HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

MedTrainer

JANUARY 31, 2024

Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program? It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. What is Healthcare Compliance?

Compliance 52

Compliance Fraud Governance ACA 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). in 2011 that was settled for $100,000.

HIPAA 94

HIPAA Compliance Ransomware Hospitals 94

HIPAA Journal

JUNE 15, 2023

The HHS’ Office for Civil Rights (OCR) investigates all reported breaches of the protected health information of 500 or more individuals and some smaller breaches to determine if the breach was caused by the failure to comply with the HIPAA Rules.

HIPAA 89

HIPAA Hospitals Electronic Medical Records Fraud 89

Healthcare Blog

NOVEMBER 9, 2023

An effective healthcare compliance program is a crucial aspect of any healthcare organization. Healthcare organizations should clearly define their expectations and the consequences for non-compliance. Healthcare organizations should clearly define their expectations and the consequences for non-compliance.

Compliance 90

Compliance Compliance Officers ACA Patient Satisfaction 90

HIPAA Journal

JANUARY 12, 2023

One of the challenges with developing HIPAA was to create rules that would correct inefficiencies and get the healthcare system working more harmoniously. The way that HIPAA needed to be written has naturally led to the legislation receiving a lot of criticism. How HIPAA has Benefited Healthcare Organizations.

HIPAA 83

HIPAA Compliance Fraud COVID-19 83

Total Medical Compliance Resources

OCTOBER 10, 2023

HIPAA: Why is a Password Policy Important? One of the critical aspects of achieving HIPAA compliance is enforcing a mandatory password policy. Compromised Patient Privacy: HIPAA’s primary goal is to protect patient privacy and ensure the confidentiality of medical information.

HIPAA 52

HIPAA Compliance Fraud 52

HIPAA Journal

OCTOBER 21, 2022

There are – and always have been – gaps in HIPAA and, after more than a quarter of a century, some have yet to be addressed. Most of the gaps in HIPAA are attributable to omissions from the original Act, provisions of HIPAA and HITECH that have never been enacted, and the increasing use of technology in healthcare.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

Compliancy Group

JUNE 15, 2023

On June 15, 2023, the Department of Health and Human Services Office for Civil Rights (OCR) announced a HIPAA settlement with Yakima Valley Memorial Hospital. To resolve the matter with OCR, Yakima agreed to pay a $240,000 HIPAA fine, adopt a corrective action plan , and is subject to OCR monitoring for two years.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

HIPAA Journal

APRIL 25, 2024

City of Hope National Medical Center identified suspicious activity within its network on October 13, 2023, and the forensic investigation confirmed there had been unauthorized access by a third party between September 19, 2023, and October 12, 2023.

Fraud 103

Fraud Health Insurance Licensing HIPAA 103

Health Law RX

NOVEMBER 22, 2023

Department of Health and Human Services (the OIG) recently released an updated General Compliance Program Guidance document (GCPG). The GCPG discusses general compliance risks and compliance considerations. The GCPG discusses general compliance risks and compliance considerations. Other Compliance Considerations.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

HIPAA Journal

SEPTEMBER 12, 2023

Schneck Medical Center has agreed to pay a penalty of $250,000 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) and state laws and will implement additional safeguards to prevent further data breaches.

HIPAA 85

HIPAA Ransomware Health Insurance Fraud 85

HIT Consultant

JANUARY 3, 2023

But they have also expanded the attack surface at these organizations and increased the level of risk and vulnerabilities that could result in direct loss of proprietary information, direct financial damage including theft and fraud, and potential loss of life (in addition to regulatory fines and brand damage) the healthcare sector faces.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

AIHC

AUGUST 30, 2023

Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If If it is too good to be true it probably isn't.”

Compliance 52

Compliance Fraud Medicare Medicare 52

AIHC

JUNE 6, 2023

OpenAI’s ChatGPT 2023 & the National Institutes of Health AI is developing at lightning speed. The government’s National Institutes of Health (NIH) published an article in February 2023 entitled “ Opportunities and risks of ChatGPT in medicine, science, and academic publishing: a modern Promethean dilemma. ”

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

HIPAA Journal

MAY 1, 2024

The lawsuits alleged CommonSpirit Health was negligent due to the failure to implement reasonable and appropriate safeguards to ensure the privacy of the protected health information it held and delayed issuing breach notifications, which were not sent until April 5, 2023. One of those lawsuits, Bonnie Maser v. Leineweber.

Fraud 97

Fraud Ransomware HIPAA Health Insurance 97

Compliancy Group

FEBRUARY 16, 2023

Open source is not particularly secure, and when your systems have the potential to access healthcare data, you have to think of how HIPAA factors in. HIPAA and ChatGPT ChatGPT is not HIPAA compliant. How ChatGPT uses and discloses consumer data is in direct contradiction with how HIPAA permits patient information to be used.

HIPAA 52

HIPAA Compliance Fraud Governance 52

AIHC

JUNE 6, 2023

OpenAI’s ChatGPT 2023 & the National Institutes of Health AI is developing at lightning speed. The government’s National Institutes of Health (NIH) published an article in February 2023 entitled “ Opportunities and risks of ChatGPT in medicine, science, and academic publishing: a modern Promethean dilemma. ”

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Innovaare Compliance

MARCH 24, 2024

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

Fraud 52

Fraud Health Insurance Compliance Medicaid 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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

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

Compliancy Group

SEPTEMBER 27, 2023

On September 25, 2023, Nuance Communications became the latest casualty of a vulnerability in Progress Software’s MOVEit Transfer software. Upon discovering the breach on May 31, 2023, Nuance wasted no time. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.” Please Wait.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

HIPAA Journal

APRIL 5, 2024

In 2022, the plaintiffs moved to certify three classes, one for each cause of action; however, in March 2023, District Court Judge Christopher Cooper denied the plaintiffs’ motion to certify two consumer classes and one contract class without prejudice, allowing the plaintiffs to file a renewed and modified motion which they did.

Fraud 65

Fraud HIPAA Health Insurance Compliance 65

HIPAA Journal

JULY 11, 2023

While the total number of affected individuals has not yet been confirmed, the breach is understood to have affected 11 million+ patients, which would make this the joint third-largest healthcare data breach to be reported by a HIPAA-regulated entity. Complimentary credit monitoring services are being offered to the affected individuals.

HIPAA 60

HIPAA Fraud Doctors Hospitals 60

HIPAA Journal

JANUARY 23, 2024

Holmes, along with former company president Ramesh Balwani, were charged with criminal fraud for making false claims about the company’s technology and misleading investors. Balwani was convicted of conspiracy to commit wire fraud against Theranos’s patients and investors and was sentenced to 12 years and 11 months in prison.

Fraud 70

Fraud FDA Medicaid Medicaid 70

Compliancy Group

MARCH 8, 2023

The Medicare Exclusion Database can trace its roots to 1996, when HIPAA (Health Insurance Portability and Accountability Act) was signed into law. HIPAA authorized the OIG to provide guidance to the healthcare industry, to prevent fraud and abuse, and to promote high levels of ethical and lawful conduct.

Medicare 52

Medicare Medicare Fraud HIPAA 52

HIPAA Journal

JANUARY 24, 2023

Time will tell whether this trend will continue in 2023, although the lull in data breaches appears to have continued so far this year with an atypically low number of breaches currently showing on the OCR data breach portal this month. million in 2023, although data breaches can be significantly more expensive.

Ransomware 113

Ransomware HIPAA Hospitals Fraud 113

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Only Consider Using HIPAA-Compliant Technology The HIPAA Rules establish standards to protect patients’ protected health information.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

HIPAA Journal

APRIL 23, 2024

The HHS Office of Inspector General (HHS-OIG) has issued a warning to the public about a fraud scheme that targets Medicare enrollees and involves them setting up monthly payments for medically unnecessary remote patient monitoring (RPN). billion in 2023.

Medicare 52

Medicare Medicare Fraud HIPAA 52

Compliancy Group

DECEMBER 12, 2023

On December 7, 2023, the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a settlement with Lafourche Medical Group. Protect Against HIPAA Fines Compliant organizations don’t get fined. The settlement was the first of its kind – resulting from a phishing incident the group reported in May 2021.

HIPAA 52

HIPAA Fraud Compliance 52

HIPAA Journal

JULY 24, 2023

Healthcare providers participating in federal healthcare programs are advised to regularly check the HHS OIG Exclusions List to avoid penalties for non-compliance with §1128 of the Social Security Act. This article answers the following: What is the HHS Office of Inspector General? What is the HHS OIG Exclusions List?

Fraud 52

Fraud Medicare Medicare Medicaid 52

AIHC

SEPTEMBER 21, 2023

This article is subsequent to the original article “ HIPAA, The Cures Act and Information Blocking Compliance ” and Article on Right of Access Vs Information Blocking Part 1 and Part 2.

HIPAA 59

HIPAA Compliance Nurses Fraud 59

Health Law RX

JULY 18, 2023

On June 27, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its long-anticipated final rule amending the OIG’s civil monetary penalty (CMP) regulations as they relate to information blocking (CMP Final Rule or Rule). The CMP Final Rule was published in the Federal Register on July 3, 2023.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

C&M Health Law

AUGUST 3, 2023

Under the final rule, enforcement of the information blocking penalties will begin September 1, 2023. This means, OIG will not impose penalties on conduct occurring before September 1, 2023. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023.

Fraud 52

Fraud HIPAA Governance Compliance 52

HIPAA Journal

FEBRUARY 2, 2024

Blackbaud explained in the July 16, 2023, notification letters that financial information and Social Security numbers were not compromised and said no action was required because no personal information was accessed. The post FTC Orders Blackbaud to Improve Security and Enforce Data Retention Policies appeared first on HIPAA Journal.

Fraud 68

Fraud HIPAA Health Insurance Compliance 68

HIT Consultant

DECEMBER 18, 2023

In Europe, this is GDPR (General Data Protection Regulation), in America, it’s HIPAA (Health Insurance Portability and Accountability Act). AWS solutions require software compatible with HIPAA standards. Google Cloud Platform The storage operates by HIPAA standards. Currently, ChatGPT does not meet HIPAA standards.

Electronic Medical Records 105

Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

Healthcare IT Today

DECEMBER 15, 2023

In Europe, this is GDPR (General Data Protection Regulation), in America, it’s HIPAA (Health Insurance Portability and Accountability Act). AWS solutions require software compatible with HIPAA standards. However, it is crucial to consider the compliance of chatbots with security standards.

Electronic Medical Records 101

Electronic Medical Records Doctors HIPAA Hospitals 101