HIPAA Journal

NOVEMBER 17, 2022

HIPAA Journal is conducting interviews with healthcare professionals and service providers to find out more about their compliance journeys, how the HIPAA Rules have affected their working lives, and the successes and challenges they have faced with HIPAA compliance. When did you first get involved with HIPAA compliance?

Governance 86

Governance HIPAA Compliance Nursing Homes 86

Bill of Health

MAY 12, 2023

Fifteen states require insurers to cover some infertility care, though these mandates are riddled with holes: caps on total benefits, lack of express inclusion of IVF, marriage requirements, definitions of infertility that exclude same-sex couples, and other lurking exceptions. No state Medicaid program covers IVF.

ACA 241

ACA Medicaid Medicaid Health Insurance 241

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Understanding HIPAA is crucial.

Compliance 99

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

Verisys

NOVEMBER 8, 2023

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. While health plans may use other numbers internally, the NPI is mandatory for HIPAA transactions.

Fraud 97

Fraud HIPAA Medicare Medicare 97

HIPAA Journal

NOVEMBER 4, 2022

The Department of Health and Human Services (HHS) is the Sector Risk Management Agency (SRMA) for the healthcare industry, but within the HHS agencies such as the Office for Civil Rights (OCR), Centers for Medicare and Medicaid Services (CMS), and the Food and Drug Administration (FDA) have their own jurisdictions and cybersecurity policies.

HIPAA 115

HIPAA Governance FDA Medicaid 115

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

Compliance 105

Compliance Fraud HIPAA Health Insurance 105

Total HIPAA

JANUARY 4, 2021

HIPAA breaches involving fewer than 500 individuals, which occurred during 2020 , must be reported to the US Department of Health and Human Services (HHS) by Monday, March 1, 2021. Reporting HIPAA Breaches: When Should I Contact HHS? Definition of HIPAA Breaches. A simple oversight or event may qualify as a HIPAA breach.

HIPAA 40

HIPAA US Department of Health and Human Services Compliance Medicaid 40

C&M Health Law

JANUARY 20, 2023

This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.

HIPAA 52

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

Total HIPAA

FEBRUARY 23, 2023

Definition of HIPAA Breaches A simple oversight or event may qualify as a HIPAA breach. Here are a few examples from the HHS website: A municipal social service agency disclosed PHI while processing Medicaid applications. What if My Business Associate Logged the HIPAA Breach?

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Medicaid 52

Total HIPAA

FEBRUARY 23, 2023

Did you know that any HIPAA security breaches affecting less than 500 individuals in 2022 must be reported to the US Department of Health and Human Services by March 1, 2023? Reporting HIPAA Breaches: When Should I Contact HHS? Definition of HIPAA Breaches A simple oversight or event may qualify as a HIPAA breach.

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Medicaid 52

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Understanding HIPAA is crucial.

Compliance 52

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

Compliancy Group

JANUARY 3, 2024

Partnering with such a company can provide access to tracking software and platforms, training, support for HIPAA, OSHA, and other laws, and assistance with compliance-related tracking and reporting. Another benefit is getting compliance program guidance for third-party medical billing companies.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

Hall Render

JANUARY 11, 2023

Federal Food, Drug, and Cosmetic (“FD&C”) Act – If an app includes a software function that meets the definition of a medical device under section 201(h) of the FD&C Act, the app may be subject to regulatory oversight by the FDA. Health Information Technology – FAQs on HIPAA and health IT.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Verisys

FEBRUARY 1, 2022

CMS.gov’s Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ) mandated the adoption of a standard, unique health identifier for each healthcare provider. The NPI fulfills this provision. Why Are NPI Numbers Necessary? Who Needs an NPI? . When Did NPI Numbers Begin?

Fraud 52

Fraud Medicare Medicare HIPAA 52

YouCompli

DECEMBER 19, 2023

Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents. Exclusions (page 26) : OIG recommends that any entity participating in the federal Medicaid program should check the state Medicaid program exclusion list for each applicable state.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

Verisys

JANUARY 19, 2022

As the number of satellite facilities per provider increases and the definition of healthcare expands, it adds to healthcare organizations’ burdens–not just in providing care, but also in terms of the administrative burden and costs necessary to maintain a practice. Human Resources. Medical Staffing Services.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

Health Law RX

JULY 18, 2023

The IB Rule, among other things, promulgated regulations further defining what information blocking is and establishing reasonable and necessary activities that do not constitute information blocking, i.e., exceptions to the definition of information blocking. The OIG anticipates working closely with ONC to make these threshold assessments.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

AIHC

NOVEMBER 3, 2021

To obtain more information about mitigating the risk of a HIPAA violation, please consult with legal counsel or a HIPAA Security Consultant. A brief list of the HIPAA Security Safeguards: Access control (technical safeguard ) is a technique that prevents or limits access to an electronic resource.

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

YouCompli

NOVEMBER 29, 2023

Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents. Exclusions (page 26) : OIG recommends that any entity participating in Medicaid should check the state Medicaid program exclusion list for each applicable state.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

MARCH 28, 2024

The answer has as many layers as the definition of compliance itself. But that’s only one aspect of this complex – and sometimes confusing – process. Just as perplexing is who is responsible for compliance in healthcare organizations.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare IT News - Telehealth

JUNE 17, 2020

advocated for two particular policy changes to be made permanent: the originating site rule, allowing physicians to be reimbursed for telehealth appointments wherever a patient is located, including a patient's home, and the expansion of Medicare- and Medicaid-reimbursable telehealth services. Lamar Alexander, R-Tenn.,

US Department of Health and Human Services 163

US Department of Health and Human Services Telemedicine COVID-19 Doctors 163

Hall Render

DECEMBER 22, 2023

governor pushes new Medicaid expansion proposal with work requirement Missouri state senator wants voters to have say in KU Health System, Liberty Hospital merger Kansas ACLU request to halt excessive wait times at Larned turned down by judge ‘Who cares about us? health care spending hits $4.5 health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Health Populi

DECEMBER 25, 2018

Employers will endeavor to artfully design consumer-directed benefit plans (CDHPs) that nudge insured workers toward healthier habits, while integrating a broader definition of wellness. So much of these data flows aren’t covered by HIPAA. Congress’s greater attention to Big Tech’s privacy gaffes and gaps.

Health Insurance 104

Health Insurance Hospitals Doctors Medicaid 104

HIT Consultant

OCTOBER 7, 2021

This interest, along with the recent mandate from the Centers for Medicare and Medicaid Services (CMS) to drive interoperability, combined with a spate of current and upcoming rules, will soon create an important intersection – a crossroads, if you will. WEDI has close working relationships with both CMS and CAQH. About Michael Pattwell.

COVID-19 97

COVID-19 Nurses Nursing Homes Health Insurance 97

Hall Render

AUGUST 4, 2023

Will Nemours’ Medicaid move leave 10,000 special-needs kids behind? 1 CMS final rule boosts Medicare hospice payments by 3.1% To Address SDOH Needs U.S. sues UnitedHealth over ‘thousands’ of denied claims What’s a fair price for a prescription drug?

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

JANUARY 19, 2024

Francis emergency room KENTUCKY Apollo’s 220-hospital ‘stranglehold’ harms patients and workers, report alleges Humana cuts ‘small’ number of jobs in multiple locations LMU School of Nursing will open Lexington site at CHI Saint Joseph Health Mercy Health announces acquisition of orthopedic center in Paducah, Ky.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

AIHC

FEBRUARY 16, 2024

The American Institute of Healthcare Compliance (AIHC TM ) has released a 2024 Corporate Compliance Officer training program which is not only based on the new GCPC, but goes beyond to address quality, safety, HIPAA and other high-risk areas. Use as many as will definitively detail the problem statement.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

The American Institute of Healthcare Compliance (AIHC TM ) has released a 2024 Corporate Compliance Officer training program which is not only based on the new GCPC, but goes beyond to address quality, safety, HIPAA and other high-risk areas. Use as many as will definitively detail the problem statement.

Compliance 52

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

Hall Render

OCTOBER 27, 2023

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M Here’s why Grady Health System recognized as health care I.T.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

MAY 12, 2023

Connecticut is weighing several changes to Medicaid. Here’s what it means. Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M has gotten worse over last two years Massachusetts hospitals ‘pummeled’ by workforce shortage, driving $1.52

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Healthcare IT Today

JUNE 30, 2022

We cover everything from patient Medicaid enrollment all the way through the revenue cycle and the recovery process. It’s definitely got complex in this world. To that end, just think about it…20 years ago, I remember a world prior to HIPAA. I’m the President of Invicta Health Solutions. Invicta is a fun shop.

US Department of Health and Human Services 52

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