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

Total HIPAA

MARCH 22, 2023

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). Failure to comply with HIPAA regulations can result in severe consequences for insurance agents and their clients. million per year for each violation. Enforcement Highlights.”

US Department of Health and Human Services 52

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

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Fraud Medicare Medicare US Department of Health and Human Services 52

MedTrainer

MARCH 8, 2024

Employee compliance training is essential to any healthcare organization’s onboarding process. This blog post will explore why compliance training is vital for an industry where mistakes or non-compliance can seriously affect patients, staff, and the organization.

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Compliance Fraud Governance HIPAA 52

Compliancy Group

MARCH 21, 2024

It’s challenging enough to stay on top of constantly changing compliance regulations in healthcare, including training. Instead of continuously working hard to maintain all these administrative and logistical functions, you can be more innovative by letting compliance training software do the heavy lifting.

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Compliance US Department of Health and Human Services Compliance Officers Fraud 52

HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To?

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HIPAA Due Diligence Compliance Fraud 134

Compliancy Group

FEBRUARY 28, 2024

Many industries have compliance rules and regulations to meet and follow, but few would argue that healthcare is one of the most stringent. Privacy and security – Compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient privacy and data security is crucial.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

HIPAA Journal

JANUARY 20, 2023

It has been almost 27 years since the Health Insurance Portability and Accountability Act (HIPAA) was signed into law, more than 2 decades since the Privacy Rule was enacted, and this February will be the 20 th anniversary of the HIPAA Security Rule.

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HIPAA Compliance Fraud Health Insurance 110

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act (HIPAA) is a landmark piece of legislation, but why is HIPAA compliance important? What changes did HIPAA introduce and what are the benefits to the healthcare industry and patients? Why is HIPAA Important for Healthcare Organizations?

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HIPAA Compliance Fraud Health Insurance 112

Compliancy Group

MARCH 8, 2024

Many physical therapy practices are under the false assumption that they don’t need to comply with regulatory standards such as HIPAA, often discussing patient care in front of other patients. However, failing to follow healthcare compliance standards can harm your patients and your practice. What is an Effective PT Compliance Program?

Compliance 52

Compliance Compliance Officers Fraud HIPAA 52

HIPAA Journal

OCTOBER 21, 2022

A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson identified the patients through the medical practice of Dr. Frank Alario.

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Fraud HIPAA FDA Health Insurance 61

American Medical Compliance

FEBRUARY 9, 2024

Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

Verisys

MARCH 1, 2024

As the healthcare industry is increasingly targeted for data theft and fraud, information security has emerged as a top priority for healthcare institutions. Governance, risk management, and compliance programs can all be automated, providing significant benefits to healthcare organizations. SOX, HIPAA, GDPR, and PCI) 2.

Governance 52

Governance Compliance Fraud HIPAA 52

Compliancy Group

MARCH 19, 2024

Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Regulatory compliance in healthcare ensures quality care for patients. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. healthcare. healthcare.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

MedTrainer

JUNE 28, 2023

In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?

Fraud 52

Fraud Compliance Governance Compliance Officers 52

MedTrainer

JANUARY 31, 2024

Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program? It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. What is Healthcare Compliance?

Compliance 52

Compliance Fraud Governance ACA 52

MedTrainer

JANUARY 12, 2024

At its core, healthcare compliance ensures the quality of care, patient safety, and integrity of healthcare systems. Over the years, healthcare compliance has evolved significantly, driven by changing regulations, advances in technology, and a growing emphasis on patient-centric care. What is Healthcare Compliance?

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Compliance HIPAA Telemedicine ACA 52

MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. One effective tool to achieve this is through internal healthcare compliance audits. What Is an Internal Healthcare Compliance Audit?

Compliance 52

Compliance Governance ACA HIPAA 52

MedTrainer

FEBRUARY 1, 2024

A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

Compliancy Group

JANUARY 18, 2022

But the best tool to prevent small practice cybercrime can be as basic as having a truly effective HIPAA compliance strategy. For HIPAA compliance to help prevent small practice cybercrime, it must address the particulars of your practice. More Ways HIPAA Compliance Helps Prevent Small Practice Cybercrime.

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HIPAA Compliance Ransomware Malpractice 52

Compliancy Group

JANUARY 22, 2024

Critical Components of a Healthcare Compliance Audit Checklist There are several necessary components in a comprehensive healthcare compliance audit checklist that help maintain adherence to regulatory standards. Compliance Assessment Ensuring compliance with applicable laws and regulations is fundamental to any healthcare audit.

Compliance 52

Compliance Fraud Regulatory Compliance HIPAA 52

MedTrainer

JANUARY 31, 2024

What is the most recognized healthcare compliance certification a professional can secure? As an overall certification, the Certified in Healthcare Compliance (CHC) and Certified Compliance and Ethics Professional (CCEP) certifications are some of the most sought after. In short, it depends on your role and career goals.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

MedTrainer

JANUARY 26, 2024

Non-compliance in healthcare refers to the failure of healthcare providers, institutions, or individuals to adhere to the laws, regulations, and standards established to protect patient welfare, maintain data security, and ensure the efficient and ethical delivery of healthcare services. What is Healthcare Compliance?

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

Healthcare IT Today

DECEMBER 20, 2022

The hospital may be penalized for its HIPAA compliance based on the investigation caused by the alleged illegal activities of its rogue employees. Most HIPAA violations result in civil penalties against organizations for not adequately protecting patient information or by violating a patient’s right to access their medical records.

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HIPAA Nurses Licensing Compliance 92

Compliancy Group

FEBRUARY 22, 2024

The healthcare industry faces an ever-increasing number of essential regulations, making developing a reliable compliance strategy crucial. Have you explored the best path to ensure peak healthcare compliance officer training?

Compliance Officers 52

Compliance Officers Compliance Fraud Regulations Compliance 52

MedTrainer

JANUARY 26, 2024

The best way to maintain these standards is by providing healthcare compliance training for all staff members. Even when training is not required, it may still be very beneficial for your staff and overall organizational compliance. What topics should be covered in healthcare compliance training?

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

Total Medical ComplianceHIPAA

JANUARY 11, 2024

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. HIPAA stands as a beacon of privacy and security standards within the industry. Why is Sanction Screening Vital Under HIPAA? What is Sanction Screening?

HIPAA 52

HIPAA Regulatory Compliance Malpractice Compliance 52

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 89

Total HIPAA

DECEMBER 13, 2021

In the event of a breach, a company that has complied with the DPA can assert DPA compliance as a defense to any claim that may come up. How does this relate to HIPAA compliance? So, if your organization is one that is required to adhere to sector-specific laws, HIPAA compliance may be part of DPA compliance as well.

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HIPAA Compliance Fraud Health Insurance 59

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). in 2011 that was settled for $100,000.

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HIPAA Compliance Ransomware Hospitals 98

MedTrainer

FEBRUARY 1, 2024

Those early ethical standards paved the way for how medical compliance plans to limit liability for healthcare organizations today. Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

HIPAA Journal

JUNE 15, 2023

The HHS’ Office for Civil Rights (OCR) investigates all reported breaches of the protected health information of 500 or more individuals and some smaller breaches to determine if the breach was caused by the failure to comply with the HIPAA Rules.

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HIPAA Hospitals Electronic Medical Records Fraud 92

MedTrainer

MARCH 8, 2024

Long-term care facilities are among the most regulated in healthcare, making compliance challenging and training critical. Importance of Long-Term Care Training Like all healthcare professionals entrusted with providing safe, legal, and ethical services, long-term care staff must complete required compliance training.

Compliance 52

Compliance Nursing Homes HIPAA Nurses 52

Compliancy Group

MAY 15, 2023

Regulatory compliance is a critical aspect of the healthcare industry, with various regulations like HIPAA, OSHA, FWA, and general compliance requirements that ensure high-quality care. Compliance helps reduce liability risk for healthcare organizations while empowering employees through regular training programs.

Regulatory Compliance 52

Regulatory Compliance Compliance HIPAA Fraud 52

Verisys

JANUARY 8, 2024

A healthcare compliance audit is a thorough review and examination of an organization’s adherence to regulatory guidelines. This type of audit is essential in the healthcare industry for several reasons: Regulatory Compliance It ensures that the healthcare organization complies with various federal and state laws and regulations.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 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 88

MedTrainer

OCTOBER 4, 2023

To ensure organizations meet these standards, federal healthcare compliance requirements have been put in place. These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. What Are Federal Healthcare Compliance Requirements?

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Compliance Fraud HIPAA Governance 52