Health Care Law Brief

JUNE 5, 2023

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. To resolve these allegations, Jelly Bean and Spinks agreed to pay $293,771. FHKC shut down its website’s application portal shortly thereafter.

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American Medical Compliance

JANUARY 9, 2024

It establishes national standards to protect individuals’ medical records and other individually identifiable health information, which is collectively defined as “protected health information.” It also mandates the implementation of suitable safeguards to preserve the privacy of such information.

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American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This type of theft is just one example of healthcare fraud. trillion in 2015. trillion in 2015.

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MedTrainer

MARCH 8, 2024

It educates employees on the laws, regulations, and policies governing their work and ensures they understand their responsibilities and obligations as healthcare professionals. Successful training is when team members understand and comply with various laws, regulations, and policies that govern the healthcare industry.

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Verisys

FEBRUARY 12, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is GRC in Healthcare?

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HIPAA Journal

JANUARY 1, 2023

Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. However, at the time, the healthcare insurance industry was governed by a hotchpotch of federal and state legislation.

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Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance? What is GRC in Healthcare?

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Healthcare IT Today

DECEMBER 21, 2023

Predominantly, the risk of fraud, theft, or abuse of customer or company information increases, which can cause regulatory violations resulting in significant fines and penalties. It involves strategic organization, secure storage, and seamless retrieval of electronic health records (EHRs).

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HIPAA Journal

FEBRUARY 23, 2022

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA? What is HIPAA Title II?

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HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care, a Pennsylvania-based operator of 70 outpatient vascular centers and ambulatory surgery centers in 25 states and Puerto Rico, notified the HHS’ Office for Civil Rights last month about a cybersecurity incident involving the protected health information of 348,000 patients.

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HIPAA Journal

AUGUST 2, 2023

Notification letters will be sent to the affected individuals in the coming weeks and credit monitoring, fraud consultation, and identity theft restoration services will be offered. A third-party data review company was provided with the files on December 22, 2022, and provided the results of the analysis to SHS on May 16, 2023.

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MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

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MedTrainer

JUNE 29, 2023

Healthcare is an industry governed by countless regulations. While it can sometimes feel like there’s dozens and dozens of different healthcare standards, the biggest governing policies really boil down to four major regulations. Why are Healthcare Regulations Important? Healthcare regulations are crucial for several reasons.

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Verisys

JANUARY 8, 2024

This includes adherence to standards set by the Health Insurance Portability and Accountability Act (HIPAA) , the Centers for Medicare & Medicaid Services (CMS), and other regulatory bodies. The audit evaluates if the healthcare organization follows billing and coding standards to prevent fraud and abuse.

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MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Compliance efforts shifted toward protecting patient information.

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Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Violations of the False Claims Act can result in significant financial penalties, including fines and exclusion from government healthcare programs.

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HIPAA Journal

JULY 27, 2023

Norton Healthcare has only disclosed limited information about the attack; however, the BlackCat ransomware group announced that it was behind the cyberattack and leaked some of the data stolen from Norton Healthcare on its data leak site.

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HIPAA Journal

JUNE 8, 2023

There is a trend for breach notification letters to only contain the bare minimum information to meet regulatory requirements; however, Alvaria breach notifications include comprehensive details about the attack including the name of the ransomware group responsible.

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MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. Legal And Regulatory Requirements In Healthcare More than 620 legal and regulatory requirements govern how the healthcare industry ensures patient safety, privacy, and quality of care.

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MedTrainer

AUGUST 31, 2023

More importantly, understanding them will help you make informed decisions and maintain the highest standards of integrity in practice. Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. What Is Healthcare Compliance?

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Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

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HIPAA Journal

FEBRUARY 21, 2022

EHRs usually contain all the information required for multiple types of fraud, including names, addresses, dates of birth, Social Security numbers, other government and state ID numbers, health data, and health insurance information. No other records provide such a wide range of information.

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Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

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MedTrainer

JANUARY 26, 2024

By providing valuable information on appropriate practices, reporting, and remediation, training helps employees to grow as individuals and thrive in their roles. Why Is Compliance Training and Education Important?

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Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Facilities increasingly rely on healthcare compliance officers (HCOs) to bridge the gap between government regulation and daily operations.

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HIPAA Journal

DECEMBER 7, 2022

The internal investigation conducted by the VA’s Data Breach Response Service concluded the information had been impermissibly disclosed and the spreadsheet was removed from SharePoint. The VA concluded that there was a low risk of misuse of that information. At the time it was unclear exactly how that information was breached.

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MedTrainer

JANUARY 31, 2024

Healthcare compliance is following and meeting the laws, regulations, and ethical standards that govern the healthcare industry. Ensure Patient Privacy: Compliance programs – with the Health Insurance Portability and Accountability Act (HIPAA) at the top – help safeguard patient privacy and data security.

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Compliancy Group

JULY 6, 2023

With various regulations like HIPAA (Health Insurance Portability and Accountability Act), OSHA (Occupational Safety and Health Administration), and FWA (Fraud, Waste, and Abuse) in place, it is crucial for healthcare providers to adhere to these guidelines to ensure patient safety, privacy, and ethical practices.

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MedTrainer

OCTOBER 23, 2023

Who Governs Healthcare Compliance? These are just few examples: Occupational Health and Safety Administration (OSHA) : Supports the overall health and safety of workers by reducing the risk of injury, illness, death, suffering, and financial hardship. Learn more about how MedTrainer can streamline your compliance.

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Compliancy Group

AUGUST 28, 2023

These services assist healthcare organizations in understanding and implementing various laws and regulations that govern their operations. By providing up-to-date information, these resources empower organizations to make informed decisions while remaining compliant.

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Kaiser Health News

NOVEMBER 11, 2021

Finding the best private Medicare drug or medical insurance plan among dozens of choices is tough enough without throwing misleading sales tactics into the mix. She contacted the 1-800-MEDICARE helpline to get a new Medicare number and called the AARP Fraud Watch Network Helpline and the Federal Trade Commission.

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Compliancy Group

AUGUST 2, 2023

Healthcare GRC (Governance, Risk, and Compliance) is a crucial framework that helps healthcare providers navigate these complexities effectively. Governance: Establishing Accountability Effective governance forms the foundation of any robust healthcare GRC software.

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MedTrainer

JANUARY 26, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. This designation is ideal for healthcare professionals tasked with ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA). What is Healthcare Compliance?

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MedTrainer

JANUARY 26, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Failure to Obtain Informed Consent: Before performing any medical procedure, healthcare providers must obtain informed consent from patients or their legal guardians. What is Healthcare Compliance?

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AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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Compliancy Group

AUGUST 31, 2023

Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Let’s delve into the importance of healthcare compliance laws and regulations, their impact on providers and organizations, and the guidelines governing their implementation.

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HIT Consultant

JANUARY 3, 2023

Department of Health and Human Services Office of Information Security noted in a 2022 report on health sector cybersecurity, that threat actors continue to evolve and become more sophisticated and effective in their attacks. The Challenges to Meeting Compliance Regulations.

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