make it easier to build new hospitals Hoar Begins Construction on $18.3M

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Healthcare IT Today

FEBRUARY 28, 2023

(President Biden, in his State of the Union speech, warned “we remain vigilant” while calling for an end to the emergency, but quickly switched the subject from the urgency of public health to prosecuting fraud.) Thus, I talked to Kel Pults at MediQuant about their health care service, which they call an “active archive.”

Public Health 101

Public Health COVID-19 FDA Governance 101

Drug & Device Law

JULY 24, 2023

What’s worse, the fraud on the FDA claim, if brought under state law, would be preempted by Buckman Co. at *6 (plaintiff “has documents and formularies reaching back to only 2009”). is typical of such relationships in the United States, and it includes usual and customary services. The federal rules don’t treat fraud that way.

Fraud 52

Fraud FDA Doctors 52

Drug & Device Law

APRIL 21, 2022

662 (2009), which together stand for the proposition that to state a claim and avoid dismissal a plaintiff must allege facts that plausibly suggest that the defendant is liable. The plaintiff asserted all the usual claims and then one: manufacturing defect; failure to warn; breach of warranty; and fraud. Twombly , 550 U.S.

FDA 59

FDA Fraud 59

Drug & Device Law

MARCH 7, 2022

662 (2009)) pleading standard simply doesn’t apply to punitive damages: [O]n a Rule 12(b)(6) motion, the “plausibility” pleading regime addresses the types of facts a plaintiff must allege to make out a cause of action, not the types of damages the alleged cause of action may eventually warrant. . . . 662 (2009). Twombly , 550 U.S.

Fraud 59

Fraud FDA Licensing Pharmaceutical Industry 59

Drug & Device Law

JANUARY 30, 2023

555 (2009), and rated only a “ cf. 470 (1996), was decided – removing express preemption as a defense for manufacturers of §510(k) products So defendants moved on fraud on the FDA under an implied preemption theory and won. 2019), or Mutual Pharmaceutical Co. Bartlett , 570 U.S. Levine , 555 U.S. citation in PLIVA, Inc. Lohr , 518 U.S.

FDA 72

FDA Fraud Governance Medicare 72