HIPAA Journal

DECEMBER 2, 2022

The HHS’ Office for Civil Rights has issued a bulletin confirming that the use of third-party tracking technologies on websites, web applications, and mobile apps without a business associate agreement (BAA) is a HIPAA violation if the tracking technology collects and transmits individually identifiable health information.

HIPAA 104

HIPAA Compliance Hospitals Fraud 104

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

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

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? Forensic investigations are specialized in nature, and the work requires detailed knowledge of fraud investigation techniques and the legal framework.

Compliance 52

Compliance Fraud Compliance Officers HIPAA 52

Healthcare IT News - Telehealth

JUNE 8, 2022

based attorney in the health law practice of Baker, Donelson, Bearman, Caldwell & Berkowitz about what providers should be doing to ensure compliance when the PHE finally sunsets. What do you see as the primary compliance issues providers will have to contend with? We spoke recently with Allison M. Cohen, a Washington, D.C.-based

US Department of Health and Human Services 184

US Department of Health and Human Services Compliance Overpayments Overpayment 184

Hall Render

JANUARY 11, 2023

The Tool presents developers of mobile health apps with a series of questions to help them understand which federal laws and regulations may apply. 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.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Health Care Law Brief

JUNE 2, 2022

For the reasons discussed below, DTC telehealth platforms should re-visit their compliance plans and be prepared for increased state and federal regulatory scrutiny. Variety of Risks Present in Telehealth Arrangements. Were patients provided with appropriate consents, including a HIPAA Notice of Privacy Practices?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

MedTrainer

SEPTEMBER 20, 2023

Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Organizational compliance is essential to any healthcare facility’s day-to-day operations. Accreditation.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

HIPAA Journal

JANUARY 10, 2023

An external investigation into credit card fraud pointed to Captify Health as the source of a data breach. The post Captify Health Suffers 3-Year Breach of its Your Patient Advisor Website appeared first on HIPAA Journal.

HIPAA 97

HIPAA Doctors Fraud Compliance 97

Healthcare It News

DECEMBER 5, 2022

" Community also said that the investigation has not found evidence that misuse or fraud has occurred as a result of the breach, and it "cannot say with certainty what information was involved."

Fraud 266

Fraud HIPAA Compliance Hospitals 266

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

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. Only Consider Using HIPAA-Compliant Technology The HIPAA Rules establish standards to protect patients’ protected health information.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

AIHC

NOVEMBER 29, 2023

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. Data Completeness: This metric evaluates the proportion of data that is present compared to the total expected data. Incomplete data can lead to biased or unreliable results.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIT Consultant

AUGUST 13, 2023

Here are seven identified cybersecurity vulnerabilities that can reveal a patient’s data and expose these healthcare organizations to fraud and fines: Limited budgets. Persuasive communicator with excellent analytical, presentation, and interpersonal skills. Funding is one of the largest contributing factors to anemic cyber defenses.

Ransomware 98

Ransomware Fraud Health Insurance Public Health 98

AIHC

NOVEMBER 29, 2023

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. Data Completeness: This metric evaluates the proportion of data that is present compared to the total expected data. Incomplete data can lead to biased or unreliable results.

Medicare 52

Medicare Medicare Medicaid Medicaid 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. You present later that morning and at least some of the wording irritates the audience.

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. You present later that morning and at least some of the wording irritates the audience.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Healthcare Law Blog

MAY 31, 2022

These advancements, present challenges and raise novel questions as to how the current healthcare and life sciences legal regime would apply to the metaverse. The healthcare system in the United States is governed by an expansive network of state and federal laws, including the aforementioned HIPAA regulations. Healthcare Laws.

FDA 90

FDA HIPAA Medicare Medicare 90

C&M Health Law

JUNE 15, 2021

This article was originally published in Corporate Compliance Insights. bribery, fraud, misuse). Health Insurance Portability and Accountability Act (HIPAA) can present several areas of exposure. Both your company’s data supply chain and its physical version have fundamentally similar business risks.

Due Diligence 40

Due Diligence Licensing Informed Consent HIPAA 40

Healthcare IT Today

APRIL 5, 2023

Today, we’re featuring the Vice President, Compliance and Program Development position that was recently posted on Healthcare IT Central. We like to regularly feature a healthcare IT job that might be of interest to readers. This position was posted by Easterseals Louisiana Inc. and is in Louisiana, New Orleans.

Compliance 93

Compliance Governance Fraud HIPAA 93

C&M Health Law

AUGUST 3, 2023

Under the new 42 CFR 1003.1580 , OIG may introduce the results of a statistical sampling study as evidence of the number and amount of claims, specified claims, and/or requests for payment that were presented, or caused to be presented by the respondent.

Fraud 52

Fraud HIPAA Governance Compliance 52

Health Law RX

JULY 18, 2023

Those subject to the CMP Final Rule should consider prioritizing their compliance efforts because the OIG will begin enforcing the Rule on September 1, 2023. Health IT vendors should consider information blocking to be a new frontier of fraud and abuse enforcement. See 42 U.S.C. 1320a–7a(d).

Fraud 52

Fraud Compliance Medicaid Medicaid 52

HIPAA Journal

JANUARY 16, 2023

AI is used by the finance industry to detect potential credit card fraud. The post AI in Healthcare appeared first on HIPAA Journal. For example: Most people have played a video game against an AI-driven computer. The security industry uses AI to monitor multiple clusters of CCTV systems .

Governance 62

Governance HIPAA World Health Informed Consent 62

Hall Render

FEBRUARY 18, 2022

Only 14% of Hospitals Met Price Transparency Rule Compliance. Senators look to address privacy, new technology in renewed push to modernize HIPAA. Florida physician convicted of $110M fraud. Lack of ICU doctors presents challenges for healthcare in Idaho. billing fraud. COVID numbers on downward spiral.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

FEBRUARY 24, 2023

medical workers 4 takeaways from Braselton hospital expansion presentation HAWAII Hawaii Gov. NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B Can Hospitals Change in Time to Keep Them? grant to improve early cognitive decline detection via EHRs How Mass.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Drug & Device Law

DECEMBER 17, 2022

The Ebb and Flow of the Law – A Year of Drug, Medical Device, and Vaccine-Related Preemption Developments | Presented by Blogger Jim Beck | Preemption is the most powerful defense in prescription medical product liability litigation. We will discuss the unique issues presented by these emerging trends and potential strategies to combat them.

Fraud 59

Fraud Governance HIPAA Compliance 59