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 average HIPAA penalty has fallen from $2.6 reduction in total penalties compared to 2018, falling from $28.7

HIPAA 96

HIPAA Compliance Due Diligence COVID-19 96

HIPAA Journal

APRIL 29, 2024

A vendor was engaged to conduct a review of the affected files, and that process was completed on April 2, 2024. Notification letters were mailed to the affected individuals on April 25, 2024, and complimentary credit monitoring and identity theft protection services have been offered to the affected individuals.

Health Insurance 95

Health Insurance Health Analytics HIPAA Medicaid 95

Healthcare IT Today

JANUARY 18, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. In 2024, this will be a continued shift toward seeking an increased level of health literacy and proactive health choices that will reduce preventable conditions.

Hospitals 75

Hospitals Compliance Health Outcomes Medicare 75

Healthcare IT Today

MAY 17, 2024

So while at ViVE 2024 we thought we could do our own friendly little predictions for healthcare. Karl Ulfers, Co-Founder and CEO at DUOS We spend most of our time at DUOS working with Medicare Advantage Plans and working directly with the older adults that are a part of those plans and their caregivers.

Medicare 66

Medicare Medicare Hospitals HIPAA 66

Wyatt Law Blog

FEBRUARY 22, 2024

On February 8, 2024, the Centers for Medicare and Medicaid Services (CMS) issued a memorandum entitled Texting of Patient Information and Orders for Hospitals and CAHs (the 2024 Memo), which provides updated guidance to State Survey Agency Directors.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

HIPAA Journal

JANUARY 31, 2024

Aside from 2015, the number of reported security breaches in healthcare has increased every year although the rate of increase is slowing and 2024 could see the healthcare industry start to turn the corner. In January 2024, the CPGs were unveiled. In 2023, an average of 373,788 healthcare records were breached every day.

Ransomware 122

Ransomware HIPAA Hospitals Compliance 122

HIPAA Journal

MARCH 29, 2024

HHS Issues Guidance for Providers Affected by Change Healthcare Ransomware Attack The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), and the Administration for Strategic Preparedness and Response (ASPR) have issued guidance to help entities impacted by the Change Healthcare ransomware attack.

Ransomware 99

Ransomware US Department of Health and Human Services HIPAA Hospitals 99

HIPAA Journal

JANUARY 11, 2024

One of the first tasks undertaken by the newly created OIG in healthcare was to establish the OIG HHS Exclusions List as required by the Medicare-Medicaid Anti-Fraud and Abuse Amendments 1977. appeared first on HIPAA Journal. The post What is OIG in Healthcare?

Fraud 83

Fraud HIPAA Compliance Medicare 83

AIHC

FEBRUARY 7, 2024

This article provides a basic overview of Artificial Intelligence, Telehealth, Asynchronous Services and HIPAA privacy concerns. Address HIPAA and Privacy Concerns Technology considerations The telehealth platform you use should meet HIPAA requirements. It covers billing, Federal Medicare policies and State Medicaid policies.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

AIHC

MARCH 12, 2024

Please read other AI articles published by the American Institute of Healthcare Compliance regarding how AI can advance quality of care, how AI is regulated, use of AI and HIPAA privacy/security, to name a few topics. A Government-Commissioned Report Released February 2024 The U.S. According to Time in a March 11, 2024 exclusive, U.S.

Ransomware 59

Ransomware Governance Compliance HIPAA 59

AIHC

FEBRUARY 7, 2024

This article provides a basic overview of Artificial Intelligence, Telehealth, Asynchronous Services and HIPAA privacy concerns. Address HIPAA and Privacy Concerns Technology considerations The telehealth platform you use should meet HIPAA requirements. It covers billing, Federal Medicare policies and State Medicaid policies.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

AIHC

MARCH 12, 2024

Please read other AI articles published by the American Institute of Healthcare Compliance regarding how AI can advance quality of care, how AI is regulated, use of AI and HIPAA privacy/security, to name a few topics. A Government-Commissioned Report Released February 2024 The U.S. According to Time in a March 11, 2024 exclusive, U.S.

Ransomware 52

Ransomware Governance Compliance HIPAA 52

Compliancy Group

MAY 15, 2024

As we move deeper into 2024, hospitals must increasingly focus on compliance with regulations set forth by the Office of Inspector General (OIG). The OIG is intensifying scrutiny on accurate coding and proper billing for services rendered , particularly concerning Medicare and Medicaid reimbursements.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. It is not mandatory that an employer extend their HIPAA special enrollment period beyond the existing 60-day requirement.

Medicaid 100

Medicaid Medicaid Compliance Health Insurance 100

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Understanding HIPAA is crucial.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Compliancy Group

OCTOBER 5, 2023

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law to improve patient healthcare outcomes. Under MACRA, the Centers for Medicare and Medicaid Services (CMS) created regulations to encourage healthcare providers to use secure health information technology. The MIPS rules for 2023 are discussed below.

HIPAA 52

HIPAA Medicare Medicare Compliance 52

Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). This is just the beginning.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

Healthcare IT Today

APRIL 19, 2024

Healthcare IT Today caught up with Bobbi Weber, VP of Product Marketing & Customer Success at QliqSOFT , a company that provides HIPAA-compliant, real-time communication between doctors, nurses, caregivers and patients. QliqSOFT is making it easier to get this important information while maintaining dignity.

HIPAA 113

HIPAA Doctors Nurses Medicare 113

HIPAA Journal

DECEMBER 22, 2022

Funding for the Centers for Medicare and Medicaid Services will increase by $100 million, the National Institutes of Health will receive an additional $2.5 HIPAA called for the creation of a unique patient identifier (UPI), but funding has not been provided to date. The bill proposes $120.7 billion from last year.

FDA 103

FDA Governance COVID-19 Medicaid 103

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).

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52

Compliancy Group

NOVEMBER 16, 2022

In 2015, legislation known as the Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. Under MACRA, the Centers for Medicare and Medicaid Services created regulations for healthcare providers’ use of health information technology. Get Started × Risk Assessments & Everything You Need for HIPAA.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Healthcare IT Today

FEBRUARY 22, 2024

Medicare, Medicaid, Commercial) medical & prescription claims, 2M+ healthcare providers, and 1,000+ variables across population health including demographic, disease state, social risk factors, and social determinants of health. Originally announced February 5th, 2024 physicians, physician groups, hospitals, health systems, etc).

Medicaid 113

Medicaid Medicaid HIPAA Medicare 113

AIHC

MAY 30, 2024

Advancing RCM Operations Every year, more than five billion medical claims are processed by Payers in the United States for reimbursement, according to the Centers for Medicare & Medicaid Service, CMS.gov. billion between 2024 and 2033, a period of nine years. Return-to-Provider 5.1

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Understanding HIPAA is crucial.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Jane Sarashon

FEBRUARY 27, 2024

While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP has assembled health insurance leaders in Washington, DC, for the 2024 Capital Conference to focus on major health reform issues that are top-of-mind for health care payors — which in today’s U.S.

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

C&M Health Law

DECEMBER 13, 2022

Most recently, the OCR issued a bulletin to outline the obligations of Health Insurance Portability and Accountability Act of 1996 (HIPAA) on regulated entities when using online tracking technologies and notably includes several examples focused on protecting reproductive health information.

COVID-19 98

COVID-19 Medicare Medicare Hospitals 98

Healthcare IT Today

SEPTEMBER 17, 2023

News Comments rolled in on the proposed Calendar Year 2024 Physician Fee Schedule. The EHR Association called for greater flexibility in the data completeness threshold and additional criteria to enhance patient matching accuracy, while MGMA called for a positive update to the Medicare conversion factor amid high inflation.

Nurses 113

Nurses HIPAA Medicare Medicare 113

Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Hall Render

APRIL 16, 2024

On April 1, 2024, the U.S. Department of Health and Human Services (“HHS”), through the Centers for Medicare & Medicaid Services (“CMS”) released a memorandum to state survey agency directors highlighting revisions and clarification to the Hospital Interpretive Guidelines for Informed Consent (the “Guidance”).

Informed Consent 40

Informed Consent Hospitals Compliance HIPAA 40

Innovaare Compliance

MARCH 24, 2024

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 Inovaare’s comprehensive suite of HIPAA-compliant software solutions features best-practice regulatory processes to help healthcare organizations sustain audit readiness, reduce non-compliance risks, and lower operating costs.

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

Healthcare Law Blog

MAY 31, 2022

As the metaverse market continues to grow, with some estimates potentially approaching $800 billion in 2024 (or a $300 billion increase from 2020 estimates), technology leaders in various industries, including healthcare, have begun to expand their presence in this new platform. [1] Healthcare Laws.

FDA 90

FDA HIPAA Medicare Medicare 90

Verisys

AUGUST 14, 2023

DEA MATE Training Centers for Medicare & Medicaid Services (CMS): CMS has issued rule revisions which require physicians who certify hospice services for Medicare beneficiaries to be enrolled in or validly opted-out of Medicare as a prerequisite for the payment of the hospice service.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Telemedicine Medicare 52

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.

Compliance 52

Compliance Fraud Governance ACA 52

Hall Render

DECEMBER 29, 2023

bill would allow IVF therapy for same-sex veteran marriages; VA denies coverage Cancer-killing gel, minimally-invasive brain shunts: Here are recent startups spun out of area hospitals UMass Memorial named one of top U.S. system turns profit for 1st time in 4 years Mass. system turns profit for 1st time in 4 years Mass.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

JANUARY 12, 2024

NATIONAL 60% of health systems considering ASC joint ventures 9% of hospitals had ‘vulnerable’ cash on hand levels in 2022 $3.7B Bernards Implants Region’s First Artificial Heart Pump Clarity Pointe Assisted Living Facility Sells for $5.9M

Nursing Homes 40

Nursing Homes US Department of Health and Human Services COVID-19 Nurses 40

HIT Consultant

APRIL 4, 2023

In the realm of telehealth delivery—perhaps the biggest area of healthcare expansion during the pandemic—telemedicine will officially lose its status as an excepted benefit2 and certain federal penalties for HIPAA non-compliance of telehealth platforms will be reinstated.

FDA 52

FDA Medicaid Medicaid COVID-19 52

Healthcare Law Blog

NOVEMBER 9, 2023

OIG anticipates publishing the first ICPGs to address Medicare Advantage and nursing facilities in 2024. [3] OIG emphasizes that the summaries are not meant to establish or interpret any program rules or regulations, but rather to create awareness and provide tools and resources to aid compliance efforts.

Compliance 52

Compliance Compliance Officers Fraud Medicare 52