HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

HIT Consultant

OCTOBER 18, 2021

Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. Identification to Inform Action.

Fraud 98

Fraud COVID-19 Public Health Medicare 98

Total Medical Compliance Resources

MAY 11, 2023

trillion is spent on healthcare in the United States, of which an estimated $60 billion is attributable to fraud and abuse. In order to combat this, HIPAA established the Healthcare Fraud and Abuse Control Program (HCFAC). Criminal Health Care Fraud Statute – 18 U.S.C. Every year a minimum of $4.3

Fraud 59

Fraud HIPAA Medicare Medicare 59

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems. The breach was detected on October 22, 2021.

Fraud 94

Fraud Health Insurance Ransomware HIPAA 94

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems. The breach was detected on October 22, 2021.

Fraud 69

Fraud Health Insurance Ransomware HIPAA 69

HIPAA Journal

JANUARY 11, 2024

OIG in healthcare stands for the Department of Health and Human Services (HHS) Office of Inspector General (OIG) – the Office within the HHS responsible for reducing waste, fraud, and abuse in HHS programs and improving efficiency. Probably the most rapidly expanding role for the HHS OIG in healthcare is cybersecurity.

Fraud 84

Fraud HIPAA Compliance Medicare 84

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. FHKC shut down its website’s application portal shortly thereafter. Follow us at [link] for updates as DOJ continues its CCFI enforcement efforts.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

HIPAA Journal

APRIL 24, 2023

Utah has updated its data breach regulations and from May 3, 2023, will require a breached entity to send a notification to the Utah Attorney General in the event of a breach of the personal information of 500 or more Utah residents.

Fraud 85

Fraud Licensing HIPAA Governance 85

HIPAA Journal

MARCH 15, 2023

The United States Department of Justice has agreed to settle alleged False Claims Act violations with Jelly Bean Communications Design LLC and manager Jeremy Spinks related to the failure to protect HIPAA-covered data. Further, the website did not maintain audit logs showing who had accessed the personal information of applicants.

Health Insurance 72

Health Insurance HIPAA Due Diligence Fraud 72

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.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

American Medical Compliance

JANUARY 9, 2024

Staying Compliant in Healthcare HIPAA plays a large role in healthcare compliance. Additionally, the HIPAA Privacy Rule applies to health plans, health care clearinghouses, and healthcare providers who perform specific electronic health care transactions. To become certified, please visit us at: American Medical Compliance (AMC).

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

Compliancy Group

FEBRUARY 16, 2023

Open source is not particularly secure, and when your systems have the potential to access healthcare data, you have to think of how HIPAA factors in. HIPAA and ChatGPT ChatGPT is not HIPAA compliant. How ChatGPT uses and discloses consumer data is in direct contradiction with how HIPAA permits patient information to be used.

HIPAA 52

HIPAA Compliance Fraud Governance 52

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.

Compliance 52

Compliance Fraud Governance HIPAA 52

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. Regulatory compliance, such as adherence to HIPAA, becomes even more critical in the digital landscape, where the risk of data exposure is heightened.

Records Management 102

Records Management Regulatory Compliance Compliance HIPAA 102

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?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

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. The Office of Civil Rights (OCR) is responsible for HIPAA enforcement.

Fraud 52

Fraud HIPAA Compliance Governance 52

Compliancy Group

FEBRUARY 9, 2022

Specifically, are you using HIPAA compliant billing software? To help you decide, we’ve prepared an overview of what the HIPAA regulations state. We also reviewed some of the most popular payment apps available to determine whether or not they are HIPAA compliant payment apps. . How Does HIPAA Define Billing Software Compliance?

HIPAA 52

HIPAA Compliance Fraud Doctors 52

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.

Compliance 52

Compliance Fraud HIPAA Governance 52

HIPAA Journal

JUNE 9, 2023

In 2013, David Dubin was examining a patient when he was informed by his father that the patient’s Medicaid benefits had been exhausted and cut the evaluation short. Under the letter of the law, small-scale fraud and large-scale fraud carry the same sentence for aggravated identity theft.

Fraud 95

Fraud Medicaid Medicaid Doctors 95

HIPAA Journal

AUGUST 31, 2022

Evil Corp’s primary modus operandi in recent years is conducting digital extortion attacks, including the use of ransomware, and the theft of sensitive information. In addition to running the operation, Yakubets interfaces with the Russian government and is known to have been tasked with projects on behalf of the Russin FSB.

Ransomware 117

Ransomware Fraud Governance Public Health 117

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?

Compliance 52

Compliance Governance Health Insurance HIPAA 52

Total Medical Compliance Resources

JUNE 9, 2023

An HCC is a set of guidelines and principles that govern the behavior and actions of healthcare professionals – it serves as a moral compass that defines standards and expectations for those in the industry. It encompasses healthcare compliance, fraud prevention, ethics, adherence to rules and laws, and safeguarding patient information.

Fraud 59

Fraud Compliance HIPAA Governance 59

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.

Ransomware 124

Ransomware Fraud HIPAA Health Insurance 124

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.

Compliance 52

Compliance HIPAA Fraud Health Insurance 52

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.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

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.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance efforts shifted toward protecting patient information.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

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. The incident was detected on November 9, 2023.

Ransomware 79

Ransomware Electronic Medical Records Licensing Health Insurance 79

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

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 HIPAA and How Does It Impact Healthcare Compliance?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Compliancy Group

MARCH 30, 2023

The report also identified several trends in cybercrime, including the increased use of social media platforms as a tool for scams and fraud, the rise of ransomware attacks, and the exploitation of virtual currency transactions. Make Sure You’re HIPAA Compliant HIPAA and cybersecurity go hand-in-hand. Find Out More!

Ransomware 52

Ransomware Fraud HIPAA Compliance 52

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. The post Up to 170,450 Patients Affected by Cyberattack on the Chattanooga Heart Institute appeared first on HIPAA Journal.

Licensing 71

Licensing Electronic Medical Records Ransomware Health Insurance 71

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.

Compliance 52

Compliance Governance ACA HIPAA 52

HIPAA Journal

JANUARY 3, 2023

This year’s report shows more than 200 large organizations in the United States have been attacked in the government, education, and healthcare verticals. That includes the 150 hospitals operated by CommonSpirit Health, which recently confirmed that the protected health information of 623,774 patients was compromised in the attack.

Ransomware 106

Ransomware Hospitals HIPAA Governance 106

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.

Ransomware 52

Ransomware Fraud HIPAA Health Insurance 52

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?

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52