Compliancy Group

DECEMBER 14, 2023

New York has already set aside $500 million for compliance efforts that hospitals across the state can apply to receive a share of. According to a press release published by the Department of Health and Human Services Office for Civil Rights (OCR), ransomware and hacking are healthcare’s primary cyberthreats.

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

Healthcare IT Today

JANUARY 2, 2024

In the same step, the number of regulations governing the sector has grown in complexity, which stems from movements including the HIPAA Right of Access Initiative and fallout from the reversal of federally protected abortion access. Healthcare’s most valuable data is their patient or policyholder data.

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Compliance US Department of Health and Human Services HIPAA Health Insurance 67

Health Populi

OCTOBER 24, 2023

In the food sector, “the opportunity for us and the role that we play is to connect climate and health,” Daniella Vega of Ahold Delhaize told Valerio Baselli during the Morningstar Sustainable Investing Summit 2023. “We have a role to play in society as a health partner for our customers,” Vega explained.

US Department of Health and Human Services 77

US Department of Health and Human Services Governance Compliance Public Health 77

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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US Department of Health and Human Services HIPAA Compliance Medicaid 84

YouCompli

OCTOBER 5, 2023

In the business of healthcare, promoting a culture of compliance is not merely a goal – it’s a necessity. That said, implementing compliance policies or appointing an individual to be the compliance officer is not enough. To pull that off, the organization needs to have a culture of compliance that is contagious.

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

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. Identifying potential risks.

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

YouCompli

FEBRUARY 22, 2023

Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment.

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Compliance US Department of Health and Human Services Overpayments Overpayment 52

American Medical Compliance

NOVEMBER 13, 2023

Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC). Department of Health and Human Services (HHS) is trying to find ways to prevent AD/ADRD.

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US Department of Health and Human Services Compliance Governance Public Health 52

HIT Consultant

MARCH 25, 2024

The US health system is in a desperate cybersecurity state of affairs. For example, throughout 2023 about one in three Americans were affected by health-related data breaches. Most of the largest hacks targeted vendors who bill, mail, or provide other services for hospitals, doctors, and other health providers.

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Ransomware US Department of Health and Human Services Regulatory Compliance Compliance 113

Healthcare Compliance Blog

APRIL 26, 2022

The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Voluntary Compliance: OIG has several self-disclosure processes to report fraud in HHS programs.

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US Department of Health and Human Services Fraud Compliance Medicaid 59

Healthcare Compliance Blog

MAY 9, 2022

A home health services company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.

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US Department of Health and Human Services Medicare Medicare Compliance 59

Healthcare Compliance Blog

MAY 19, 2022

Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The If the patient was going to receive ICR for longer than 30 days, a physician must complete and sign updates to the ITP every 30 days thereafter.?

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US Department of Health and Human Services Hospitals Medicare Medicare 59

Compliancy Group

MARCH 28, 2023

According to the Department of Health and Human Services (HHS), Office for Civil Rights (OCR), in 2020, the requirements of HIPAA applied to at least 2.7 The good news is that HIPAA compliance is an excellent foundation upon which to begin SOC 2 HIPAA mapping. million healthcare organizations in the United States.

HIPAA 52

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

YouCompli

AUGUST 22, 2023

Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs. In contrast, Medicare Advantage is provided through a private health plan and typically covers everything in one monthly premium.

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Medicare Medicare US Department of Health and Human Services Compliance 52

YouCompli

SEPTEMBER 13, 2023

Mitigating fraud, waste, and abuse (FWA) is taking on a new urgency for healthcare compliance professionals. Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic.

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

Med-Net Compliance

JUNE 22, 2022

Investigation of the case was conducted by the US Department of Veterans Affairs-Office of Inspector General (VA-OIG), VA Police Detroit and the Medicare Fraud Strike Force (MFSF) partners, a partnership among the Criminal Division, US Attorney’s Offices, and US Health and Human Services-Office of Inspector General (HHS-OIG).

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COVID-19 Vaccine COVID-19 Fraud US Department of Health and Human Services 59

Healthcare IT Today

AUGUST 28, 2023

Stephen Sofoul, SVP, Data & Decision Science Services at MultiPlan A critical challenge lies in the shortage of experienced financial analysts or data analysts capable of effectively analyzing the wealth of information that the healthcare industry holds. However, with healthcare being ever-evolving our regulations are also ever evolving.

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US Department of Health and Human Services Telemedicine Hospitals Compliance 104

YouCompli

DECEMBER 7, 2022

Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.

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Fraud US Department of Health and Human Services Compliance Medicaid 52

Healthcare It News

NOVEMBER 16, 2022

This past June, a John Doe plaintiff who was a patient at Baltimore-based Medstar Health System filed a class action complaint against Meta Platforms in the U.S. Meanwhile, in August, Novant Health disclosed a data breach related to the Java tracking script that may have affected 1.3 And several major U.S. million individuals.

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US Department of Health and Human Services HIPAA Hospitals Governance 276

Provider Trust

MARCH 13, 2023

Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

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

Med-Net Compliance

JULY 13, 2022

Two California brothers were both sentenced to 36 months of probation and ordered to pay $500 dollars in restitution after pleading guilty to misdemeanor conspiracy to steal or convert government property charges stemming from the theft of Centers for Disease Control (CDC) COVID-19 Vaccination Record Cards. Update your policies as needed.

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COVID-19 Vaccine US Department of Health and Human Services COVID-19 Fraud 59

Healthcare IT News - Telehealth

AUGUST 11, 2021

Department of Health and Human Services works to ensure the integrity of federal healthcare programs and to safeguard the health and welfare of those programs' beneficiaries. And I think it's important for us to recognize that we don't know a whole lot right now.

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US Department of Health and Human Services Fraud Medicare Medicare 158

Medisys Compliance

JULY 25, 2022

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules. Report Findings.

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Medicare Medicare US Department of Health and Human Services Medical Billing Outsourcing 52

Provider Trust

MARCH 21, 2023

US Department of Health and Human Services (HHS) Office of Inspector General Christi A. Fraud is an unfortunate part of the healthcare space that affects every payer — from government programs to private insurance companies and everything in between. Medicare Advantage will be no exception.

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Fraud Medicare Medicare US Department of Health and Human Services 52

Healthcare IT Today

JANUARY 3, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. With support for multi-cloud deployments, telemedicine and personalized health, patient and clinician devices, and IoT devices deployed in the home, perimeter security will no longer be enough. to build out their cybersecurity program.

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US Department of Health and Human Services Ransomware Hospitals HIPAA 107

The Health Law Firm

JULY 11, 2012

Maury Regional Hospital, located in Columbia, Tennesse, has agreed to pay the federal government over $3.5 Maury Regional submitted a voluntary self-disclosure to the US Attorney's Office and the Department of Health and Human Services (DHHS) Office of Inspector General (OIG).

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US Department of Health and Human Services Hospitals Compliance Governance 40

HIT Consultant

JUNE 30, 2023

Hospitals, doctors and other care providers need to have as much data and information readily available to use to treat patients and save lives; while at the same time keeping this sensitive information secure. At the same time, human lives are increasingly at risk. This is especially true when it comes to ransomware attacks.

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US Department of Health and Human Services Ransomware Hospitals Doctors 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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

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

Medisys Compliance

DECEMBER 1, 2022

The use of past technologies has peaked, and novel advanced technologies are about to have a significant impact on how we live. These laws governing secrecy are, however, constantly changing, and if not followed correctly, can result in heavy fines. Doesn’t that sound like a lot on the plates of the medical settings?

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Medical Billing Medical Billing Outsourcing US Department of Health and Human Services Doctors 52

Healthcare It News

APRIL 28, 2023

Department of Health & Human Services and the Office of the National Coordinator for Health IT offered some updates on how the agencies are working together and with others to help shape a "digital healthcare system of the future" that works for everyone. " And it's not just within HHS.

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US Department of Health and Human Services Medicaid Medicaid Governance 240

YouCompli

NOVEMBER 18, 2023

Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations.

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

HIT Consultant

JANUARY 16, 2024

David Ting, founder/CTO at Tausight In November, President Biden signed a new Executive Order – titled “Safe, Secure, and Trustworthy Artificial Intelligence” – that promises to introduce new national AI regulations that focus on safety and responsibility in the use of this revolutionary new technology. Department of Commerce.

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US Department of Health and Human Services Compliance Governance 124

Exeed Regulatory Compliance

MARCH 5, 2020

Secretary of the Department of Health and Human Services (HHS) has declared a public health emergency. The World Health Organization (WHO) has stopped short of classifying the outbreak as a pandemic, but consistently encouraged affected countries to activate their national emergency response plans.

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US Department of Health and Human Services FDA Public Health COVID-19 52

SQA

FEBRUARY 15, 2023

Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.

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US Department of Health and Human Services FDA COVID-19 World Health 40

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

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US Department of Health and Human Services Nurses Hospitals Telemedicine 113

HIT Consultant

DECEMBER 28, 2023

Director of TPRM Strategy Morgan Hague, Manager of IT Risk Management at Meditology Services Leaps in healthcare technology continue to benefit humankind: from the advent of the X-ray in the 19 th century to dialysis, CT, MRI, and other machines in the 20 th century, to a new breadth of digital tools in this era.

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