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

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HIPAA Compliance Due Diligence COVID-19 93

MedTrainer

FEBRUARY 7, 2024

The complex world of healthcare compliance demands a clear understanding of responsibilities. For those new to the role of compliance officer, the question often arises: “Who is responsible for compliance in healthcare?” Who is Responsible for Compliance in Healthcare?

Compliance 52

Compliance Compliance Officers Health Insurance Medicaid 52

HIPAA Journal

OCTOBER 28, 2022

HIPAA training is important beyond “ticking the box” of HIPAA compliance. In this article, we explain how a fully trained and compliant workforce can deliver multiple benefits for organizations subject to HIPAA and provide 5 reasons why HIPAA training is important. Reduce the Risk of HIPAA Violations.

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HIPAA Compliance Medicare Medicare 98

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

MARCH 30, 2023

The seven elements of a compliance program are integrated processes organizations in all industries can adopt to help them develop a culture of compliance in the workplace. While the seven elements of a compliance program apply to all industries, they originated in the healthcare industry in the 1990s.

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Compliance Compliance Officers Fraud HIPAA 97

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

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?

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

APRIL 22, 2024

Several federal agencies highly recommend having a healthcare compliance committee — the key is to make the committee helpful, not just a regulatory checkbox. Compliance committees vary based on the size of the organization, the care setting, and the committee’s charter. What is a Healthcare Compliance Committee?

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Compliance Compliance Officers Governance Medicaid 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.

Compliance 52

Compliance Medicare Medicare Fraud 52

AIHC

AUGUST 30, 2023

This article is educational only, and does not provide consulting or legal advice. What compliance issues need to be considered when drafting a marketing strategy? Let’s take a closer look at potential compliance risks. If it is too good to be true it probably isn't.” So, what is telemarketing in healthcare ? Great idea, right?

Compliance 52

Compliance Fraud Medicare Medicare 52

HIPAA Journal

DECEMBER 30, 2022

The HIPAA definition of Covered Entities is generally explained as health plans, health care clearinghouses, and health care providers that conduct electronic transactions for which the Department of Health and Human Services (HHS) has developed standards. The HIPAA Definition of Covered Entities. 2) A health care clearinghouse. (3)

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HIPAA US Department of Health and Human Services Health Insurance COVID-19 90

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. Two other appendices apply to ASCs.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Compliancy Group

SEPTEMBER 11, 2023

This agreement stems from two OCR investigations triggered by a significant breach report and an eye-opening media article highlighting a distinct security incident. Director Melanie Fontes Rainer from OCR urges all healthcare entities to be proactive in ensuring compliance with HIPAA Rules rather than waiting for enforcement action.

HIPAA 52

HIPAA Compliance Medicaid Medicaid 52

AIHC

FEBRUARY 7, 2024

This article provides a basic overview of Artificial Intelligence, Telehealth, Asynchronous Services and HIPAA privacy concerns. Please utilize resources provided within this article for more information. Address HIPAA and Privacy Concerns Technology considerations The telehealth platform you use should meet HIPAA requirements.

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HIPAA Medicaid Medicaid Telemedicine 59

MedTrainer

MAY 4, 2023

That includes many compliance professionals. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. This article will focus on the federal changes, but make sure to check with all states where your providers are licensed to stay up-to-date.

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Public Health Compliance COVID-19 COVID-19 Vaccine 52

AIHC

FEBRUARY 7, 2024

This article provides a basic overview of Artificial Intelligence, Telehealth, Asynchronous Services and HIPAA privacy concerns. Please utilize resources provided within this article for more information. Address HIPAA and Privacy Concerns Technology considerations The telehealth platform you use should meet HIPAA requirements.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

Healthcare IT Today

JANUARY 2, 2024

The following is a guest article by Marlena Herrera, Director at Protegrity Healthcare organizations are becoming more lucrative targets for hackers, as their data is rich with extremely sensitive information and is often susceptible to vulnerabilities. Healthcare’s most valuable data is their patient or policyholder data.

Compliance 69

Compliance US Department of Health and Human Services HIPAA Health Insurance 69

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. HIPAA Training to RCM Team.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. appeared first on American Institute of Healthcare Compliance.

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Ransomware Governance Compliance HIPAA 59

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. appeared first on American Institute of Healthcare Compliance.

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Ransomware Governance Compliance HIPAA 52

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). HITECH puts a “bite” into specific elements of the HIPAA rule, such as higher penalty amounts for non-compliance.

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

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. For example, reimbursement under Medicare and Medicaid for certain telemedicine services was significantly increased due to the COVID-19 pandemic.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). HITECH puts a “bite” into specific elements of the HIPAA rule, such as higher penalty amounts for non-compliance.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

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. This is also called “store-and-forward telemedicine.”

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COVID-19 Telemedicine Compliance Informed Consent 59

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?

Compliance 52

Compliance HIPAA Fraud Licensing 52

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. Why this Trend of Value-Based Care?

Medicare 59

Medicare Medicare Medicaid Medicaid 59

YouCompli

JUNE 29, 2022

With it, compliance officers have guided their healthcare organizations in complying with changing documentation, coding, and confidentiality requirements. As virtual care requirements for telehealth evolve, we explore how compliance officers can support patient care and help their organizations stay up to date. the end of COVID-19.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

Healthcare IT Today

JULY 16, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. A survey from The Harris Poll and ClearDATA found that 81% of Americans incorrectly assume that all protected health information collected by digital health apps is protected under HIPAA.

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HIPAA Hospitals Public Health Medicare 87

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. Why this Trend of Value-Based Care?

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

APRIL 16, 2024

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”). On April 1, 2024, the U.S.

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Informed Consent Hospitals Compliance HIPAA 40

Healthcare IT Today

AUGUST 28, 2023

As healthcare systems and providers modernize (or build) their technology stacks, it will be more important than ever to prioritize privacy and to understand new regulations at the state level, from HIPAA, and from the FTC. cut to physicians who treat the country’s most vulnerable patients through Medicare.

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US Department of Health and Human Services Telemedicine Hospitals Compliance 112

Med Law Blog

APRIL 4, 2022

The definition of “covered entity” in the Act is far greater than covered entity as defined by HIPAA. However, the recent Medicare Compliance Reporter indicates that this will require hospitals to report cyber breaches in 72 hours and ransom payments within 24 hours to DHS.

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HIPAA Medicare Medicare Compliance 52

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era.

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HIPAA Compliance COVID-19 Compliance Officers 52

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. Comments […] article was originally published on HealthBlawg and. CMS has a communications problem. Fear not, gentle reader.

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HIPAA Hospitals Medicare Medicare 113

Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. This article will discuss key factors in choosing oncology billing company. Let’s discuss them in detail: 1.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

HIPAA Journal

DECEMBER 28, 2022

Discussing HIPAA compliance for hospitals in a single article is challenging. This means there is no one-size-fits-all guide to HIPAA compliance for hospitals, but rather checklists that can help hospitals cover the basics of the compliance requirements. What is Required to Comply with HIPAA?

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HIPAA Compliance Hospitals Medicare 62