American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This type of theft is just one example of healthcare fraud. trillion in 2015. trillion in 2015.

Fraud 52

Fraud Medicare Medicare Compliance 52

HIPAA Journal

MARCH 29, 2024

Healthfirst The New York health insurance provider, Healthfirst, has recently notified 6,836 of its 2 million members about unauthorized access to its member portal. Healthfirst, which provides health plans under the names Healthfirst PHSP, Inc., Healthfirst Health Plan, Inc.,

Fraud 83

Fraud HIPAA Health Insurance Nurses 83

Healthcare Law Blog

MAY 31, 2022

The FTC’s increasing interest in health information that sits outside of HHS/OCR’s reach is likely to only expand in light of health-related metaverse use cases. 2] “The Path to Interoperability,” The Office of the National Coordinator for Health Information Technology (Sept. 1, 2021). [2]

FDA 90

FDA HIPAA Medicare Medicare 90

HIPAA Journal

JULY 4, 2024

In 1996, Congress passed the Health Insurance Portability and Accountability Act ( HIPAA ) with the objective of reforming the health insurance industry. When large scale changes occur – such as happened in 2013 with the HIPAA Omnibus Rule – almost every covered entity and business associate is impacted by the changes.

HIPAA 56

HIPAA Compliance Fraud Medicare 56

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What is considered a HIPAA violation?

HIPAA 133

HIPAA Due Diligence Compliance Fraud 133

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). million 78.8 million 78.8

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

HIPAA Journal

JULY 24, 2023

The team’s roles are to investigate and audit the Department’s operations to prevent fraud, waste, and abuse within the Department, and also to audit and investigate potential crimes against the Department. Subsequent Acts of Congress increased the OIG’s regulatory authority to prevent crimes against the Department.

Fraud 52

Fraud Medicare Medicare Medicaid 52

Total HIPAA

OCTOBER 28, 2019

A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. He altered patient records as part of a scheme to steal narcotics from a local hospital from January 2013 to May 2015. Keeping these logs is an important risk management measure.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

HIPAA Journal

APRIL 27, 2025

The practice claimed the complainant would not pay a $25 administrative fee for mailing the records (certified mail) and that the request was denied because the practice believed she would use the information to commit insurance fraud. Advocate Health Care Network will pay a record $5.55 The case was settled for $1,300,000.

HIPAA 85

HIPAA Ransomware Hospitals Compliance 85

Total HIPAA

SEPTEMBER 11, 2019

HIPAA” is the Health Insurance Portability and Accountability Act of 1996. This federal regulation set standards for safeguarding Protected Health Information , or PHI. HIPAA is regulated by the Department of Health and Human Services (HHS) Office of Civil Rights (OCR). The Omnibus Ruling (2013).

HIPAA 52

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

Hall Render

DECEMBER 13, 2024

Care Taps Health Net Exec as New CEO COLORADO Aurora’s Fitzsimons plans development opportunities on 60 acres Boulder drug discovery co. 3 in the U.S. for maternity care Healthcare Shifts Driving Demand For Outpatient Facilities In Denver Insider Breach, Email Attacks Net $1.7M sold for $4.1B TEXAS Bivacor to implant more U.S.

US Department of Health and Human Services 40

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