HIPAA Journal

JANUARY 12, 2023

This is often interpreted as a failure to understand which uses and disclosures are permissible without patient authorizations; however, it could be just as likely there is a failure to understand the HIPAA meaning of Protected Health Information. The HIPAA Meaning of Individually Identifiable Health Information.

HIPAA 62

HIPAA Compliance Officers Compliance Medicare 62

HIPAA Journal

MARCH 30, 2022

Articles discussing the 3 major things addressed in the HIPAA law often tend to focus on the Administrative, Physical, and Technical Safeguards of the Security Rule. However, although the Safeguards of the Security Rule are 3 things in the HIPAA law, they are not THE 3 major things addressed in the HIPAA law.

HIPAA 120

HIPAA Fraud Health Insurance Health Care Reform 120

Innovaare Compliance

DECEMBER 11, 2023

Before the Medicare Advantage Open Enrollment Period (MA OEP) [1] begins on January 1, 2024, Medicare Advantage Organizations (MAOs) still have time to review if they are completely ready for a new contract year. This blog article focuses on some of the “must make” changes to take effect as of January 1, 2024, or before.

Medicare 52

Medicare Medicare Compliance 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.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

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.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

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

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

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

Healthcare IT Today

FEBRUARY 25, 2023

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Making Machine Learning Work With HIPAA. Andy Oram chatted with Abhi Sharma at Loyal about what it takes to make HIPAA-compliant chatbots. Read more… Retrieving Billions in Medicare Overpayments.

Overpayments 109

Overpayments Overpayment Ransomware Medicare 109

Medisys Compliance

FEBRUARY 27, 2024

In this article, we will explore the complex landscape of radiology billing compliance, exploring key regulations, audit processes, and strategies for ensuring adherence to guidelines. Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Electronic Health Reporter

APRIL 8, 2020

This article is copyrighted strictly for Electronic Health Reporter. Even so, it’s the Health Insurance Portability and Accountability Act (HIPAA) that gets the most […]. Even so, it’s the Health Insurance Portability and Accountability Act (HIPAA) that gets the most […]. Illegal copying is prohibited.

Regulatory Compliance 132

Regulatory Compliance Compliance HIPAA Health Insurance 132

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. A Government-Commissioned Report Released February 2024 The U.S.

Ransomware 59

Ransomware Governance Compliance HIPAA 59

MedTrainer

MAY 21, 2024

The Centers for Medicare and Medicaid Services (CMS) defines behavioral health as the emotions and behaviors that affect your overall well-being. This article will explore the requirements for behavioral health training, the entities that govern required and recommended courses, and ways to simplify training delivery.

Compliance 52

Compliance Medicaid Medicaid HIPAA 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.

HIPAA 98

HIPAA Hospitals Public Health Medicare 98

MedTrainer

MAY 16, 2024

In this article, we’ll explore the requirements for ASC training and what regulatory and accreditation course topics are required and recommended by role. For example, to meet federal regulations, clinical staff must complete 10 required training courses, some annually and others only once or every two years.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 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. A Government-Commissioned Report Released February 2024 The U.S.

Ransomware 52

Ransomware Governance Compliance HIPAA 52

MedTrainer

MAY 20, 2024

In this article, we’ll explore the requirements for FQHC training and ways to simplify training delivery. With many different staff types, there are significant differences in training requirements for each role. Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

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

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. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid.

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Compliance Medicare Medicare Medical Billing 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

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

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

AUGUST 30, 2023

This article is educational only, and does not provide consulting or legal advice. 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. If it is too good to be true it probably isn't.”

Compliance 52

Compliance Fraud Medicare Medicare 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 52

Medicare Medicare Medicaid Medicaid 52

AIHC

SEPTEMBER 5, 2023

This article is not intended as legal or consulting advice. If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

MedTrainer

SEPTEMBER 8, 2023

From ensuring proper infection control to safeguarding patient privacy and data, the healthcare compliance examples provided in this article demonstrate how compliance plays a pivotal role in maintaining high-quality industry standards. This settlement was the largest HIPAA settlement at that time. Loss of reimbursements.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

AIHC

MAY 30, 2024

Principal and Managing Consultant This is Part 7 in a series of articles providing a general overview of Artificial Intelligence (AI) impacting the healthcare industry. There are hundreds of HIPAA-Compliant Medical Coding Software Applications on the market (see CMS for more on HIPAA-Compliant Code Sets.

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

MedTrainer

APRIL 8, 2024

This article will delve into the significance of internal healthcare compliance audits, the legal and regulatory requirements, the benefits they offer, and the steps involved in conducting such audits. Medicare Access and CHIP Reauthorization Act (MACRA): Promotes value-based care and rewards healthcare providers for quality and performance.

Compliance 52

Compliance Governance ACA HIPAA 52

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. One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

HIPAA Journal

MARCH 30, 2023

This is not necessarily a bad thing because – around the same time – the passage of HIPAA introduced fraud controls and transaction standards that made it harder for healthcare providers to defraud or abuse the system. With regard to enforcing standards, it is important that sanctions are applied fairly.

Compliance 101

Compliance Compliance Officers Fraud HIPAA 101

HIPAA Journal

JULY 24, 2023

This article answers the following: What is the HHS Office of Inspector General? The list now covers more than just Medicare and State Health Care Programs and includes programs such as CHIP, TRICARE, and Veterans Affairs. What is the HHS OIG Exclusions List? How is the OIG Exclusions List populated?

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIPAA Journal

JANUARY 23, 2024

The FDA launched an investigation into Theranos that found that the allegations in Carreyrou’s article were correct. The HHS-OIG has the authority under 1128(a) of the Social Security Act to exclude individuals from participation in Medicare, Medicaid, and other Federal health care programs.

Fraud 74

Fraud FDA Medicaid Medicaid 74

Medval Compliance Blog

SEPTEMBER 14, 2021

by Frank Fairchok, Vice President of Medicare Reporting Services. The law requires CMS to provide enrollment information for beneficiaries for Medicare Part C (Medicare Advantage Plans) and Part D (Prescription Drug Plans). Last week, CMS hosted a webinar to discuss the testing plan for changes to the query process.

Medicare 52

Medicare Medicare HIPAA 52

Healthcare IT Today

SEPTEMBER 17, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. of its Security Risk Assessment Tool , with updated features including the ability for organizations to track response to HIPAA security vulnerabilities inside the tool.

Nurses 113

Nurses HIPAA Medicare Medicare 113

MedTrainer

MAY 4, 2023

For example, in your rush to move appointments online, did you adopt telehealth technology that will no longer be compliant when all HIPAA Rules are enforced? You’ve got plenty of tools and training courses to utilize and this article will provide a quick checklist for changes that are common to many sectors.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. Fear not, gentle reader. most hospitals). This is clear. David Harlow.

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HIPAA Hospitals Medicare Medicare 113