AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. This plan, whatever it was set up the perverse incentives by not looking at critical elements to ensure compliance.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. This plan, whatever it was set up the perverse incentives by not looking at critical elements to ensure compliance.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.

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Compliance Nursing Homes Nurses Fraud 52

Florida Health Care Law Firm

APRIL 10, 2022

By 2017, the opioid epidemic had reached such a crisis that then- Governor Scott declared a statewide public health emergency as a result. How to Maintain EKRA Compliance. Maintaining EKRA compliance is relatively straightforward. The post EKRA Compliance first appeared on Florida Healthcare Law Firm.

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Compliance Public Health Doctors Governance 52

Healthcare IT Today

NOVEMBER 16, 2020

Back in mid-2017, EHR maker eClinicalWorks agreed to pay $155 million to settle a whistleblower lawsuit accusing it of a broad list of violations. In addition to paying the fine, eCW was required to sign a Corporate Integrity Agreement (CIA) essentially requiring the vendor to keep its nose clean on several levels.

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Compliance Regulatory Compliance 84

HIPAA Journal

FEBRUARY 20, 2023

The HHS’ Office for Civil Rights (OCR) has published a report it sent to Congress that details its HIPAA enforcement activities in 2021, which provides insights into the state of compliance with the HIPAA Privacy, Security, and Breach Notification Rules.

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HIPAA Compliance 106

Healthcare IT Today

JUNE 29, 2023

Each ASC is responsible for ensuring that they are in compliance with the numerous statutes and regulations that are in place at both the state and federal levels. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. ASCs must also meet Medicare’s Conditions for Coverage.

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Compliance Medicare Medicare Medical Billing 52

HIPAA Journal

JUNE 29, 2023

OCR was notified about the data breach on August 22, 2017, and was informed that the ePHI of 267 individuals had been exfiltrated from the unsecured server on May 2, 2017. OCR will monitor iHealth Solutions for two years to ensure compliance with the HIPAA Rules. 164.502(a).

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HIPAA Compliance 84

Hall Render

MARCH 10, 2022

On a prospective basis, communication systems that interface with the public switched telephone network ( i.e. , technologies that permit a user to place an out-bound telephone call) must generally comply with the enhanced 911 calling requirements under Kari’s Law Act of 2017 (“Kari’s Law”) and RAY BAUM’S Act (collectively, “E911 Laws”).

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Compliance 40

McGuire Wood

SEPTEMBER 13, 2023

is a provider of strategy, merger and acquisition, digital transformation, cybersecurity, information technology quality and regulatory compliance consulting services to life sciences and healthcare organizations/ Grant Avenue Capital , based in New York, is a healthcare-focused, middle market private equity firm.

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Regulatory Compliance Compliance 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). 2022 New York EyeMed Vision Care $600,000 2.1 million 78.8

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HIPAA Compliance Ransomware Hospitals 94

HIT Consultant

FEBRUARY 8, 2024

AI-Powered Clinical Trials with Digital Twins Founded in 2017, Unlearn has consistently pushed the boundaries of AI in clinical research. Regulatory Backing for Innovation Unlearn understands the importance of regulatory compliance.

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Regulatory Compliance FDA Health Outcomes Compliance 97

HIPAA Journal

MARCH 29, 2022

OCR is continuing to enforce compliance with the HIPAA Right of Access, with two of the enforcement actions resolving violations of this important HIPAA provision. The case was settled for $28,000 and Jacob & Associates agreed to a corrective action plan to address all areas of alleged non-compliance. Phillip Igbinadolor, D.M.D. &

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HIPAA Compliance Health Insurance 114

HIPAA Journal

FEBRUARY 2, 2023

The rule took effect in 2009, yet compliance has not been enforced. Since January 2017 more than 55 million consumers have used the GoodRx website and mobile app. GoodRx also misrepresented HIPAA compliance by displaying a seal on its telehealth services homepage falsely claiming it was in compliance with the HIPAA Rules.

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Prescription Drug Pricing HIPAA Compliance Telemedicine 91

HIPAA Journal

JULY 15, 2022

In addition to the financial penalty, OSU-CHS has agreed to implement a corrective action plan to resolve all areas of non-compliance identified by OCR and will be closely monitored for compliance with the corrective action plan and the HIPAA Rules for two years. 164.502(a).

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HIPAA Compliance Medicaid Medicaid 123

American Medical Compliance

MAY 13, 2024

Languages: American English Key features: Audio narration, learning activity, and post-assessment Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing and HR solutions. To become certified, please visit us at American Medical Compliance (AMC).

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Compliance Public Health Governance FDA 52

American Medical Compliance

MARCH 30, 2023

In 2017, OSHA published a directive with information about how to respond to complaints of workplace violence towards healthcare employees. Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, billing, and HR solutions. Despite this, OSHA prioritizes the safety of healthcare professionals.

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COVID-19 Compliance 52

HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. The 2016-2017 HIPAA audit program identified many areas of noncompliance. million in 2018 to just $1.6 million in 2022.

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HIPAA Compliance Due Diligence COVID-19 93

HIPAA Journal

DECEMBER 14, 2022

On November 29, 2017, OCR received a complaint alleging Dr. Brandon Au, owner and CEO of New Vision Dental, had posted responses to several reviews by patients on Yelp and frequently disclosed protected health information in the responses. New Vision Dental is a Californian general dental practice with offices in South Pasadena and Glendora.

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HIPAA Compliance 81

Compliancy Group

JULY 15, 2022

At that time, it was believed that the incident started in November 2017, but later forensic analysis revealed the earlier breach date. The post Oklahoma State University Agrees to $875k HIPAA Breach Fine appeared first on Compliancy Group. The university announced the HIPAA breach on January 5, 2018. HHS Press Release.

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HIPAA Medicaid Medicaid Compliance 97

Compliancy Group

MAY 8, 2023

In December 2017, a personal representative (father) filed a complaint against David Mente, MA, LPC, after Mente failed to provide him with the medical records of his three minor children. Take your first step toward compliance today! The post No Practice is Too Small to Face a HIPAA Fine appeared first on Compliancy Group.

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HIPAA Compliance 52

Healthcare It News

DECEMBER 5, 2022

Andrew Mahler, a former investigator with HHS Office for Civil Rights and now VP of privacy and compliance at CynergisTek, stressed the importance of healthcare organizations performing thorough risk analyses, providing proper training and education and seeking independent third-party review of policies, processes and systems. ON THE RECORD.

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Fraud HIPAA Compliance Hospitals 263

MRO Compliance

FEBRUARY 6, 2023

The partnership started in October 2017 and the idea of collecting more contextual claims data was started in June 2021. “In “The whole idea of FIGmd is that we’re going to be getting clinical information that typically is not shared via claims and it’s a huge gap. It’s a gap for care managers.

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Med-Net Compliance

AUGUST 18, 2022

In 2017, a former employee of a hospice services company doing business with the nursing home provider filed a sealed civil complaint or “whistleblower” lawsuit under the False Claims Act in the United States District Court for the Southern District of Indiana.

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Nursing Homes US Department of Health and Human Services Nurses Medicare 59

Compliancy Group

JUNE 28, 2023

Behind the Scenes of the Story The investigation began in August 2017 after OCR received a breach report indicating an unauthorized transfer of PHI from iHealth Solutions’ unsecured server. OCR will also actively monitor iHealth Solutions over the next two years to ensure compliance with HIPAA rules. Find Out More! Please Wait.

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HIPAA US Department of Health and Human Services Compliance 52

Healthcare Compliance Blog

MAY 9, 2022

Discussion Points: Review your policies and procedures for operating an effective compliance and ethics program to ensure that identifying and reporting of false claims is included. Train all staff on your compliance and ethics policies and procedures upon hire and at least annually. The post Florida Home Health Company Pays $2.1M

US Department of Health and Human Services 59

US Department of Health and Human Services Medicare Medicare Compliance 59

Compliancy Group

FEBRUARY 1, 2022

Dental offices received at least $60,000 in penalties for OSHA compliance failures during FY 2021. A chart of OSHA compliance violations by industry classification is below. Let’s Simplify Compliance OSHA fines and violations are expensive. They received fines totaling $72,471.

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COVID-19 Compliance Nurses Hospitals 52

Healthcare Law Blog

FEBRUARY 9, 2024

million to resolve a lawsuit filed by the system’s former Chief Compliance Officer, Ronald Sherman. Global billing or collaborative care arrangements are not per se violations of the Anti-Kickback Statute, however, there is greater fraud and abuse risk in these types of arrangements unless there is active, ongoing monitoring for compliance.

Hospitals 52

Hospitals Compliance Officers Compliance Overpayments 52

HIT Consultant

JUNE 20, 2023

According to the report, HIPAA violations surged by 39% between 2017 and 2021 and the number of large healthcare data breaches (those affecting 500 or more records) rose by 58%. HIPAA Compliance Complexity Complying with HIPAA regulations adds a layer of complexity to healthcare data security.

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HIPAA Compliance Medical Billing 93

Compliancy Group

MARCH 3, 2023

In February 2023, the HHS Office for Civil Rights released two reports to Congress, one of which discusses HIPAA complaints ( HIPAA Privacy, Security, and Breach Notification Rule Compliance ) and the other discussing healthcare breaches ( Breaches of Unsecured Protected Health Information ). Something is wrong with your submission.

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HIPAA Compliance 52

Med-Net Compliance

JUNE 10, 2022

million to settle claims that it violated the Controlled Substances Act on numerous occasions between 2017 and 2020. From 2017 to 2019, an employee diverted more than 11,000 Schedule II controlled substances from the company. A Virginia hospital system has agreed to pay the United States $4.36

Hospitals 59

Hospitals Compliance Licensing 59

Total HIPAA

SEPTEMBER 27, 2022

The medical center reported the breach in January of 2018, stating that it occurred in November 2017, when it was about a year before that. Well, this is just one of many real-life examples proving just how important it is to have a robust HIPAA compliance plan. So, what does this mean for Covered Entities?

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US Department of Health and Human Services HIPAA Compliance 97

HIT Consultant

OCTOBER 9, 2022

The study design was a prospective, pivotal, multi-center trial conducted from April 2017 to May 2018. The objective of the study was to compare general ophthalmologists, retina specialists, and the EyeArt Artificial Intelligence (AI) system to the clinical reference standard for detecting more than mild DR (mtmDR). Participants were ?18

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FDA Compliance 98

Dot Compliance

JANUARY 14, 2022

There are many risk management regulations and compliance standards in the life sciences industry that must be followed to successfully maintain business operations and ensure the safety of staff and product users. EU MDR 2017/745. Key Risk Management Regulations. Source: [link]. Review and Adjust.

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Compliance FDA Regulatory Compliance Governance 52

Med-Net Compliance

JUNE 15, 2022

in October 2017?under Train all staff upon hire and at least annually on your compliance and ethics policies and procedures and on what can be considered a false claim. The state of California will receive $630,099 of that sum, plus accrued interest. The doctor?is?an The case was ? two whistleblowers were the doctor’s former?medical

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Fraud Doctors Elder Abuse Medicare 59

Healthcare IT News - Telehealth

AUGUST 30, 2021

In 2017, the health system – which has 100 continuing care locations, including home care, hospice, PACE programs and senior living facilities – was in a bind, facing double-digit hospital readmissions of 16% across its high-risk Medicare population. Trinity Health has 94 hospitals across 24 states. THE PROBLEM.

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Patient Satisfaction Nurses Medicare Medicare 155

Healthcare Compliance Blog

JANUARY 25, 2022

Between 2017 and 2019, the Missouri woman owned and managed several durable medical equipment (DME) companies. Additional information is available in the Med-Net Corporate Compliance and Ethics Manual, Chapter 1 Compliance and Ethics Program, CP 2.3 General Legal Duties and Antitrust Laws.

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