MedTrainer

NOVEMBER 14, 2023

In this blog post, we’ll explore the many reasons why healthcare compliance isn’t just important — it’s vital. Loss of Licenses: Healthcare providers may lose their professional licenses, hindering their ability to practice. What Is Healthcare Compliance?

Compliance 52

Compliance HIPAA Governance Medicare 52

MedTrainer

JANUARY 26, 2024

In this blog, we’ll discuss how compliance came into being and why ethics are closely monitored by federal, state, and local governments. This includes adhering to healthcare privacy laws like the Health Insurance Portability and Accountability Act ( HIPAA ) and maintaining accurate medical records.

Compliance 52

Compliance Informed Consent Patient Advocacy Governance 52

MedTrainer

DECEMBER 7, 2023

The Idaho State Board of Medicine within the Division Of Occupational And Professional Licenses (DOPL) is a regulatory body responsible for licensing and overseeing medical professionals in Idaho, ensuring they meet the required standards for safe and ethical practice.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

JANUARY 26, 2024

In this blog, we will outline what is non-compliance in healthcare, highlight various non-compliance activities, and explore how healthcare compliance software plays a crucial role in combating non-compliance. It jeopardizes patient health, and can seriously harm the legal standing and reputation of healthcare institutions.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

The Health Law Firm Blog

MARCH 26, 2024

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the [.]

Nurses 52

Nurses Health Insurance Doctors Licensing 52

Healthcare Compliance Blog

MARCH 17, 2022

The cyberattack resulted in unauthorized data access of patient names, contact information, driver’s license numbers, Social Security numbers, birth dates, health insurance policy numbers, and limited health information. This cyberattack affected over 287,00 individuals.

Licensing 59

Licensing Health Insurance COVID-19 HIPAA 59

MedTrainer

MARCH 28, 2024

In this blog, we’ll outline the many roles that impact healthcare compliance , the pros and cons of each role’s management responsibilities, and what each is accountable for in concert with the others. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Verisys

NOVEMBER 8, 2023

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

Fraud 97

Fraud HIPAA Medicare Medicare 97

MedTrainer

MAY 21, 2024

Your healthcare organization shouldn’t assume that completing the required Occupational Safety and Health Administration (OSHA) training is sufficient. Behavioral health and substance abuse prescribers with Drug Enforcement Agency (DEA) licenses must complete numerous training regimens.

Compliance 52

Compliance Medicaid Medicaid HIPAA 52

MedTrainer

APRIL 24, 2024

With nearly 1,100 health insurance companies in the U.S., It includes 12 insurers offering plans in more than eight states – just two cover all 50 states and the District of Columbia. the opportunities for providers to serve patients seem endless. However, only a few payers can be considered nationwide.

Licensing 52

Licensing Health Insurance Hospitals 52

The Health Law Firm Blog

DECEMBER 28, 2022

Board Certified by The Florida Bar in Health Law On December 15, 2022, the Department of Health and Human Services (HHS), Office for Civil Rights (OCR), announced that Health Specialists of Central Florida, Inc., will pay $20,000 to resolve alleged violations of the Health Insurance Portability and [.].

HIPAA 52

HIPAA Health Insurance Licensing Compliance 52

Health Populi

JULY 26, 2022

State pharmacy licenses with the deal. Longer-term, Mike could envision Amazon expanding into health insurance. Why don’t you just pay me $5,000 a year and I’ll be your insurance company,’” Mike conjectured. bn and MGM Studios for $8.5 The PillPack (pharmacy) buy was $1 billion. Amy Klobuchar (D-MN) has in her sights.

Health Insurance 164

Health Insurance Doctors Medicare Medicare 164

MedTrainer

APRIL 22, 2024

Here are a few checklists to help guide your decisions: Accessibility to Personal Health Information (PHI) or Other Data The healthcare industry is heavily regulated, with strict guidelines and regulations like HIPAA (Health Insurance Portability and Accountability Act).

Compliance 52

Compliance HIPAA Licensing Fraud 52

The Health Law Firm Blog

MAY 25, 2023

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the [.]

Nurses 52

Nurses Health Insurance Doctors Licensing 52

The Health Law Firm Blog

MAY 10, 2023

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the [.]

Nurses 52

Nurses Health Insurance Doctors Licensing 52

The Health Law Firm Blog

APRIL 20, 2023

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the [.]

Nurses 52

Nurses Health Insurance Doctors Licensing 52

Healthcare Law Blog

MARCH 10, 2023

While much recent focus has been made on a somewhat similarly-focused law, the “Healthcare Consolidation and Contracting Fairness Act of 2022” or “AB 2080” (see our healthcare law blog analysis earlier in 2022 regarding the proposed legislation), it was SB 184 and not AB 2080 that was passed in advance of the September 2022 legislative recess.

Governance 52

Governance Licensing Health Insurance Medicare 52

MedTrainer

DECEMBER 4, 2023

The Mississippi State Board of Medical Licensure (MSBMI) is responsible for regulating and licensing medical professionals in Mississippi, ensuring high standards of practice and safeguarding public health. Telemedicine, as the state defines it, must be held in “real-time” with interactive audio and video.

Compliance 52

Compliance Telemedicine Licensing Public Health 52

MedTrainer

NOVEMBER 29, 2023

The Tennessee Board of Medical Examiners is the regulatory body responsible for licensing and overseeing medical professionals in Tennessee, ensuring that they meet the necessary standards to provide safe and competent medical care.

Compliance 52

Compliance Licensing HIPAA Medicaid 52

MedTrainer

NOVEMBER 17, 2023

Both the Maryland Department of Health – Behavioral Health Administration and the Board of Physicians license medical and mental/behavioral health providers. Health information (including mental health), health insurance policy information, or biometric data is considered personal information under Maryland law.

Compliance 52

Compliance Licensing Hospitals Health Insurance 52

The Health Law Firm Blog

DECEMBER 31, 2022

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the [.].

Nurses 52

Nurses Health Insurance Doctors Licensing 52

MedTrainer

AUGUST 31, 2023

Some common healthcare compliance regulations include the Health Insurance Portability and Accountability Act (HIPAA) for patient privacy, Stark Law for physician referrals, Anti-Kickback Statute for healthcare fraud and abuse, and the Affordable Care Act (ACA) for various provisions related to healthcare organizations and insurance providers.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Healthcare Law Blog

MARCH 20, 2023

The national shortage of mental health professionals, combined with the urgency required to secure treatment for an at-risk population, places a significant strain on practitioners, specifically, and the mental health industry, at large. Please refer to our blog for more information on the proposed rule. November 2022. [2]

Medicaid 52

Medicaid Medicaid Licensing ACA 52

HIT Consultant

DECEMBER 21, 2022

In addition, Healthcare software providers and organizations must comply with HIPAA (Health Insurance Portability and Accountability Act). – September 2022: U-Haul Discloses Data Breach Including Driver’s License Numbers. – June 2022: Up to 2 Million Affected By Shields Health Care Group Breach.

Ransomware 52

Ransomware HIPAA Health Insurance Governance 52

MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. License revocation or suspension. Patient privacy.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

The Health Law Firm Blog

JANUARY 23, 2022

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the.

Nurses 52

Nurses Health Insurance Doctors Licensing 52

MedTrainer

NOVEMBER 29, 2023

The Executive Office of Health and Human Services administers MassHealth , the state’s Medicaid and Children’s Health Insurance Program (CHIP), providing essential health coverage to low- and moderate-income residents, including families, children, seniors, and individuals with disabilities.

Compliance 52

Compliance Public Health Health Insurance Hospitals 52

Healthcare Law Blog

AUGUST 3, 2023

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

Governance 52

Governance Licensing Health Insurance Hospitals 52

Hall Render

AUGUST 10, 2023

This new Final Rule counts days of patients who receive from the demonstration (1) health insurance that covers inpatient hospital services or (2) premium assistance that covers 100 percent of the premium cost to the patient, which the patient uses to buy health insurance that covers inpatient hospital services.

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

The Health Law Firm Blog

FEBRUARY 27, 2022

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the.

Nurses 40

Nurses Health Insurance Doctors Licensing 40

MedTrainer

FEBRUARY 27, 2024

The Bureau of Labor Statistics defines a home health aide as a professional who “monitors the condition of people with disabilities or chronic illnesses and helps them with daily living activities.” Home health aides should review requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Fraud Licensing 52

The Health Law Firm Blog

FEBRUARY 12, 2022

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the.

Nurses 40

Nurses Health Insurance Doctors Licensing 40

Healthcare Compliance Blog

MARCH 31, 2022

The New York Wage Parity Act, Public Health Law sets minimum wage and benefit requirements for licensed home care services agencies (LHCSAs) that employ home care aides who render services to Medicaid recipients in New York City and three counties in New York. The base wage must be paid in cash.

Medicaid 59

Medicaid Medicaid Governance Fraud 59

The Health Law Firm Blog

DECEMBER 12, 2021

is Board Certified by The Florida Bar in Health Law On September 27, 2021, Humana agreed to pay $11.2 million to end claims that the health insurance company denied a group of nurses overtime pay by misclassifying them as exempt employees. By George F. Indest III, J.D., A Wisconsin federal judge approved the.

Nurses 40

Nurses Health Insurance Doctors Licensing 40

Healthcare Compliance Blog

FEBRUARY 16, 2022

The information that may have been viewed or acquired in the attack included names, dates of birth, diagnoses, clinical treatment information, physician and or hospital name, dates of service, and health insurance information. The investigation into the breach was completed on November 22, 2021.

COVID-19 Vaccine 59

COVID-19 Vaccine HIPAA COVID-19 Licensing 59

New Jersey Healthcare Blog

JANUARY 12, 2022

Below are the most recent health care related regulatory developments as published in the New Jersey Register from October-December 2021: On October 4, 2021, at 53 N.J.R. 103, which declared a Public Health Emergency for the state in response to COVID-19. 1657(a), the Commissioner released a notice regarding Executive Order No.

Licensing 40

Licensing Medicaid Medicaid Nurses 40