HIPAA Journal

MARCH 6, 2023

Cedar Park, TX-based Dental Health Management Solutions (DHMS), a provider of dental services to the government/military and private patients has recently announced – via its legal counsel – that the protected health information of certain patients was exposed in a 2021 hacking incident.

Electronic Medical Records 75

Electronic Medical Records HIPAA Licensing Nurses 75

Healthcare IT News - Telehealth

JUNE 15, 2020

This past week, Centers for Medicare and Medicaid Services Administrator Seema Verma said she "can't imagine going back" to making beneficiaries return to in-person visits after the agency's relaxation of telehealth regulations in response to the coronavirus pandemic.

Telemedicine 196

Telemedicine Licensing HIPAA COVID-19 196

MedTrainer

NOVEMBER 14, 2023

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. What Is Healthcare Compliance?

Compliance 52

Compliance HIPAA Governance Medicare 52

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

HIPAA Journal

OCTOBER 11, 2022

The post Email Breaches Reported by Cardiac Imaging Associates & Centerstone of Tennessee appeared first on HIPAA Journal. It was not possible to determine if any emails or file attachments were opened or acquired by the attacker.

Licensing 78

Licensing HIPAA Health Insurance Medicaid 78

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. So, how has the history of healthcare compliance changed since its inception?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Healthcare IT News - Telehealth

JANUARY 23, 2023

We spoke with the HIMSS government relations team for their thoughts on those priorities and more in 2023 and beyond. HIMSS has also aggressively supported the Connect for Health Act , and a bill that's expected to be reintroduced this year, said Amanda Krzepicki, government relations manager at HIMSS.

Medicare 150

Medicare Medicare Governance Medicaid 150

MedTrainer

NOVEMBER 27, 2023

Georgia Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Georgia Department of Public Health (DPH) plays a crucial role in safeguarding the health and well-being of Georgians. Keep reading for resources, tips, and regulations unique to healthcare compliance in Georgia.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Similar to other states, Idaho has its own unique regulations and requirements that healthcare providers and organizations must adhere to.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

OCTOBER 4, 2023

Federal healthcare compliance requirements encompass a set of regulations and laws established by various government agencies to ensure certain standards for the healthcare industry at the national level. CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. Office for Civil Rights (OCR).

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

SEPTEMBER 8, 2023

Advocate Health Care HIPAA Breach (2016) In August 2016, Advocate Health Care Network —one of the largest healthcare systems in Illinois—agreed to settle potential violations of Privacy and Security Rules for $5.55 This settlement was the largest HIPAA settlement at that time. License revocation or suspension. Patient privacy.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

FEBRUARY 12, 2024

In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

Compliance 52

Compliance Licensing Governance Fraud 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

JANUARY 26, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Significant fines also can be levied by the Office of Inspector General (OIG) for overbilling Medicare and Medicaid. What is Healthcare Compliance?

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

MedTrainer

NOVEMBER 29, 2023

Tennessee Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Tennessee Department of Health (TDOH) plays a vital role in promoting the health and wellbeing of Tennessee residents. TennCare is Tennessee’s managed Medicaid agency.

Compliance 52

Compliance Licensing HIPAA Medicaid 52

HIPAA Journal

MAY 30, 2023

MCNA), which also does business as MCNA Dental – a provider of dental benefits and services for state Medicaid and Children’s Health Insurance Programs – has recently reported a major data breach to the Maine Attorney General that has affected 8,923,662 individuals. Million Individuals appeared first on HIPAA Journal.

Health Insurance 101

Health Insurance Medicaid Medicaid Ransomware 101

Verisys

NOVEMBER 13, 2022

Compliance procedures and training programs define and monitor numerous areas for adherence to laws and regulations including patient care, physician license verification, billing, reimbursement, HIPAA privacy, and security. Fraud in a program (other than a healthcare program) funded by any federal, state, or local government agency.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

MedTrainer

NOVEMBER 14, 2023

In Virginia, healthcare compliance may differ in Medicaid policies, telehealth regulations, scope of practice for healthcare professionals, certificate of need (CON) laws, and specific state mandates related to healthcare reporting and licensing.

Compliance 52

Compliance Licensing Governance Hospitals 52

HIPAA Journal

OCTOBER 10, 2022

The presentation was then forwarded by the Council to employees working for certain county government agencies and the presentation was posted to the DHS website as part of the meeting minutes. The post Wisconsin Department of Health Services Reports Breach of 12,000 Records appeared first on HIPAA Journal.

Medicaid 57

Medicaid Medicaid Governance Fraud 57

Health Care Law Brief

JUNE 2, 2022

Therefore, a telehealth platform operating in all 50 states will, for example, need to comport with the laws governing corporate formation, provider licensure, scope of practice, and telehealth encounters in all 50 states. Provider Licenses. Does the state apply different standards, for example, to Medicaid encounters?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

HIPAA Journal

JULY 24, 2023

HHS was one of the first Departments to have an Office of Inspector General in 1976 due to billions of dollars being lost each year to Medicaid fraud. HCFAC gave HHS’ OIG the resources to enforce §1128 of the Social Security Act. What is the HHS OIG Exclusions List?

Fraud 52

Fraud Medicare Medicare Medicaid 52

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.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

MedTrainer

OCTOBER 29, 2023

California Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The California Department of Public Health (CDPH) oversees a wide range of programs and services, from disease prevention and control to emergency preparedness and response.

Compliance 52

Compliance COVID-19 HIPAA Governance 52

MedTrainer

OCTOBER 16, 2023

Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

MedTrainer

NOVEMBER 17, 2023

Credentialing teams gather and validate healthcare providers’ qualifications, licenses, and certifications. Credentialers also manage payer enrollment, ensuring a provider’s organization can be reimbursed by insurance companies and government agencies (Medicare and Medicaid) for care patients receive.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

MARCH 28, 2024

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Clinical & Administrative Departments Adheres to regulations and guidelines within their specific licensing boards and department policies and procedures.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era. What Additional Information Should I Know for Compliance?

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

YouCompli

JUNE 29, 2022

Not surprisingly, both government and health plan audits have identified what Compliance professionals warmly refer to as ‘opportunities’ with respect to how telehealth services are documented, coded, and reimbursed by healthcare providers.” . This includes HIPAA Privacy and Security,” Porter said. .

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

Healthcare Law Blog

MARCH 8, 2023

Medical Coding ChatGPT can potentially be trained to comprehend Medicare and Medicaid codes, prepare billing reports, and process claims, which would significantly reduce the workload for coders and also provide a potential backup confirmation to reduce potential billing and coding errors. 24/7 Medical Assistance According to the U.S.

HIPAA 52

HIPAA Licensing Compliance Health Insurance 52

Healthcare Law Blog

MAY 31, 2022

However, traditional healthcare players, subject to the Health Insurance Portability and Accountability Act (“HIPAA”), may also find themselves innovating in this space (and grappling with how to stand up a HIPAA compliance program in the metaverse). How healthcare providers are licensed in the metaverse is also an open question.

FDA 90

FDA HIPAA Medicare Medicare 90

MedTrainer

AUGUST 2, 2023

The organization conducts a thorough review of their application and collects supporting documents, such as transcripts, licenses, and letters of recommendation. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

DECEMBER 22, 2023

health care spending hits $4.5 Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JULY 22, 2022

Eric Holder’s wife accused of major HIPAA ‘breach’ by her former women’s health practice. Delaware Adds Centene Plan to Medicaid Managed Care Offerings. Key advocates reflect on Hawaii postpartum Medicaid coverage extension. Board suspends nurse’s license 17 months after arrest in stabbing incident.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 9, 2023

in federal funds will allow CT colleges to hire more nursing instructors, provide student tuition support Connecticut hospital expenses $3.5B Billion in Unpaid Care to Loved Ones Proposed bill aims to address ‘truth in advertising’ by Connecticut health care providers Shuttered nursing home in Wallingford sells for $1.6M

COVID-19 40

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