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277,000 Santa Clara Family Health Plan Members Affected by GoAnywhere Hack

HIPAA Journal

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. The post 277,000 Santa Clara Family Health Plan Members Affected by GoAnywhere Hack appeared first on HIPAA Journal.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

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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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Certification. A CMS certification also translates to being a “covered entity.”

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HHS Issues HIPAA Guidance on Remote Communication Technologies for Audio-Only Telehealth

Health Care Law Brief

This guidance is a direct response to a December 2021 Executive Order that tasked HHS with developing HIPAA guidance for telehealth services, with the stated goals of improving “patient experience and convenience” as the COVID-19 public health emergency subsides. The new HIPAA guidance affects covered entities in four key ways.

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Federal and State Healthcare Compliance Requirements

MedTrainer

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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How Will New FDA Hearing Aid Regulations Impact Health Plans?

HIT Consultant

– Delivery model : Whether to ship OTC products to a hearing clinic where the consumer can receive professional diagnosis, fitting and support, or ship directly to the consumer’s home thereby providing convenience but no professional support (and increased fraud risk), or offer both options? – Fraud. Expanding membership.

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Two NY Home Healthcare Agencies Settle False Claims Act Allegations for $5.4 Million 

Healthcare Compliance Blog

The New York Wage Parity Act, Public Health Law sets minimum wage and benefit requirements for licensed home care services agencies (LHCSAs) that employ home care aides who render services to Medicaid recipients in New York City and three counties in New York. The base wage must be paid in cash.