Total HIPAA

MAY 19, 2022

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). In this blog post, we’ll discuss what insurance agents need to know about HIPAA compliance audits. 104-191 Department of Health and Human Services.

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Total HIPAA

MAY 9, 2022

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). In this blog post, we’ll discuss the requirements for HIPAA training for insurance agents and some strategies for providing effective training.

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Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured.

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Health Law RX

MARCH 21, 2023

Most recently, a Texas court vacated portions of the No Surprises Act’s updated final rule (the final rules were discussed in our most recent blog on the subject). We are not surprised by the continued stop-and-go regarding guidance surrounding the No Surprises Act.

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American Medical Compliance

DECEMBER 21, 2023

As featured in Companies Market Cap, the top 10 publicly traded healthcare companies have revenue of $39 billion to $359 billion as of 2023. This shows that there’s a continual focus on health and wellness. Do: Educate yourself on HIPAA compliance Study the Health Insurance Portability and Accountability Act (HIPAA) guidelines.

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Hall Render

JANUARY 26, 2024

Health care providers around the country are struggling to find ways to cover the cost of treating uninsured immigrants within the U.S., At least 11 states have agreed to provide full health insurance coverage to low-income immigrants regardless of their legal status. per Beckers.

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Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

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MedTrainer

FEBRUARY 29, 2024

In June 2023, a Kendall Park, New Jersey facility was fined $30,000 for improperly disclosing protected health information and failing to implement policies and procedures with respect to PHI. But, it can get worse if employees aren’t familiar with their organization’s HIPAA incident response plan. What is a HIPAA Incident?

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Bill of Health

MARCH 21, 2023

Although estimates vary, a large CDC analysis found that one in five adults aged 18 to 65, and one in four adults aged 65 and older, have a health condition related to a previous COVID-19 infection. Federal survey data from 2023 and 2 022 indicate that 15 percent of adults in the U.S.

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Hall Render

JANUARY 6, 2023

On January 3, 2023, the Office for Civil Rights (“OCR”) at the U.S. Although this resolution is the first of 2023, it follows a long list of resolutions since OCR’s focus on the right of access started and brings the total to 43 enforcement actions under OCR’s Right of Access Initiative. Summary of Enforcement Action.

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Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). from FY 2023 to FY 2024. from FY 2023 to FY 2024. in FY 2024 but applies a 0.2%

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Healthcare Blog

OCTOBER 19, 2023

There are public health policies on a legislative level you are sure to recognize. These include The Affordable Care Act, which helps give Americans access to affordable health insurance, or The Clean Water Act and Safe Drinking Water Act, which ensures access to clean water and clean air. 2021, May 6). Columbia University.

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Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers. DEPARTMENT of HEALTH and HUMAN SERVICES Food and Drug Administration. November 2023, [link] U.S.

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MedTrainer

MARCH 28, 2024

In this blog, we’ll outline the many roles that impact healthcare compliance , the pros and cons of each role’s management responsibilities, and what each is accountable for in concert with the others. But that’s only one aspect of this complex – and sometimes confusing – process.

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Health Populi

JANUARY 2, 2024

Note that one of CES 2024 keynote speakers is Elevance Health’s President and CEO Gail Boudreaux. “Elevance Health, a health insurance company? is working to address for its 118 health plan members. is working to address for its 118 health plan members.

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Jane Sarashon

MARCH 12, 2024

That’s TMI for me to write about in the Health Populi blog, but this story has a current-events twist: the pharmacist could not electronically link with my insurance company to transact my payment. health care providers could have lost as much as $1 billion a day in daily revenue during the outage (compared with 2023).

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Healthcare Law Blog

MARCH 10, 2023

While much recent focus has been made on a somewhat similarly-focused law, the “Healthcare Consolidation and Contracting Fairness Act of 2022” or “AB 2080” (see our healthcare law blog analysis earlier in 2022 regarding the proposed legislation), it was SB 184 and not AB 2080 that was passed in advance of the September 2022 legislative recess.

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Healthcare Law Blog

AUGUST 3, 2023

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

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Health Law RX

SEPTEMBER 16, 2022

Governor Ron DeSantis’s “ Freedom First Budget for Fiscal Year 2022-2023 ” includes funding for AHCA to increase reimbursement rates and capitation rates in order to ameliorate the cost increases to Providers and Plans. Second Deadline – January 1, 2023. County Health Department Certified Match Program Fee Schedule.

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Healthcare Law Blog

JANUARY 20, 2023

To add uniformity to this practice, CMS codified this flexibility in the 2016 Medicaid and Children’s Health Insurance Plan (CHIP) managed care final rule by authorizing coverage for “In Lieu of Service or Settings” (ILOS). [i] Please refer to our prior blog for more information on CalAIM.

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The Health Law Firm Blog

OCTOBER 10, 2023

Board Certified by The Florida Bar in Health Law On July 11, 2023, HCA Healthcare, which operates 180 hospitals in the U.S. By George F. Indest III, J.D., and Britain, said a hacker may have stolen the personal data of about 11 million patients in a data breach. A press release warned patients [.]

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MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Patient privacy.

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Healthcare Law Blog

JULY 31, 2023

On June 17, 2023, Texas enacted legislation (the “Legislation”) limiting use of genetic data by certain genetic data testing companies, joining a number of other states in tackling the ever-increasing privacy concerns surrounding health and genetic information. 18] The Legislation is slated to take effect on September 1, 2023.

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Healthcare Law Blog

OCTOBER 31, 2022

In May, we discussed the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”) issued by the Centers for Medicare and Medicaid Services (“CMS”). As a result, these ads must be approved by CMS before use.

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Healthcare Law Blog

JUNE 22, 2023

Drug Discount Card Program (Effective October 1, 2023) The Act establishes a Drug Discount Card Program to be made available to all residents of Connecticut. Reducing Prescription Drug Costs (Effective October 1, 2023) The Act has updated the process for listing drugs that are expensive to the state.

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Healthcare Law Blog

MARCH 20, 2023

Please refer to our blog for more information on the proposed rule. Finally, private health plans may mimic state tactics to increase provider engagement through incentives such as prompt payment processes, referral assistances services, and direct financial payments for meeting specified performance benchmarks. 21, 2023). [5]

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AIHC

AUGUST 30, 2023

As a reminder, telemarketing in healthcare must follow strict privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191 in the United States. We couldn’t talk about websites without mentioning “Blogs”. The key to blogs is you do have to keep them updated.

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MedTrainer

JANUARY 31, 2024

In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024. The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.

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Healthcare Law Blog

JULY 7, 2022

The bill imposes a new formidable regulatory hurdle for deals by requiring the Attorney General to approve, deny, or conditionally approve all transactions involving for-profit medical groups, health systems, pharmacy benefit managers, health plans, health insurers and hospitals, where the value of such transaction exceeds $15 million.

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Healthcare Law Blog

FEBRUARY 10, 2023

On February 6, 2023, the United States District Court for the Eastern District of Texas ruled in favor of the Texas Medical Association [1] and vacated portions of the final rule adopted in August 2022 (the “August 2022 Final Rule”) that applied to the Independent Dispute Resolution (“IDR”) process created by the No Surprises Act (the “Act”). [2]

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Healthcare Law Blog

JUNE 27, 2023

On June 16, 2023, nearly half of the State Attorneys General [1] penned a letter (the “Letter”) to the U.S. Department of Health and Human Services, Office for Civil Rights (“OCR”) advocating for broader privacy protections surrounding reproductive health care information. Supreme Court’s overturning of Roe v.

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MedTrainer

DECEMBER 7, 2023

Telehealth Law Idaho’s Virtual Care Access Act , passed in 2023, broadens virtual care’s definition to include various technology-enabled services like telemedicine and remote monitoring, considering care as rendered at the patient’s location.

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Center for Health Insurance Reform

MARCH 18, 2022

After the Biden administration issued the proposed 2023 “Notice of Benefit and Payment Parameters,” several hundred stakeholders provided feedback on the new set of rules governing the ACA’s marketplaces and health insurance standards.

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Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”).

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Healthcare Law Blog

JANUARY 6, 2023

On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces.

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Provider Trust

FEBRUARY 3, 2023

In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. Six health systems either reduced services, closed hospitals or practice locations, while five health systems re-engineered leadership and/or their corporate structure to save money.

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Healthcare Law Blog

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others.

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