MedTrainer

MARCH 8, 2024

There are three key fundamentals of team member compliance training: It Helps Reduce Risk It Ensures Patient Safety It Fosters a Culture of Compliance Employee Compliance Training Topics Compliance training covers a wide range of topics, including patient privacy, medical billing and coding, workplace safety, and infection control, among others.

Compliance 52

Compliance Fraud Governance HIPAA 52

HIPAA Journal

JANUARY 25, 2023

Logan Health Medical Center – was filed against Logan Health in the Montana Eighth Judicial District Court shortly after notification letters were mailed. Million Settlement to Resolve Class Action Data Breach Lawsuit appeared first on HIPAA Journal. Affected individuals were offered complimentary credit monitoring services.

Medical Billing 88

Medical Billing Fraud HIPAA Health Insurance 88

MedTrainer

JANUARY 26, 2024

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. This includes training modules and tools for secure data management.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

AIHC

JUNE 6, 2023

Due to the complex nature of accurate coding, charge capture, billing and reimbursement, AI technology holds the potential to transform medical billing. This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors. But can it be hacked????

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

HIPAA Journal

MARCH 30, 2023

Synthetic accounts have been a problem in several sectors for many years but there is growing evidence that synthetic accounts are being used for healthcare fraud. These accounts are used to fraudulently obtain loans and make large purchases but are also being used for paying for medical billing and other health-related activity.

Ransomware 101

Ransomware Fraud Governance Medical Billing 101

AIHC

JUNE 6, 2023

Due to the complex nature of accurate coding, charge capture, billing and reimbursement, AI technology holds the potential to transform medical billing. This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors. But can it be hacked????

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

MedTrainer

NOVEMBER 2, 2023

Their duties span across several areas, from ensuring adherence to laws to navigating the complexities of medical billing protocols. Health Insurance Portability and Accountability Act (HIPAA) HIPAA ensures the privacy of patient health information. What Is the Primary Role of a Compliance Officer in Healthcare?

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

Healthcare Law Blog

NOVEMBER 9, 2023

Thereafter, OIG said it planned to update existing industry-specific compliance program guidance (ICPG), which would include tailoring each to address fraud and abuse risk areas specific to a particular industry and describing the compliance measures that industry could take to reduce these risks [2].

Compliance 52

Compliance Compliance Officers Fraud Medicare 52

Healthcare IT Today

AUGUST 3, 2023

EHR data is a prime target for cyber attackers, as it includes personal data and medical data that can be resold and used to perpetrate financial fraud, extortion, medical billing fraud, and illicit access to medication. Insecure medical devices can also be exploited to hurt patients and damage institutions.

Fraud 89

Fraud FDA Medical Billing Hospitals 89

Healthcare IT Today

JUNE 29, 2023

Compliance is the foundation of ethical and responsible ASC billing. HIPAA, CMS, and state agencies regulate ASCs. ASC billing requirements include coding, documentation, privacy, and security. Compliance Requirements for ASC Billing ASCs should prioritize billing practices for compliance.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

AIHC

MARCH 2, 2023

The most challenging aspect of having my own medical billing and consulting company was working with people. I have also added the CFE, Certified Fraud Examiner through the Association of Certified Fraud Examiners. During these years I found myself primarily involved with providing structure and direction.

Compliance Officers 52

Compliance Officers Compliance Fraud Medical Billing 52

HIPAA Journal

MARCH 11, 2022

Hackers gained access to a single file server housing files that contained patients’ protected health information such as names, contact information, insurance claim information, date(s) of service, medical bill account number, and health insurance informa­tion.

HIPAA 116

HIPAA Health Insurance Medical Billing Fraud 116

Healthcare IT Today

SEPTEMBER 19, 2023

Hearing about these pain points from stakeholders is why I’d “repackage HIPAA” if I were a regulator for a day. In that manner, businesses that remained “outside of the purview of HIPAA” would be impacted. I hear patients discouraged and disgusted when they can’t get access to their own data even in 2023!

Hospitals 137

Hospitals HIPAA Nurses Governance 137

MedTrainer

JULY 21, 2022

However, unauthorized access is causing more than just identity fraud. Hackers stole medical billing records from a whopping one million New York patients—that’s about an eighth of the city’s total population. The HHS needs to work together with victims to report data breaches—but who would want to admit to a HIPAA violation?

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA COVID-19 Compliance 52

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. 911 dispatchers couldn’t understand them OKLAHOMA Children’s hospital in Oklahoma second in country with new therapy technology OU Health receives federal grant to support telemedicine for rural stroke patients OREGON Legacy Health sells medical office building for $60.5M

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

FEBRUARY 18, 2022

Senators look to address privacy, new technology in renewed push to modernize HIPAA. Florida physician convicted of $110M fraud. Lawmaker: Revisions coming to Georgia mental health bill. Local hospitals begin enforcing medical worker vaccine mandates. billing fraud. COVID numbers on downward spiral.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

NOVEMBER 27, 2023

face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills. renovation St. cash Tenet’s $2.4B cash Tenet’s $2.4B

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

JANUARY 12, 2024

Lima FLORIDA Allstate accuses Florida clinic of billing fraud, unnecessary spine surgeries Baptist Health, Compass Surgical Partners to launch ASC network Broward Health taps former Cleveland Clinic Florida CEO Cape Coral medical office building sells for $2.2M to settle improper billing allegations COVID-19 variant JN.1

Nursing Homes 40

Nursing Homes US Department of Health and Human Services COVID-19 Nurses 40

Hall Render

JUNE 16, 2023

federal fraud settlement Local nursing home employees picket for better wages and benefits amid contract negotiations Medical office building in Halfmoon sold for $5.5 federal fraud settlement Local nursing home employees picket for better wages and benefits amid contract negotiations Medical office building in Halfmoon sold for $5.5

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MAY 12, 2023

NATIONAL 4 Healthcare Design And Construction Trends To Watch AHA urges court to preserve ACA preventive services requirement pending appeal AI may pose ‘existential threat,’ physicians warn in BMJ Biden’s nursing home staff mandates expected soon CareFirst, Noom program aims to ‘retrain’ the brain of members with obesity, (..)

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40