HIPAA Journal

JANUARY 1, 2023

Many articles discussing what does HIPAA stand for fail to give a complete answer. Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. Tackling the Cost Implications of HIPAA.

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HIPAA Health Insurance Fraud Governance 72

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.

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HIPAA Compliance Fraud COVID-19 83

Compliancy Group

JANUARY 3, 2024

This article discusses the issues related to medical billing compliance policy and the steps for providers to maintain financial integrity and adherence to all requirements. Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Medical Billing Compliance ACA Health Insurance 52

HIPAA Journal

OCTOBER 7, 2022

Questions are often sent to HIPAA Journal about the Health Insurance Portability and Accountability Act, one of which is how HIPAA has improved healthcare. In this article, I explain some of the main ways that healthcare has been improved by HIPAA for healthcare providers, health plans, and patients.

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HIPAA Fraud Health Insurance Compliance 82

YouCompli

DECEMBER 11, 2023

The long-awaited, new OIG General Compliance Program Guidance (GCPG) has been released, all 91 pages of it. If you have not viewed it yet, click here: [link] This release is the first major compliance guidance document the OIG has shared in many years. The compliance officer should either report directly to the CEO or the Board.

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Compliance Compliance Officers Fraud HIPAA 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

Compliancy Group

MARCH 25, 2024

In today’s complex healthcare landscape, compliance is crucial. A healthcare compliance due diligence checklist is one essential tool that can help organizations in their quest for compliance. What is a Healthcare Compliance Due Diligence Checklist? What is a Healthcare Compliance Due Diligence Checklist?

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Due Diligence Compliance Informed Consent Fraud 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.”

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Compliance Fraud Medicare Medicare 52

Compliancy Group

DECEMBER 8, 2023

Compliance is a critical aspect of the healthcare industry. However, there are several high-risk areas where compliance issues can arise, potentially leading to legal troubles and compromised patient safety. Billing and Coding Practices Billing and coding errors are another area where compliance issues can arise.

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Compliance Medicare Medicare Fraud 52

Compliancy Group

OCTOBER 2, 2023

In the fast-paced world of healthcare, compliance reporting plays a vital role in ensuring accountability and transparency. This article will explore the significance of compliance reporting in healthcare and how it helps organizations maintain data integrity and mitigate risks. What is Compliance Reporting in Healthcare?

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Compliance Regulatory Compliance Fraud Health Insurance 52

Total HIPAA

SEPTEMBER 11, 2019

This post aims to answer all of your HIPAA compliance questions. If you’re just learning about HIPAA compliance, or beginning the process of becoming HIPAA compliant, this article will guide you through the initial steps you must take to adhere to the law. What is HIPAA Compliance?

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

YouCompli

DECEMBER 19, 2023

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). HIPAA Privacy and Security Rules (page 30): In bold print, the OIG recommends that compliance with Privacy, Security and Breach Notification Rule requirements be included in ALL risk assessments.

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Compliance Compliance Officers Medicaid Medicaid 52

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. Another goal was to prevent healthcare fraud. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. Whatever might be the reason, its important that your practice must be HIPAA compliant.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

AIHC

JUNE 6, 2023

According to Investopedia’s article “ Understanding Machine Learning: Uses, Example ,” machine learning is the concept that a computer program can learn and adapt to new data without human intervention and is a field of artificial intelligence that keeps a computer’s built-in algorithms current regardless of changes in the worldwide economy.

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Compliance Medical Billing HIPAA Due Diligence 59

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.

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HIPAA Compliance Fraud Governance 52

YouCompli

NOVEMBER 29, 2023

“As previous OIG compliance guidance(s) are retired to ‘archival’ status, we all should recognize that the original guidance may have been the most important document ever written for healthcare compliance professionals.” — Roy Snell In 1998, the Office of Inspector General (OIG) issued its first General Compliance Program Guidance (GCPG).

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Compliance Compliance Officers Medicaid Medicaid 52

AIHC

MAY 24, 2022

Once your suspicions have been reported to the Compliance Officer, were you asked to partake in evidence gathering during the investigation? The content of this article is for educational purposes and not intended as consulting or legal advice. Have you ever uncovered erroneous or potentially fraudulent evidence?

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Compliance Fraud Compliance Officers HIPAA 52

AIHC

JUNE 6, 2023

According to Investopedia’s article “ Understanding Machine Learning: Uses, Example ,” machine learning is the concept that a computer program can learn and adapt to new data without human intervention and is a field of artificial intelligence that keeps a computer’s built-in algorithms current regardless of changes in the worldwide economy.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Healthcare IT Today

DECEMBER 21, 2023

The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers. If healthcare providers fail to comply, the consequences can be costly.

Records Management 101

Records Management Regulatory Compliance Compliance HIPAA 101

YouCompli

JANUARY 4, 2022

Ross addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. . They provide great insight for Compliance practitioners. YouCompli sponsored MHA’s 2021 Healthcare Legal Compliance Forum in 2021. Subscribe to get the latest articles about healthcare regulatory changes.

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Compliance Compliance Officers HIPAA Fraud 40

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. ASC billing compliance has many benefits.

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Compliance Medicare Medicare Medical Billing 52

MedTrainer

MAY 12, 2021

The Hidden Benefits of Regulatory Compliance in Healthcare. With its maddening complexities and time- and resource-consuming demands, regulatory compliance is thought to be the plague of any thriving business. However, according to a recent Forbes Magazine article , regulatory compliance is a golden opportunity in disguise.

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Regulatory Compliance Compliance HIPAA Medical Personnel 40

Hall Render

JANUARY 11, 2023

The Health Breach Notification Rule applies only to organizations not subject to HIPAA and is triggered when there is unsecured, individually identifiable information in a PHR. Health Information Technology – FAQs on HIPAA and health IT.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

MedTrainer

FEBRUARY 27, 2024

And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. It is arguably more important — and harder — to maintain a standard level of compliance when staff are working in client homes, rather than in a central facility. What is the Role of Home Health Aides?

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Compliance HIPAA Fraud Licensing 52

HIPAA Journal

SEPTEMBER 5, 2023

Among its objectives, the Act aims to address illegal and misleading online content, better protect Internet users from fraud, and provide more control over what personal data is collected and how it is used. The Digital Services Act is a new EU law that updates the existing EU Electronic Commerce Directive.

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Compliance HIPAA Governance Fraud 55

AIHC

SEPTEMBER 21, 2023

Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS This article addresses the Information Blocking Final Rule regarding enforcement, associated Civil Monetary Penalties (CMPs) and entities subject to these penalties.

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HIPAA Compliance Nurses Fraud 59

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. This article is not intended as legal or consulting advice. Telehealth rules and regulations vary greatly by state.

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COVID-19 Telemedicine Compliance Informed Consent 59

HIPAA Journal

FEBRUARY 9, 2024

This article discusses the seven most common benefits. All medical practices are required to provide HIPAA training , OSHA training , and emergency preparedness training, and it is difficult to provide group training when physicians have overlapping schedules. How Does Patient Scheduling Software Work?

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HIPAA Compliance Payment Systems Ransomware 40

AIHC

MARCH 2, 2023

Written by: Nancie Lee Cummins , CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This is part 2 in the Leadership essay series from members of the American Institute of Healthcare Compliance (AIHC). The article which was published on AIHC which I reviewed brought in a couple of new perspectives to tools that I could implement.

Compliance Officers 52

Compliance Officers Compliance Fraud Medical Billing 52

Healthcare IT Today

DECEMBER 15, 2023

The following is a guest article by Natalie Tkachenko, Healthcare Software Solutions Consultant at NIX To obtain test results today, there’s no need to visit the hospital. In Europe, this is GDPR (General Data Protection Regulation), in America, it’s HIPAA (Health Insurance Portability and Accountability Act).

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Electronic Medical Records Doctors HIPAA Hospitals 105

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. It’s important for compliance and historical trend analysis.

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Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. It's important for compliance and historical trend analysis.

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Medicare Medicare Medicaid Medicaid 52

Healthcare IT Today

AUGUST 31, 2020

The following is a guest article by Dr. Waseem Ghannam, co-founder of TeleHealth Solution. When the COVID-19 pandemic began in the U.S. in March, telemedicine quickly became the go-to-approach for most medical visits as it offered a solution that allowed effective care without risk to patients or providers.

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Telemedicine COVID-19 Compliance Fraud 60

Medisys Compliance

JANUARY 17, 2023

If you’ve ever questioned about outsourcing your medical billing, this article will go through all the benefits it offers you in terms of operations, and all the reasons to outsource medical billing. This implies that you’ll need someone who is familiar with the code, compliance, and documentation needs for your institution.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Healthcare Law Blog

MAY 31, 2022

However, traditional healthcare players, subject to the Health Insurance Portability and Accountability Act (“HIPAA”), may also find themselves innovating in this space (and grappling with how to stand up a HIPAA compliance program in the metaverse). Healthcare Laws. 1, 2021). [2]

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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