HIPAA Journal

DECEMBER 31, 2022

Whether there was knowledge that HIPAA Rules were being violated, or by exercising due diligence, it should have been clear that HIPAA Rules were being violated. These penalties are applied when the individual was aware that HIPAA Rules were being violated or should have been aware had due diligence been exercised.

HIPAA 117

HIPAA Due Diligence Doctors Compliance Officers 117

Total HIPAA

AUGUST 17, 2022

While it’s great to see major platforms like Gmail taking data privacy concerns seriously, covered entities would not be doing their due diligence if they did not dig deeper to ask questions about what Gmail’s new confidential mode means for HIPAA compliance. How confidential is it, really?

HIPAA 116

HIPAA Due Diligence Compliance 116

Natalia Mazina

OCTOBER 5, 2022

If any of the above are present, the pharmacist must document how the red flags were resolved. The key word here is “document.” I cannot stress enough the importance of documentation. A crucial factor in the court’s holding for the city was its determination that Walgreens failed to document red flags.

Due Diligence 52

Due Diligence 52

Natalia Mazina

NOVEMBER 26, 2022

And as always, document your due diligence and keep all documents readily available in case of a DEA or BOP investigation. It is also recommended to obtain a copy of the prescriber’s DEA registration (which is easier said than done).

Due Diligence 52

Due Diligence Licensing 52

MedTrainer

AUGUST 2, 2023

Privileging involves the collection and review of a provider’s documentation to determine if they’re worthy to provide care to patients within a specific institution. You’re often at the mercy of these institutions to reply to you, and there are often delays or discrepancies in documentation.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

Compliancy Group

DECEMBER 29, 2023

From initial due diligence and risk assessments to ongoing monitoring and reporting, these powerful tools streamline the entire third-party compliance management process. Third-party compliance software provides organizations with a centralized platform for managing all aspects related to third-party compliance.

Compliance 52

Compliance Regulatory Compliance Due Diligence HIPAA 52

Compliancy Group

DECEMBER 7, 2023

Change Management Assess how changes to your IT environment are documented, tested, and approved, ensuring they do not introduce vulnerabilities or disrupt services. Documentation and Records Ensure all relevant documentation, logs, and records are maintained, demonstrating compliance and providing an audit trail.

Compliance 52

Compliance Due Diligence Compliance Framework Regulatory Compliance 52

MedTrainer

SEPTEMBER 20, 2023

Negligent credentialing occurs when healthcare facilities grant privileges to medical professionals to practice within their facility without first conducting due diligence in assessing their qualifications, competence, and ethical standing. What Is Negligent Credentialing?

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

Verisys

JULY 27, 2023

Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. Any discrepancies or possible matched data points identified are investigated and resolved with the primary source, eliminating any false positives.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Healthcare IT Today

JANUARY 16, 2023

Make sure you have a complete understanding of their procedures by performing due diligence. Include a right to audit clause that allows you to request documentation as needed. There should be authentication systems, intrusion prevention systems, and processes for breach notification and remediation. .

Due Diligence 57

Due Diligence Hospitals 57

Verisys

JULY 5, 2023

Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. Any discrepancies or possible matched data points identified are investigated and resolved with the primary source, eliminating any false positives.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Compliancy Group

SEPTEMBER 21, 2023

These documents outline how an organization handles information security risks including: Physical Access Controls Logical Access Controls System Monitoring Incident Response Plans Employee Training Programs 2. Conducting Employee Training Programs Employees play a significant role in maintaining information security.

Compliance 52

Compliance Due Diligence 52

HIPAA Journal

DECEMBER 31, 2022

For example, failing to train members of the workforce on policies and procedures or failing to document the training. Two of the HIPAA violation categories are designated for Covered Entities and Business Associates that can demonstrate reasonable due diligence, whereas the other two are for entities guilty of willful neglect.

HIPAA 135

HIPAA Due Diligence Compliance Fraud 135

Healthcare Law Blog

FEBRUARY 2, 2023

A well-crafted letter of intent (“LOI”) adds value for the negotiating principals by helping to ensure the parties are in agreement on key deal terms before they spend significant time and money on diligence and definitive documents. For two recent developments on the topic of restrictive covenants, see our articles here and here.

Due Diligence 52

Due Diligence Fraud Compliance 52

Hall Render

MAY 16, 2022

As deal work in the health care industry continues at a feverish pace and timelines are condensed, due diligence can often suffer and be overlooked in favor of speed. While the content of due diligence is extremely important, a successful due diligence process must also focus on the structure.

Due Diligence 40

Due Diligence 40

Total HIPAA

MAY 23, 2022

For example, accountants, attorneys, document shredding vendors, and IT vendors all qualify as Business Associates or Business Associate Subcontractors. Some companies sign a BAA without completing the HIPAA compliance process or ensuring that the other party has also done their due diligence.

HIPAA 98

HIPAA Due Diligence Compliance Health Insurance 98

Health Law Advisor

NOVEMBER 17, 2022

Change in control includes sales, transfers, assignments, mergers, and reorganizations and is deemed to “occur on the date of execution of the document effectuating the change.”. 315 (the Law).

Due Diligence 52

Due Diligence Nursing Homes Licensing Nurses 52

HIT Consultant

FEBRUARY 9, 2023

Independent software vendors (ISVs) that offer products utilizing cloud services must also do their due diligence and ensure that their cloud services provider has third-party certifications such as HITRUST or PCI DSS compliance to protect their customers’ data and their reputation as a trusted vendor.

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 52

Healthcare IT Today

JANUARY 8, 2024

Streamlining Due Diligence with AI: AI technologies will likely be crucial in conducting efficient and thorough due diligence, examining potential M&A targets in the biotech industry for their scientific innovation, financial stability, and market compatibility.

Pharmaceutical Industry 86

Pharmaceutical Industry Due Diligence Compliance Regulatory Compliance 86

Provider Trust

MAY 17, 2022

For healthcare organizations, vendor services require a more thorough and specific due diligence in order to assess risk and to document compliance with any or all of the following regulations and laws listed below: . In addition, if the vendor is located offshore, additional safeguards must be documented.

Compliance 52

Compliance Medicare Medicare Due Diligence 52

HIPAA Journal

JANUARY 21, 2024

Schedule a Review of the HIPAA Security Rule Checklist The final implementation standard in the Security Rule requires organizations to maintain documentation, review it periodically, and update it as required in response to environmental or operational changes.

HIPAA 57

HIPAA Compliance Due Diligence Medicare 57

Healthcare Law Blog

MAY 2, 2023

CMS has emphasized that it is committed to collaboration and due diligence before determining whether an enforcement action is necessary. . § 460.50(b) b) to provide that neither CMS nor the State administering agency has to determine that the circumstances in § 460.50(b)(2)

Due Diligence 52

Due Diligence Medicaid Medicaid Compliance 52

AIHC

JUNE 6, 2023

However, it remains to be seen whether expert coders, auditors and clinical documentation improvement professionals could be replaced. Also, general coding, documentation and billing oversight for compliance to payer guidelines should be maintained by workforce experts. AI technology would empower these professionals.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

AIHC

JUNE 6, 2023

However, it remains to be seen whether expert coders, auditors and clinical documentation improvement professionals could be replaced. Also, general coding, documentation and billing oversight for compliance to payer guidelines should be maintained by workforce experts. AI technology would empower these professionals.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Health Law Advisor

OCTOBER 5, 2022

Thus, she emphasized that “if a cooperating company discovers hot documents or evidence [during a government investigation], its first reaction should be to notify the prosecutors.”. Additionally, DOJ now will “require cooperating companies to come forward with important evidence” to prosecutors “more quickly.”

Compliance Officers 52

Compliance Officers Compliance Due Diligence Governance 52

MedTrainer

AUGUST 2, 2023

Also, look for features like automatic reminders for providers to upload documents, notifications when a provider is on an exclusion list, and reminders when a provider’s credentials are set to expire. Some reports to look for: Credentialing Reports that outline privileges, verifications, exclusions, and documents. for each provider.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

Total HIPAA

OCTOBER 3, 2023

It is the responsibility of covered entities to know, follow and document their adherence to the requirements. It’s not enough to simply do what you think is correct based on past experience, if a breach happens and no due diligence is present the consequences are severe.

Compliance 98

Compliance Due Diligence HIPAA Compliance Officers 98

HIPAA Journal

JANUARY 31, 2024

When that deadline is near and breached organizations have not yet completed their document reviews to find out how many individuals have had their protected health information (PHI) exposed, breaches are reported to OCR using a placeholder of 500 or 501 records.

Ransomware 124

Ransomware HIPAA Hospitals Compliance 124

MedTrainer

AUGUST 2, 2023

The organization conducts a thorough review of their application and collects supporting documents, such as transcripts, licenses, and letters of recommendation. Selecting a credentialing provider takes a fair amount of due diligence; however, it’s time and energy that pay for themselves in short order.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Hall Render

AUGUST 24, 2023

This is a statutory process that allows the government time to consider the whistleblower’s allegations, review relevant documents and conduct an investigation to determine whether the government would like to direct the litigation or allow the whistleblower to continue with the matter.

Governance 40

Governance Due Diligence Hospitals 40

HIPAA Journal

MARCH 9, 2022

The HIPAA Security Rule is dominated by the Administrative, Physical, and Technical Safeguards – the remainder of the Rule being assigned to General Rules, Organization Rules (discussed below) Documentation Requirements, and Compliance Dates. Naturally, all assurances must be documented.

HIPAA 112

HIPAA Due Diligence Ransomware Compliance 112

HIT Consultant

DECEMBER 26, 2021

Looking through lab values, vital signs, medications, provider notes, or nursing documentation, a clinician had to review each separate visitation folder and take notes on a separate piece of paper to compare them. For new clinicians today, this probably seems ridiculous, but it was reality not long ago.

Due Diligence 98

Due Diligence Compliance Nurses HIPAA 98

HIPAA Journal

APRIL 15, 2023

For example, healthcare providers that outsource claims and billing operations do not have to comply with Part 162 of the Regulations – although it is necessary to know what they are in order to conduct due diligence on third party service providers. Why doesn´t HHS recognize HIPAA certifications?

HIPAA 68

HIPAA Compliance Due Diligence Health Insurance 68

Drug & Device Law

FEBRUARY 14, 2022

Here’s the sum total of what Atchley discussed on the issue of actual knowledge: The complaint plausibly alleges that defendants were aware of reports extensively documenting both Jaysh al-Mahdi’s domination of the Ministry and its mission to engage in terrorist acts. For example, the media reported. . .

Governance 59

Governance Due Diligence Pharmaceutical Industry 59

Drug & Device Law

MARCH 5, 2024

Medical records, which most courts eventually recognize plaintiffs should have as part of their Rule 11 due diligence. As we discussed last week and so often when we talk about things like Lone Pine orders, those medical records are crucial documents that plaintiffs themselves should obtain even before filing suit.

Malpractice 52

Malpractice Due Diligence 52

Drug & Device Law

OCTOBER 24, 2023

Finally, the court noted that voluminous document discovery had taken place in the MDL where thousands of pages of marketing, sales, and product communications were produced. So, plaintiff had no evidence that either of plaintiff’s surgeons actually relied on information from the sale reps.

Due Diligence 59

Due Diligence Doctors 59