HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 95

HIPAA Health Insurance Medicaid Medicaid 95

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

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

HIPAA Journal

MARCH 10, 2022

Individuals whose Social Security number, driver’s license, state identification number, or financial account information may have been involved have been offered complimentary credit monitoring services. The post 6 Healthcare Providers and Business Associates Report Hacks and Ransomware Attacks appeared first on HIPAA Journal.

Ransomware 123

Ransomware Licensing Health Insurance Hospitals 123

MedTrainer

NOVEMBER 17, 2023

Download Now What Does a Credentialing Expert Do in Healthcare? Credentialing teams gather and validate healthcare providers’ qualifications, licenses, and certifications. Secure Document Sharing Platforms: A credentialer needs to know how to navigate document sharing platforms, such as PAVE or state licensing portals.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

MAY 4, 2023

For example, in your rush to move appointments online, did you adopt telehealth technology that will no longer be compliant when all HIPAA Rules are enforced? This article will focus on the federal changes, but make sure to check with all states where your providers are licensed to stay up-to-date. That’s a lot to keep track of!

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

MedTrainer

MARCH 28, 2024

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Clinical & Administrative Departments Adheres to regulations and guidelines within their specific licensing boards and department policies and procedures. Automated escalation speeds up resolution.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52