HIPAA Journal

JANUARY 21, 2024

Disaster Recovery and Emergency Mode Operation Most healthcare providers have to implement measures for disaster recovery and emergency mode operation as a condition of participating in Medicare.

HIPAA 54

HIPAA Compliance Due Diligence Medicare 54

Healthcare Law Blog

MAY 2, 2023

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities.

Due Diligence 52

Due Diligence Medicaid Medicaid Compliance 52

Provider Trust

MAY 18, 2022

Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Recent cases of OIG enforcement and other fines, penalties related to vendors.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

HIPAA Journal

MARCH 30, 2023

Importantly, in the original seven elements of a compliance program, OIG notes that the continual retraining of personnel at all levels (emphasis added) is a significant element of an effective compliance training program.

Compliance 96

Compliance Compliance Officers Fraud HIPAA 96

Hall Render

JANUARY 11, 2023

For example, reimbursement under Medicare and Medicaid for certain telemedicine services was significantly increased due to the COVID-19 pandemic.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

HIPAA Journal

MAY 29, 2023

Risk management processes also need to be extended to third parties – business associates – which means performing due diligence on vendors throughout the supply chain and implementing processes to identify, assess, and manage vendor risk at each stage of the vendor life cycle – onboarding, ongoing, and offboarding.

HIPAA 93

HIPAA Compliance Due Diligence COVID-19 93

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, the Part II Rule provides that providers or facilities who act in good faith and with reasonable due diligence will not fail to comply with these requirements upon making an error in a good faith estimate, provided that they correct the information as soon as practicable. 2] See 86 Fed.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

HIPAA Journal

JANUARY 31, 2024

CA Healthcare Provider 2,364,359 Hackers hack access to its network between August 30, 2023, and September 1, 2023 Centers for Medicare & Medicaid Services MD Health Plan 2,342,357 MOVEit Transfer vulnerability exploited at Maximus Inc.

Ransomware 118

Ransomware HIPAA Hospitals Compliance 118

HIT Consultant

FEBRUARY 5, 2024

Therefore, due diligence requires background checks to identify both current and historical adverse actions to be performed. Hospitals and health systems will be held accountable for a physician’s omission. Mistake No. 7: Failing to report adverse actions to the National Practitioners Data Bank (NPDB).

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

HIPAA Journal

DECEMBER 28, 2022

It is also the case that, regardless of the level of effort put in to comply specifically with HIPAA, most hospitals already comply with HIPAA to some degree due to the measures implemented in order to participate in Medicare. It is also important to be aware patients´ rights under HIPAA go much further than Medicare.

HIPAA 61

HIPAA Compliance Hospitals Medicare 61

Verisys

NOVEMBER 30, 2023

Therefore, due diligence requires background checks to identify both current and historical adverse actions be performed. Hospital and health systems will be held accountable for a physician’s omission. Mistake No. 7: Failing to report adverse actions to the National Practitioners Data Bank (NPDB).

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

MedTrainer

AUGUST 2, 2023

Insurance Reimbursement Insurance companies — along with government programs like Medicare and Medicaid — require providers to be credentialed to ensure they meet specific standards and qualifications. 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

Verisys

FEBRUARY 4, 2022

Therefore, due diligence requires background checks to identify both current and historical adverse actions be performed. Exclusions from participation in a federal or state healthcare program including Medicare and Medicaid exclusions. Hospital and health systems will be held accountable for a physician’s omission. Mistake No.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52

AIHC

JUNE 22, 2022

If the provider is not enrolled in the plan, you will not be able to bill for services rendered, ESPECIALLY with Medicare and Medicaid. Code of Federal Regulations (CFR) have, as a result, become the best standard for due diligence. CFR regulations (U.S.

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52