HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To?

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

HIPAA Journal

MARCH 31, 2023

The reason the HIPAA retention requirements needs clarifying is that the distinction between HIPAA medical records retention and HIPAA record retention can be confusing. Throughout the Administrative Simplification Regulations of HIPAA, there are several references to HIPAA data retention.

HIPAA 125

HIPAA Medicare Medicare Compliance 125

HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. It is currently unclear how many individuals have been affected.

Medicaid 91

Medicaid Medicaid Ransomware HIPAA 91

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4 million, and $6.4

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. The average HIPAA penalty has fallen from $2.6 reduction in total penalties compared to 2018, falling from $28.7

HIPAA 93

HIPAA Compliance Due Diligence COVID-19 93

HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

Health Insurance 91

Health Insurance Health Analytics HIPAA Medicaid 91

HIPAA Journal

AUGUST 10, 2023

Four more entities have confirmed they were affected by the mass hacks of the MOVEit Transfer file transfer solution and had protected health information stolen. It is currently unclear exactly how many Medicaid recipients were affected. The DSS said all Missouri Medicaid recipients are being notified about the breach as a precaution.

Medicaid 52

Medicaid Medicaid Health Insurance HIPAA 52

HIPAA Journal

OCTOBER 21, 2022

There are – and always have been – gaps in HIPAA and, after more than a quarter of a century, some have yet to be addressed. Most of the gaps in HIPAA are attributable to omissions from the original Act, provisions of HIPAA and HITECH that have never been enacted, and the increasing use of technology in healthcare.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

HIPAA Journal

AUGUST 14, 2023

Several other HIPAA-regulated entities have confirmed that they have been affected. The Colorado Department of Health Care Policy and Financing , which oversees the state’s Medicaid program and the Child Health Plan Plus (CHP+) program, was also affected.

Medicaid 76

Medicaid Medicaid HIPAA Health Insurance 76

Bill of Health

OCTOBER 26, 2022

In the post- Dobbs fight to safeguard reproductive healthcare, a new spotlight has been placed on two existing federal laws: the Health Insurance Portability and Accountability Act (HIPAA) and the Emergency Medical Treatment and Active Labor Act (EMTALA). . OCR HIPAA Privacy Rule Guidance. By Katie Gu. The Old Laws.

HIPAA 184

HIPAA Medicare Medicare Medicaid 184

HIPAA Journal

AUGUST 14, 2023

The Colorado Department of Health Care Policy and Financing (HCPF), which oversees the state’s Medicaid program and the Child Health Plan Plus (CHP+) program, has recently confirmed that the protected health information of 4,091,794 individuals was compromised.

Medicaid 73

Medicaid Medicaid HIPAA Health Insurance 73

Med-Net Compliance

JULY 25, 2022

The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) announced the resolution of eleven investigations in its Health Insurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.

HIPAA 59

HIPAA US Department of Health and Human Services Nursing Homes Nurses 59

HIPAA Journal

JULY 28, 2023

The HHS’ Centers for Medicare and Medicaid Services (CMS) is being urged not to implement the proposed standards for prior authorization attachments, as detailed in its December 2022 Notice of Proposed Rulemaking (NPR). As such, the AHA, AMA, and BCBSA strongly advise against the adoption of the standards for prior authorization attachments.

HIPAA 83

HIPAA Health Insurance Medicaid Medicaid 83

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 95

HIPAA Health Insurance Medicaid Medicaid 95

Bill of Health

OCTOBER 27, 2023

In the context of health, let alone highly sophisticated cell signaling and microenvironment data, the web gets even more tangled. The HIPAA Problem The privatization of next-generation medical technologies, especially in regenerative and precision medicine, further muddies the data-protection waters.

HIPAA 157

HIPAA FDA Informed Consent Health Insurance 157

HIPAA Journal

JUNE 16, 2023

Further information on the data breach has been covered by The HIPAA Journal here. The letters included Medicaid benefit information, although only around 200 of the 5,800 individuals affected had either their Medicare health insurance claim number (HICN) or Social Security number disclosed.

Medicaid 79

Medicaid Medicaid HIPAA Health Insurance 79

MedTrainer

SEPTEMBER 20, 2023

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. Health Populi’s Hot Points: Is there an American Civil Right for health care?

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

Health Law RX

JUNE 28, 2022

The Guidance is the strongest signal yet from OCR that it intends to resume imposing penalties against covered entities that do not comply with the HIPAA Rules when providing telehealth. The Guidance is meant to assist covered entities with HIPAA compliance when the Telehealth Notification (defined below) is no longer in effect.

HIPAA 52

HIPAA Compliance COVID-19 Medicaid 52

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

Compliance 105

Compliance Fraud HIPAA Health Insurance 105

Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). These audits should occur once per year.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Understanding HIPAA is crucial.

Compliance 99

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

HIPAA Journal

MARCH 15, 2023

The post More Than 4 Million Individuals Affected by Cyberattack on Independent Living Systems appeared first on HIPAA Journal. The types of information varied from individual to individual.

HIPAA 106

HIPAA Health Insurance Medicaid Medicaid 106

Compliancy Group

MARCH 19, 2024

Also, all insurance and Medicare or Medicaid claims must only include charges for services and treatments ordered and deemed necessary. HIPAA The Health Insurance Portability and Privacy Act (HIPAA) applies to anyone who interacts with patients or handles PHI. name, phone number). healthcare. healthcare.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

HIPAA Journal

JANUARY 23, 2024

governors to invite them to apply for Section 1115 waivers to expand access to care under the Medicaid program to women who are prohibited from receiving abortion care in the states where they live and may be denied care under the Medicaid program. Wade appeared first on HIPAA Journal. The HHS has written to U.S.

HIPAA 82

HIPAA Medicaid Medicaid Health Insurance 82

HIPAA Journal

FEBRUARY 15, 2022

The post Hackers Gained Access to Files Containing the PHI of 115,670 South Shore Hospital Patients appeared first on HIPAA Journal. Spencer Gifts said it is reviewing its security policies and procedures and further electronic security features will be implemented.

Hospitals 113

Hospitals Health Insurance HIPAA Medicaid 113

HIPAA Journal

JULY 4, 2023

Affected individuals had one or more of the following exposed: name, address, driver’s license number, health insurance information, medical information, date of birth, and Social Security number. The post 559,000 Individuals Affected by Murfreesboro Medical Clinic & SurgiCenter Cyberattack appeared first on HIPAA Journal.

Medicaid 72

Medicaid Medicaid Health Insurance Licensing 72

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. Involves ensuring adherence to laws and regulations specific to the healthcare industry.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

Verisys

NOVEMBER 8, 2023

CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies. Why Are NPI Numbers Necessary? Learn More About NPIs When Did NPI Numbers Begin?

Fraud 97

Fraud HIPAA Medicare Medicare 97

HIPAA Journal

AUGUST 15, 2023

Performance Health Technology (PH Tech), an Oregon-based provider of data management services to health insurers, is being sued by individuals who had their protected health information (PHI) compromised in a recent cyberattack. Both lawsuits seek class action status, a jury trial, and damages in excess of $5 million.

Health Insurance 76

Health Insurance HIPAA Medicaid Medicaid 76

Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52

HIPAA Journal

OCTOBER 17, 2022

The exposed information included names, dates of birth, Social Security numbers, driver’s license numbers, clinical/diagnosis information, health insurance member ID numbers, medical record numbers, and Medicare or Medicaid numbers. No evidence of data theft or misuse of information has been detected.

Health Insurance 113

Health Insurance Licensing Fraud HIPAA 113

Medisys Compliance

FEBRUARY 27, 2024

Key regulations include the Health Insurance Portability and Accountability Act (HIPAA), the Stark Law, the Anti-Kickback Statute, and regulations set forth by the Centers for Medicare & Medicaid Services (CMS) and private payers. Radiology practices must stay updated on these regulations to ensure compliance.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

HIPAA Journal

AUGUST 31, 2023

At the time of publication, the company’s name does not appear on the HIPAA Breach Report. The post PHI Included in Mom’s Meals Data Breach appeared first on HIPAA Journal. However, according to the Data Breach Notification, the date the breach was “discovered” is recorded as July 10, 2023.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

HIPAA Journal

JULY 31, 2023

The Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) has confirmed that the PHI of approximately 612,000 current Medicare recipients was exposed in this incident and up to 645,000 individuals in total. The CMS said it is working with Maximus to provide notice to the affected individuals.

Governance 71

Governance Medicare Medicare Ransomware 71

HIPAA Journal

MARCH 14, 2022

CRMC said at this stage of the investigation it does not appear that the attackers gained access to its electronic medical record database; however, the files accessed or potentially accessed by the attackers included information such as patient names, addresses, birth dates, medical information, and health insurance information.

Electronic Medical Records 128

Electronic Medical Records Health Insurance HIPAA Licensing 128