Total HIPAA

MARCH 23, 2022

Are you an insurance agent who handles protected health information (PHI)? If so, you must comply with the Health Insurance Portability and Accountability Act (HIPAA) when it comes to marketing and communications. Sources: Health Insurance Portability and Accountability Act of 1996 (HIPAA), Pub.

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HIPAA Compliance Health Insurance 52

HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To?

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HIPAA Due Diligence Compliance Fraud 132

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. While these advancements bring undeniable benefits, they also introduce complex challenges related to healthcare compliance.

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Compliance HIPAA Telemedicine Health Insurance 97

Medisys Compliance

JANUARY 30, 2023

Let us discuss the top compliance issues in the medical billing industry, shall we? HIPAA: The Health Insurance Portability and Accountability Act( HIPAA) is a federal law that establishes the national standards for protecting the privacy and security of individuals’ personal health information ( PHI).

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Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

MedTrainer

FEBRUARY 29, 2024

It’s bad enough when a healthcare organization exposes patient protected health information (PHI). But, it can get worse if employees aren’t familiar with their organization’s HIPAA incident response plan. There are countless such cases every year even though it is relatively easy to create a HIPAA incident response plan.

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HIPAA Compliance Health Insurance Compliance Officers 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).

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HIPAA Compliance Ransomware Hospitals 94

HIT Consultant

MARCH 13, 2024

Investigation Focuses on HIPAA Compliance The OCR enforces the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules. Implementing timely breach notification procedures as required by HIPAA, notifying both HHS and affected individuals if a breach is confirmed.

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Ransomware HIPAA Compliance Health Insurance 116

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. .

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HIPAA Compliance Hospitals COVID-19 122

HIPAA Journal

JUNE 20, 2023

May 2023 was a particularly bad month for healthcare data breaches. More healthcare records have been breached in the first 5 months of 2023 (36,437,539 records) than in all of 2020 (29,298,012 records). There were also 9 data breaches involving electronic protected health information in email accounts. million individuals.

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Ransomware HIPAA Compliance Health Insurance 93

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.

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HIPAA Compliance Health Insurance Governance 85

HIPAA Journal

FEBRUARY 3, 2023

The HHS’ Office for Civil Rights has announced its second financial penalty of 2023 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Phoenix, AZ-based Banner Health is one of the largest non-profit health systems in the United States.

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HIPAA Health Insurance Compliance Hospitals 83

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.

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Compliance Compliance Officers ACA Patient Satisfaction 90

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). One way to ensure compliance is to undergo a HIPAA compliance audit. 104-191 Department of Health and Human Services.

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

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HIPAA Ransomware Health Insurance Fraud 85

MedTrainer

SEPTEMBER 8, 2023

Maintaining compliance with healthcare regulations and standards isn’t just a legal requirement; it’s a crucial element in upholding patient safety, data security, and the overall integrity of healthcare practices. Hear more on compliance essentials from a panel of expert healthcare surveyors. Why Is Healthcare Compliance Important?

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Compliance HIPAA Medicaid Medicaid 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.

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HIPAA Compliance Medicare Medicare 95

MedTrainer

MARCH 28, 2024

Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. Who in the Organization Is Responsible for Healthcare Compliance?

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Compliance Compliance Officers Licensing Regulatory Compliance 52

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). One important aspect of HIPAA compliance is ensuring that all staff members receive appropriate training on HIPAA regulations.

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HIPAA US Department of Health and Human Services Compliance Health Insurance 52

Compliancy Group

MARCH 15, 2023

However, with the rise of telemedicine, especially since the start of COVID-19 comes the need for HIPAA compliant telemedicine software. Essentially, healthcare providers using telemedicine platforms must ensure that the service they use is HIPAA compliant before enforcement resumes. HIPAA and Telemedicine: Why Should You Be Compliant?

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Telemedicine HIPAA Compliance COVID-19 52

AIHC

AUGUST 3, 2023

Artificial Intelligence and the Health Insurance Portability & Accountability Act Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This is the fourth article in our Artificial Intelligence and compliance series. In March 2023, a security breach occurred.

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HIPAA Compliance Health Insurance Doctors 52

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. However, it wasn’t until the mid-20th century that healthcare compliance regulations and programs began.

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Compliance Fraud Governance ACA 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.

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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.

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Compliance Officers Compliance Medicare Medicare 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

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Compliance Licensing Compliance Officers Informed Consent 52

HIT Consultant

JANUARY 3, 2023

The Challenges to Meeting Compliance Regulations. Among all of the challenges healthcare security programs face, one of the biggest is the fast-changing regulatory compliance environment combined with the lack of visibility and consistency in cybersecurity training. Compliance with regulations is nothing new for the industry.

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Compliance Ransomware Fraud Regulatory Compliance 52

Compliance Now

AUGUST 10, 2023

This request is not mandatory for employers, and there are significant compliance considerations for employers that extend the enrollment window for this population. During the recent public health emergency declared as a result of the COVID-19 pandemic, state agencies did not terminate individuals’ Medicaid or CHIP coverage.

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Medicaid Medicaid Compliance Health Insurance 100

C&M Health Law

DECEMBER 13, 2022

In 2023, we expect to see health care policy developments in the following key domains: reproductive rights and gender discrimination, health data privacy, telehealth, and price transparency. . 8152 ), which proposes to establish a national data security and digital privacy framework, as well as other data privacy bills.

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COVID-19 Medicare Medicare Hospitals 98

AIHC

AUGUST 30, 2023

What compliance issues need to be considered when drafting a marketing strategy? Let’s take a closer look at potential compliance risks. 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.

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Compliance Fraud Medicare Medicare 52

HIPAA Journal

AUGUST 22, 2023

El Centro Del Barrio, doing business as CentroMed in San Antonio, TX, has alerted 350,000 patients that some of their protected health information was potentially compromised in a hacking incident that was detected on June 12, 2023. The affected individuals started to be notified by mail on August 11, 2023.

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Health Insurance Compliance Governance HIPAA 52

HIPAA Journal

APRIL 29, 2024

The Federal Trade Commission (FTC) issued a final rule on April 26, 2024, that updates the FTC Health Breach Notification Rule. With the increasing use of health apps and connected devices, the updated HBNR will ensure it keeps pace with changes in the health marketplace.”

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HIPAA Health Insurance Compliance 89

HIPAA Journal

OCTOBER 21, 2022

A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. He is due to be sentenced on Feb.

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Fraud HIPAA FDA Health Insurance 59

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.

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HIPAA Compliance Health Insurance Fraud 52

American Medical Compliance

JUNE 26, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) granted enforcement discretion for certain aspects of the Health Insurance Portability and Accountability Act (HIPAA) during the public health emergency. Reference US Department of Health and Human Services (11 April 2023).

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

Compliancy Group

NOVEMBER 30, 2022

In other words, the proposed rule allows provider sharing of records in a similar manner to which HIPAA permits such sharing. More information about 42 CFR Part 2 and HIPAA care coordination is provided below. 42 CFR Part 2 and HIPAA Care Coordination: What’s in the Proposed Rule? Make Sure You’re HIPAA Compliant.

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HIPAA Governance Health Insurance Compliance 52

Healthcare Law Today

NOVEMBER 30, 2022

Proposed changes to the federal substance use disorder law will increase provider efficiency and alignment with the Health Insurance Portability and Accountability Act (HIPAA). The Proposed Rule’s impact will be a net positive for substance use disorder providers already required to comply with HIPAA.

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HIPAA Telemedicine Compliance Health Insurance 52

American Medical Compliance

JUNE 24, 2023

A hospital security patient privacy breach has resulted in a hefty settlement of $240,000 under the Health Insurance Portability and Accountability Act (HIPAA). The breach involved numerous patients’ personal health information (PHI) and violated the HIPAA Privacy Rule, which mandates strict protection of patient data.

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US Department of Health and Human Services HIPAA Compliance Hospitals 52

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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HIPAA Ransomware Compliance Medicaid 52