The Health Law Firm

MARCH 31, 2016

Board Certified by The Florida Bar in Health Law On March 21, 2016, the Office for Civil Rights (OCR) of the US Department of Health and Human Services (HHS) launched a new round of audits to help ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA), especially its Privacy Rule and Security Rule.

US Department of Health and Human Services 40

US Department of Health and Human Services HIPAA Health Insurance Compliance 40

HIPAA Journal

MARCH 11, 2022

The report includes healthcare data breaches reported to regulators, as well as data breaches that have been reported in the media, incidents that have not been disclosed by the breached entity, and data breaches involving healthcare data at non-HIPAA-regulated entities. The data for the report was provided by databreaches.net.

HIPAA 113

HIPAA Ransomware Health Insurance 113

Total HIPAA

JULY 21, 2020

HIPAA compliance for employers is a complicated and nuanced topic. No employer group is the same when it comes to supplying health benefits to their employees. Other employers will have a more hands-on approach and more exposure to Personally Identifiable Information (PII) and Protected Health Information (PHI). HIPAA and ERISA.

HIPAA 40

HIPAA Health Insurance Compliance 40

Compliancy Group

SEPTEMBER 30, 2024

Health Information Technology Provider Particle Health Files EPIC Lawsuit-The Allegations In its lawsuit against Epic Systems, health information technology provider Particle Health alleges that Epic is stifling competition in, and entry into, the “payer platform market” in which both parties compete.

HIPAA 52

HIPAA Compliance Doctors Health Insurance 52

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. According to the FBI, more than $43 billion was lost to these scams between June 2016 and December 2021, and in 2021 alone, the FBI Internet Crime Complaint Center received reports of losses of $2,395,953,296 to BEC scams. million, and $6.4

Medicaid 83

Medicaid Medicaid Medicare Medicare 83

Healthcare IT Today

JANUARY 12, 2024

For example, in the healthcare industry, we have to abide by HIPAA — a law that helps protect the privacy and security of people’s health information. We can’t serve our patients if we don’t ensure that protected health information (PHI) is kept private.

Ransomware 124

Ransomware Hospitals HIPAA Health Insurance 124

The Health Law Firm

AUGUST 9, 2016

Board Certified by The Florida Bar in Health Law On August 4, 2016, one of Illinois' largest hospital chains agreed to pay $5.5 million in settlement for lax data security and breaches of protected health information for millions of patients. Indest III, J.D.,

HIPAA 40

HIPAA Hospitals Health Insurance 40

The Health Law Firm

NOVEMBER 7, 2016

Board Certified by The Florida Bar in Health Law On November 4, 2016, a federal judge sentenced Landon Eckles, a former manager at Warner Chilcott, to one year of probation and a $10,000 fine after he pled guilty to wrongful disclosure of protected health information (PHI). By George F. Indest III, J.D.,

HIPAA 40

HIPAA Fraud Health Insurance 40

MedTrainer

SEPTEMBER 8, 2023

Advocate Health Care HIPAA Breach (2016) In August 2016, Advocate Health Care Network —one of the largest healthcare systems in Illinois—agreed to settle potential violations of Privacy and Security Rules for $5.55 This settlement was the largest HIPAA settlement at that time. Loss of reimbursements.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

HIPAA Journal

JULY 14, 2022

The breach was detected on April 20, 2022, with the forensic investigation confirming an unauthorized third-party had accessed the IT networks of Baptist Medical Center or Resolute Health Hospital between March 31 and April 24, 2022, and removed files containing sensitive patient data.

Fraud 72

Fraud HIPAA Health Insurance Hospitals 72

HIPAA Journal

AUGUST 12, 2022

A review of the affected email accounts revealed they contained patient data such as names, client health insurance information, Medicaid information, Social Security numbers, and limited information related to services received at Living Innovations. The breach has been covered in more detail in this post.

Licensing 65

Licensing Health Insurance HIPAA Medicaid 65

American Medical Compliance

JANUARY 2, 2024

Implementation of the CURES Act The bipartisan 21st Century CURES Act, signed into law by President Obama in 2016, signified an important shift in health policy and health law.

Compliance 52

Compliance Health Insurance HIPAA Governance 52

HIPAA Journal

FEBRUARY 16, 2023

The misconfiguration was detected and remediated on November 18, 2022, with the third-party forensics investigation confirming the cloud storage environment had been unsecured since September 30, 2016. The post mscripts Cloud Storage Misconfiguration Exposed PHI for 6 Years appeared first on HIPAA Journal.

HIPAA 57

HIPAA Health Insurance Fraud 57

HIT Consultant

DECEMBER 19, 2023

Our industry has undergone several iterations of consumer data protection rules — starting in 1996 with the Health Insurance Portability and Accountability Act (HIPAA ). In 2009, the Health Information Technology for Economic and Clinical Health Act , HITECH for short, became law, setting standards for electronic health records.

Health Outcomes 98

Health Outcomes Governance Healthcare information Technology Health Insurance 98

Health Care Law Brief

JULY 25, 2023

Department of Health and Human Services (“ HHS ”) released its final rule (“ Final Rule ”) implementing penalties for information blocking. The Final Rule codifies the prohibition on “information blocking” introduced by the 21st Century Cures Act (“ Act ”), which was enacted on December 13, 2016. 1033, (2016); 42 U.S.C.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

MedTrainer

NOVEMBER 29, 2023

Certificate of Need Regulations In Tennessee, the Certificate of Need (CON) program , managed by the Division of Health Planning , is designed to foster improvement in healthcare access, quality, and cost-efficiency through the orderly management of the state’s healthcare system.

Compliance 52

Compliance Licensing HIPAA Medicaid 52

Bill of Health

JULY 26, 2022

Department of Health and Human Service estimates , the total per capita lifetime health spending (in 2016 dollars) is $414k; if health care spend increases 3% greater than overall inflation (quite likely), that number would be $2.3 Amazon Health Insurance? First, health care is hard and expensive.

US Department of Health and Human Services 173

US Department of Health and Human Services Health Insurance HIPAA Medicare 173

HIPAA Journal

MARCH 29, 2022

The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced its first financial penalties of 2022 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Dental Practitioner Fined $30,000 for Noncompliance with the HIPAA Right of Access.

HIPAA 122

HIPAA Compliance Health Insurance 122

Health Populi

FEBRUARY 5, 2020

Americans who have commercial health insurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system. visits per 100 member-years.

Patient Advocacy 144

Patient Advocacy Health Insurance HIPAA Doctors 144

Compliancy Group

JUNE 17, 2022

Use of Tracker by Hospitals Likely Violates HIPAA. An investigation by The Markup and Stat has uncovered a tracking tool used by 33 of the country’s top 100 hospitals that collects patients’ protected health information (PHI) and sends it to Facebook—including details about medical conditions, prescriptions, and physician appointments.

Hospitals 52

Hospitals HIPAA Doctors Bioethics 52

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). Community Health Systems/CHSPSC, Anthem Inc.,

HIPAA 100

HIPAA Compliance Ransomware Hospitals 100

HIPAA Journal

JANUARY 1, 2023

The majority of HIPAA-covered entities, business associates, and healthcare employees take great care to ensure HIPAA Rules are followed, but what happens when there is accidental HIPAA. How Should Employees Report an Accidental HIPAA Violation? How Should Covered Entities Respond to an Accidental HIPAA Violation?

HIPAA 99

HIPAA Hospitals Compliance Health Insurance 99

Healthcare Law Blog

DECEMBER 15, 2022

Include functionality to determine requirements for any other data, forms, or medical record documentation required by the payer for the items or services for which the provider is seeking prior authorization and while maintaining compliance with the mandatory HIPAA transaction standards. Identifying Previous and Concurrent Payors and Opt In.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIPAA Journal

DECEMBER 24, 2022

Penalties for HIPAA violations can be issued by the Department of Health and Human Services’ Office for Civil Rights (OCR) and state attorneys general. In addition to financial penalties, covered entities are required to adopt a corrective action plan to bring policies and procedures up to the standards demanded by HIPAA. .

HIPAA 126

HIPAA Compliance Hospitals COVID-19 126

HIPAA Journal

APRIL 5, 2024

The lawsuit was dismissed in 2016 due to a lack of standing, as the plaintiffs failed to allege a concrete, identifiable injury had been sustained as a result of the breach. The post Contract Class Certified in CareFirst Data Breach Lawsuit 9 Years After Legal Action was Initiated appeared first on HIPAA Journal.

Fraud 72

Fraud HIPAA Health Insurance Compliance 72

HIT Consultant

FEBRUARY 28, 2022

Patient care is covered by Medicare and is available under most major insurance providers. Founded in 2016, XRHealth is the first company to create virtual reality clinics that provide remote care to patients throughout the United States and is covered by most major health insurance companies as well as medicare.

Medicare 98

Medicare Medicare FDA Health Insurance 98

HIT Consultant

JULY 28, 2022

The Telehealth Benefit Expansion for Workers Act would amend HIPAA and the Affordable Care Act to allow employers to offer standalone telehealth service programs – not unlike dental and vision plans – in addition to existing health insurance plans. Q2 HEADLINES. 3M is said to consider sale of its healthcare IT division.

US Department of Health and Human Services 98

US Department of Health and Human Services COVID-19 Health Insurance Telemedicine 98

Health Populi

AUGUST 19, 2019

Data security breaches, access challenges, and privacy leakages plague the current state of Americans’ personal health information (PHI). The Scorecard was developed to gauge the progress (and lack thereof) of patient information access afforded by peoples’ health care providers. What did Ciitizen learn from this process?

US Department of Health and Human Services 82

US Department of Health and Human Services HIPAA Hospitals Electronic Medical Records 82

Health Populi

JULY 1, 2019

Perception : We are living in a moment in time when pharmaceutical companies, health insurance companies, and hospital systems have been demonized in the public discourse. There could be a similar discussion around how the players in the health care system are evolving. So, let’s dig into each of those a bit, shall we?

Health Insurance 86

Health Insurance Pharmaceutical Industry HIPAA Bioethics 86

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

HIPAA Journal

MARCH 17, 2023

Considering the Health Insurance Portability and Accountability Act (HIPAA) is now in its third decade, the Privacy Rule took effect 20 years ago, and compliance with the HIPAA Security Rule has been mandatory for 18 years, there have been relatively few financial penalties over the years, with just 130 imposed by OCR to resolve HIPAA violations.

HIPAA 94

HIPAA Compliance Health Insurance Governance 94

Hall Render

MARCH 29, 2022

In June 2020, the Trump Administration issued a final rule implementing Section 1557 (the “2020 Rule”) that significantly narrowed the scope of a 2016 rule issued by the previous Obama Administration (the “2016 Rule”).

ADA 40

ADA HIPAA Health Insurance Doctors 40

Kaiser Health News

JUNE 13, 2024

. “There were a number of practices used by insurance companies to essentially protect themselves from the costs associated with people who have preexisting conditions,” said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University and an expert on the health insurance marketplace.

ACA 118

ACA Health Insurance Medicaid Medicaid 118

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S.

US Department of Health and Human Services 40

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