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. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Total HIPAA

OCTOBER 28, 2019

A newsletter on the importance of importance of HIPAA logging requirements states this: 1. A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. What HIPAA Security Rule Mandates. What HIPAA Security Rule Mandates. Creating a log is not as complicated as it seems.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

HIPAA Journal

MARCH 30, 2023

Synthetic accounts have been a problem in several sectors for many years but there is growing evidence that synthetic accounts are being used for healthcare fraud. Health-ISAC members can download the TLP: Green report for more detailed information and a TLP: White summary has also been released, both of which can be downloaded on this link.

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Ransomware Fraud Governance Medical Billing 100

MedTrainer

JANUARY 31, 2024

Certified HIPAA Professional (CHP): Several entities, such as ECFC, offer versions of a CHP certification. This designation is ideal for healthcare professionals tasked with ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA). It focuses on compliance within medical practices and clinics.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

HIPAA Journal

APRIL 1, 2022

That information may have been ‘previewed’ by an unauthorized individual, although no evidence was found to suggest information had been accessed or downloaded. Between June 24, 2021, and July 2, 2021, emails and attachments in a Ciox Health employee’s email account were downloaded by an unauthorized individual.

Fraud 132

Fraud HIPAA Licensing Health Insurance 132

MedTrainer

JANUARY 26, 2024

That’s where MedTrainer comes in handy as an all-in-one software compliance solution From HIPAA to OSHA, MedTrainer’s policy experts stay on top of changes and continually update courses that are created specifically for healthcare organizations. Why Is Compliance Training and Education Important?

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

HIPAA Journal

NOVEMBER 17, 2022

Salud Family Health said affected employees and patients have been offered free credit monitoring and identity fraud protection services, and security policies and procedures are being reviewed and will be updated to protect against future cyberattacks. New York-Presbyterian Hospital Discovers Breach Affecting up to 12,000 Patients.

Ransomware 83

Ransomware Health Insurance Hospitals Fraud 83

HIPAA Journal

FEBRUARY 13, 2023

The forensic investigation confirmed that AWS S3 storage buckets were accessed by the attackers, the contents of those buckets were downloaded, then the data in the buckets were deleted. The lawsuit alleged a failure to comply with its obligations under HIPAA and a failure to adhere to industry standard cybersecurity best practices.

HIPAA 73

HIPAA Fraud Health Insurance 73

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

MedTrainer

MARCH 8, 2024

Download the Ultimate List of Training Requirements for Long-Term Care to see a full list of federal training requirements for nursing homes and skilled nursing staff broken down by role, with the applicable standard, CMS violation category, and frequency. Training requirements vary by employee role and specific healthcare setting.

Compliance 52

Compliance Nursing Homes Nurses HIPAA 52

MedTrainer

FEBRUARY 1, 2024

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. HIPAA in the U.S.), and quality of care. Get everything you need to know about the 9 compliance reports you can't live without.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

MedTrainer

JANUARY 30, 2024

The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS). Download Now The post Healthcare Compliance Certification Is Within Your Reach appeared first on MedTrainer.

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

HIT Consultant

DECEMBER 18, 2023

Simply open a mobile app and download the report to your smartphone. In Europe, this is GDPR (General Data Protection Regulation), in America, it’s HIPAA (Health Insurance Portability and Accountability Act). AWS solutions require software compatible with HIPAA standards. Currently, ChatGPT does not meet HIPAA standards.

Electronic Medical Records 105

Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

Healthcare IT Today

DECEMBER 15, 2023

Simply open a mobile app and download the report to your smartphone. In Europe, this is GDPR (General Data Protection Regulation), in America, it’s HIPAA (Health Insurance Portability and Accountability Act). AWS solutions require software compatible with HIPAA standards. Currently, ChatGPT does not meet HIPAA standards.

Electronic Medical Records 106

Electronic Medical Records Doctors HIPAA Hospitals 106

MedTrainer

JANUARY 26, 2024

Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud. Reputational Damage: Violating regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) can result in significant fines and reputation damage.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

HIPAA Journal

JULY 28, 2022

38% of respondents said they visit those sites for streaming sporting events, 37% use the sites to download songs and video games that are hard to find, and 36% said they would visit those sites if they offered good discounts on purchases. The risks from bad cybersecurity practices are not just theoretical.

Fraud 67

Fraud HIPAA Governance 67

HIPAA Journal

MARCH 29, 2024

The digital forensics team determined that unauthorized individuals had gained access to the network and may have downloaded files containing patient data. County Department of Mental Health appeared first on HIPAA Journal. The post MFA Bypassed in Cyberattack on L.A.

Fraud 67

Fraud HIPAA Health Insurance Nurses 67

MedTrainer

JANUARY 26, 2024

Certified HIPAA Professional (CHP): Several entities, such as ECFC, offer versions of a CHP certification. This designation is ideal for healthcare professionals tasked with ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA). It focuses on compliance within medical practices and clinics.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers HIPAA 52

MedTrainer

JANUARY 31, 2024

Compliance Programs: Healthcare’s Guardian Angels Here are several ways in which compliance programs help safeguard the healthcare industry: Prevent Fraud and Abuse: Compliance programs help to identify and potentially prevent fraudulent activities such as billing for services not rendered, upcoding, or submitting false claims.

Compliance 52

Compliance Compliance Officers Governance Fraud 52

HIPAA Journal

DECEMBER 7, 2022

Salud Family Health said impacted employees and patients have been offered free credit monitoring and identity fraud protection services. It was not possible to tell which emails in the account were accessed or if any emails or attachments were downloaded.

COVID-19 Vaccine 87

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 87

MedTrainer

FEBRUARY 27, 2024

The training listed below includes federally-required training. Home health aides should review requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Fraud Licensing 52

HIPAA Journal

FEBRUARY 9, 2024

All medical practices are required to provide HIPAA training , OSHA training , and emergency preparedness training, and it is difficult to provide group training when physicians have overlapping schedules. 7 HIPAA Compliant Messaging Online patient scheduling and payment systems do not only have to be used for patient scheduling and payments.

HIPAA 40

HIPAA Compliance Payment Systems Ransomware 40

MedTrainer

APRIL 17, 2024

Download Now Common Challenges in Telehealth Credentialing Telehealth encompasses various modalities, including real-time video conferencing, remote monitoring, mobile health apps, virtual consultations, and asynchronous communication (e.g., Get the tools you need to eliminate delays in your provider enrollment process.

Licensing 52

Licensing Compliance Fraud Nurses 52

MedTrainer

FEBRUARY 1, 2024

These red flags are used to identify situations or activities that may raise concerns about fraud, waste, abuse, or non-compliance with healthcare regulations. Comply with HIPAA regulations for patient privacy. Download Now The post What Is a Red Flag in Healthcare Compliance? appeared first on MedTrainer.

Compliance 52

Compliance Compliance Officers Fraud HIPAA 52

HIPAA Journal

JANUARY 27, 2023

Data theft could not be ruled out, but at the time of issuing notifications, no reports had been received to suggest that sensitive information has been used for identity theft or fraud. This coincides with the 60-day reporting deadline of the HIPAA Breach Notification Rule.

Ransomware 93

Ransomware HIPAA Fraud Hospitals 93

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? Providers also need an NPI prior to enrolling in Medicare.

Fraud 52

Fraud Medicare Medicare HIPAA 52

HIPAA Journal

MARCH 8, 2023

Trend Micro also reports that ransomware groups have shifted their focus to monetizing exfiltrated data and are moving to other criminal business models such as BEC attacks, stock fraud, cryptocurrency theft, and money laundering. The post Cybercriminals Adopt Corporate Tactics to Address Declining Revenues appeared first on HIPAA Journal.

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Ransomware Fraud HIPAA 83

MedTrainer

NOVEMBER 15, 2023

Download Now Governing Bodies That Require Healthcare Compliance Frameworks Sticking with the college program analogy, let’s lay out some of the “classes,” or governing bodies, required to earn your “degree” in compliance. Get everything you need to know about the 9 compliance reports you can't live without.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

In health systems relying on insurance, these include budget and enrollment model forecasting, fraud detection, and waste reduction. They can also proactively identify fraud, waste and abuse within telehealth programs using machine learning models trained to detect financial and transactional anomalies.

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COVID-19 Telemedicine Doctors Hospitals 212