Symplr

JANUARY 5, 2023

No health system wants to make headlines for compliance penalties and fines. Managing risk and meeting compliance standards to keep patients safe—and stay out of the news—is challenging and costly. So an unexpected compliance penalty on top of everyday rising costs can be devastating.

Compliance 59

Compliance Governance Hospitals 59

Health Law Advisor

AUGUST 25, 2023

It is axiomatic that New York State requires every Medicaid provider to have an “effective” compliance program. These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. New York Social Services Law § 363-d.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the West Virginia Department of Health and Human Resources (DHHR) and the Bureau for Medical Services (BMS) , oversee and enforce these regulations. Effective management of healthcare compliance in West Virginia requires consistent adherence to both federal and state agency standards.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Compliancy Group

JUNE 3, 2022

Conducting an annual Security Risk Analysis is one of the foundational requirements of HIPAA compliance. The poll was conducted during Compliancy Group’s “6 Secret Ingredients to HIPAA Compliance” webinar on May 20, 2022. Let’s Simplify Compliance Do you need help with HIPAA? Compliancy Group can help!

HIPAA 98

HIPAA Compliance Doctors Governance 98

MedTrainer

NOVEMBER 17, 2023

To ensure full compliance, healthcare organizations and professionals operating in Maryland must be well-versed in these unique regulations while navigating the broader federal healthcare compliance landscape. The software helps to keep documents and policies organized, ensures training content is up-to-date, and makes reporting easy.

Compliance 52

Compliance Licensing Hospitals Health Insurance 52

Healthcare Law Blog

OCTOBER 2, 2023

The government buys billions of dollars in healthcare-related goods and services every year, and no government procurement is perfect. If the answer is “yes”—or even “maybe”—healthcare companies may file a bid protest at the Government Accountability Office (“GAO”) or the U.S. In Softrams LLC , B- 419927.4, et al.

Governance 52

Governance Department of Veterans Affairs Medicaid Medicaid 52

HIPAA Journal

JULY 7, 2022

Here we explain what ADPPA compliance will entail. Greater privacy and security requirements apply to sensitive covered data, which includes government-issued identifiers, health information, financial information, biometric data, genetic information, precise geolocation information, and a range of other sensitive data types.

Compliance 104

Compliance Governance HIPAA 104

Compliancy Group

JANUARY 5, 2024

At the end of 2022, Compliancy Group predicted that, with the COVID-19 crisis at last in the rear-view mirror, HHS would return to “normal” – would spend the bulk of its time and resources on traditional enforcement priorities. In 2023, OCR continued to enforce compliance with the HIPAA Privacy Rule right of access rule.

HIPAA 52

HIPAA Compliance COVID-19 Ransomware 52

YouCompli

MARCH 1, 2023

Effectively Manage Shared Responsibility A common challenge for compliance officers in healthcare organizations is collaborating with operational leaders to identify and mitigate risks. Often, operational leaders are unaware of their roles and responsibilities in their organizations’ compliance programs. Compliance is the second line.

Compliance 52

Compliance Compliance Officers Governance Hospitals 52

YouCompli

FEBRUARY 22, 2023

Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Compliancy Group

MARCH 30, 2023

The 2022 Internet Crime Report has revealed alarming statistics about the rampant rise in cybercrime, making it more critical than ever to be aware of the dangers and take necessary precautions. In 2022 there were a total of 800,944 complaints, which shows a 5% decrease from 2021, but the potential total loss has increased from $6.9

Ransomware 52

Ransomware Fraud HIPAA Compliance 52

Provider Trust

FEBRUARY 3, 2023

Hosted by Co-Founder of ProviderTrust Michael Rosen and Chief Compliance Officer Donna Thiel, our webinar outlined various factors affecting the healthcare space in the new year, from staffing strikes to increased scrutiny around private equity investment firms. What does this mean for compliance and oversight or management of these risks?

Compliance 52

Compliance Fraud Nurses Telemedicine 52

Compliancy Group

MAY 18, 2022

In March of 2022, President Biden signed into law the Consolidated Appropriations Act 2022. The Consolidated Appropriations Act 2022 wears many hats. trillion bill is a new law, the Cyber Incident Reporting for Critical Infrastructure Act of 2022. Details of the Consolidated Appropriations Act 2022 are provided below. .

HIPAA 52

HIPAA Ransomware Compliance Public Health 52

Healthcare IT Today

JANUARY 2, 2024

In the same step, the number of regulations governing the sector has grown in complexity, which stems from movements including the HIPAA Right of Access Initiative and fallout from the reversal of federally protected abortion access.

Compliance 69

Compliance US Department of Health and Human Services HIPAA Health Insurance 69

Healthcare IT News - Telehealth

JUNE 8, 2022

based attorney in the health law practice of Baker, Donelson, Bearman, Caldwell & Berkowitz about what providers should be doing to ensure compliance when the PHE finally sunsets. State government executive orders. What do you see as the primary compliance issues providers will have to contend with? Cohen, a Washington, D.C.-based

US Department of Health and Human Services 182

US Department of Health and Human Services Compliance Overpayments Overpayment 182

YouCompli

AUGUST 2, 2023

As compliance officers, we talk a lot about the factors that directly influence a culture of compliance in our organizations. But we don’t spend nearly as much time on elements that affect compliance culture more indirectly.  non-medical factors that influence patients’ health outcomes) can influence compliance rates.

Compliance 52

Compliance Compliance Officers Health Outcomes Hospitals 52

Health Law Advisor

FEBRUARY 10, 2023

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] billion was recovered in qui tam cases in which the government declined to intervene. 1] While total recoveries exceeded $2.2 Last year, $1.2 1] [link]. [2] 1] [link].

Fraud 52

Fraud COVID-19 Governance Medicaid 52

Health Care Performance

JUNE 29, 2022

The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. In addition to the surveyor guidance, CMS has posted training on the new compliance guidance for surveyors, and the updated. CMS will begin reviewing nursing home Compliance and Ethics programs via survey on.

Compliance 52

Compliance Nursing Homes Nurses Compliance Officers 52

MRO Compliance

APRIL 7, 2022

April 7, 2022. New government regulations never stop in healthcare. The Patient Right of Access Rule and a Look at Enforcement Actions. Healthcare IT Today. It’s just the nature of the business and that’s unlikely to change. However, the reality of this is that some rules get more attention than others. View Full Article.

Governance 130

Governance Compliance 130

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. For a second violation, OMIG may increase the penalty to $10,000 per month.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

Healthcare Law Today

DECEMBER 15, 2022

On December 6, 2022, the Supreme Court heard argument in United States ex rel. The case asks whether the government has authority to dismiss an FCA suit after initially declining to proceed with the action, and if so, what standard would apply. However, the government moved to dismiss the case later, in August 2019. Polansky v.

Governance 52

Governance Doctors Medicare Medicare 52

Med-Net Compliance

OCTOBER 21, 2022

The Office of Inspector General (OIG) has recently posted the False Claims Act (FCA) settlements for FY 2022 Q1–Q4 on the risk spectrum. The government’s primary civil tool for addressing healthcare fraud is the FCA. As a result, the OIG is not seeking to exclude them from those programs or to require a CIA.

Fraud 59

Fraud Compliance Medicare Medicare 59

Compliancy Group

AUGUST 3, 2022

Procurement compliance and security are often put on the back burner when companies try to save money. Customers of Aksoy’s fraudulent and counterfeit devices included hospitals, schools, government agencies, and the military.”. ” Let’s Simplify Compliance HIPAA and device security go hand-in-hand. Learn More! ×

Compliance 52

Compliance HIPAA Licensing Governance 52

Hall Render

FEBRUARY 27, 2023

billion in False Claims Act (“FCA”) related settlements and judgments in the federal fiscal year 2022. Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 The Medicaid program was a target in 2022.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

Verisys

DECEMBER 22, 2021

However, based on discussions with Verisys clients and prospects, most health plans are unprepared to meet the requirements due by January 1, 2022. Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. The post Ensuring Provider Directory Compliance With H.R.

Compliance 52

Compliance Regulatory Compliance Healthcare information Technology Health Insurance 52

HIPAA Journal

OCTOBER 24, 2022

Daixin Team first appeared on the radar in June 2022, with the group predominantly conducting data extortion and ransomware attacks on organizations in the health and public health sector (HPH). Ensuring compliance with the HIPAA Security Rule with respect to ePHI. Securing ePHI at collection points using encryption.

Ransomware 72

Ransomware Governance HIPAA Public Health 72

Healthcare IT Today

AUGUST 6, 2022

Funding and M&A Activity: Compliance and risk management consultant Clearwater acquired TECH LOCK , a security management and threat response vendor that had been operating as a subsidiary of patient engagement company RevSpring. Thanks for reading and be sure to check out our latest Healthcare IT Today Weekly Roundups.

Compliance 96

Compliance Governance Hospitals 96

Health Law Advisor

OCTOBER 5, 2022

Building on attempts in recent years to strengthen the Department of Justice’s (DOJ’s) white collar criminal enforcement, on September 15, 2022, Deputy Attorney General Lisa Monaco announced revisions to DOJ’s corporate criminal enforcement policies.

Compliance Officers 52

Compliance Officers Compliance Due Diligence Governance 52

YouCompli

AUGUST 17, 2022

How can external stakeholders see and feel your culture of compliance? Anstine is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog. This post looks at measuring your organization’s culture of compliance. This could create a problem.

Compliance 52

Compliance Compliance Officers Governance Hospitals 52

Healthcare Law Blog

AUGUST 22, 2022

In addition, the federal agencies that regulate and oversee nursing homes (and some states [1] ) have or plan to take action to ensure more transparency, compliance and enforcement regarding nursing facility ownership. On August 17, 2022, the U.S. Indeed, the U.S. Targeting Private Equity. FOOTNOTES. [1]

Nursing Homes 52

Nursing Homes Nurses Governance Medicare 52

Bill of Health

MAY 28, 2024

The process of rescheduling may be long and is unlikely to create a pathway to federal compliance for state-legal marijuana businesses without further federal legislation. Notably, the recommendation was the first statement from a federal government agency that marijuana has a currently accepted medical use and a low potential for abuse.

FDA 210

FDA Bioethics Compliance Telemedicine 210

Provider Trust

MARCH 30, 2022

Since the recent aggressions and attacks against Ukraine starting in February 2022, many Russian entities and individuals have been added to OFAC’s SDN List as part of the United States’ overall effort to cripple Russia’s economy and military with financial sanctions. companies as a part of their compliance program/plan. Subsidiaries.

Compliance 52

Compliance Fraud Governance 52

Healthcare IT Today

JANUARY 17, 2024

Insights are also from auditing professional and hospital claims totaling more than $5 billion and denials from commercial and government payors exceeding $150 billion. Patient volumes and surgical procedures showed signs of recovery from pandemic-era declines, increasing by 23% and 27% respectively over 2022. healthcare organizations.

Compliance 115

Compliance Overpayments Overpayment Medicare 115

HIPAA Journal

FEBRUARY 14, 2023

The Troy, MI-based fully integrated professional advisory and asset management firm, Rehmann, has recently been confirmed as being in full compliance with the federally mandated standards of the Health Insurance Portability and Accountability Act (HIPAA) and the HITECH Act.

HIPAA 85

HIPAA Compliance Health Insurance Governance 85

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. A Government-Commissioned Report Released February 2024 The U.S.

Ransomware 59

Ransomware Governance Compliance HIPAA 59

Total Medical Compliance Resources

APRIL 14, 2023

FACT SHEET: Biden-Harris Administration Makes Progress in the Whole-of-Government Response to Long COVID U.S. In November 2022 the Health+ Long COVID Report – PDF was published. In addition, the CDC-funded Project ECHO provides a distance- learning platform for providers nationwide. Agencies across the U.S.

Governance 59

Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 59

HIT Consultant

JANUARY 3, 2023

Department of Health and Human Services Office of Information Security noted in a 2022 report on health sector cybersecurity, that threat actors continue to evolve and become more sophisticated and effective in their attacks. The Challenges to Meeting Compliance Regulations. Compliance with regulations is nothing new for the industry.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52