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 129

HIPAA Medicare Medicare Compliance 129

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

MedTrainer

JANUARY 12, 2024

Healthcare facilities, from hospitals and clinics to insurance providers, are deeply affected by the regulations set forth by the Health Insurance Portability and Accountability Act (HIPAA). How does HIPAA compliance affect healthcare facilities? What is Healthcare Compliance?

HIPAA 52

HIPAA Compliance Health Insurance Hospitals 52

HIPAA Journal

JANUARY 12, 2024

The HIPAA Omnibus Rule mandated modifications to the Privacy, Security, and Enforcement Rules in order to adopt measures passed in the HITECH Act, finalized the Breach Notification Rule, and added standards to account for the passage of the GINA Act. Strengthen the limitations on uses and disclosures of Protected Health Information.

HIPAA 87

HIPAA Compliance Health Insurance Medicaid 87

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?

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HIPAA Due Diligence Compliance Fraud 134

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 103

HIPAA Compliance Medicare Medicare 103

Medisys Compliance

APRIL 24, 2024

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

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.

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HIPAA Medicare Medicare Medicaid 189

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 102

HIPAA Compliance Due Diligence COVID-19 102

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 101

Health Insurance Health Analytics HIPAA Medicaid 101

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

Compliancy Group

MARCH 8, 2023

are missing out on most of these opportunities because their names are on the HHS OIG (Health and Human Services, Office of Inspector General) Medicare Exclusion List. How do people end up on the Medicaid Exclusion List, what are the consequences of being on the list, and can you ever get off the list?

Medicare 52

Medicare Medicare Fraud HIPAA 52

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 82

Medicaid Medicaid HIPAA Health Insurance 82

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.

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Medicaid Medicaid Medicare Medicare 97

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 79

Medicaid Medicaid HIPAA Health Insurance 79

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).

HIPAA 90

HIPAA Health Insurance Medicaid Medicaid 90

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

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 105

HIPAA Health Insurance Medicaid Medicaid 105

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. Providers also need an NPI to enroll in Medicare.

Fraud 97

Fraud HIPAA Medicare Medicare 97

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.

Governance 77

Governance Medicare Medicare Ransomware 77

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 88

Medicaid Medicaid HIPAA Health Insurance 88

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.

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HIPAA FDA Informed Consent Health Insurance 162

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). This is just the beginning.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

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.

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HIPAA Health Insurance Medicaid Medicaid 116

AIHC

SEPTEMBER 25, 2024

There is value in learning from another organization’s lessons publicly posted by a government authority, such as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), the HIPAA enforcement agency, the Office of Civil Rights (OCR) or the Federal Bureau of Investigations (FBI).

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

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

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 122

Hospitals Health Insurance HIPAA Medicaid 122

HIPAA Journal

AUGUST 31, 2023

As well as supplying private customers, the company works with more than five hundred health plans, managed care organizations, and other agencies to provide access to meals for people covered by Medicare and Medicare. At the time of publication, the company’s name does not appear on the HIPAA Breach Report.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Compliancy Group

AUGUST 30, 2024

HIPAA The Health Insurance Portability and Accountability Act (HIPAA) of 1996 governs how healthcare organizations handle protected health information (PHI). This set of regulations relates to sharing, collecting, storing, and disposing of health records, patient data, and other sensitive information.

Compliance 52

Compliance Fraud Compliance Officers HIPAA 52

Healthcare IT News - Telehealth

JULY 2, 2020

Secretary of Health and Human Services Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma to provide a written plan for permanent changes to Medicare, Medicaid and Children’s Health Insurance Program rules around telehealth.

COVID-19 174

COVID-19 Medicare Medicare Medicaid 174

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

HIPAA Journal

MARCH 21, 2023

During that time they exfiltrated files that contained sensitive patient data, including names, contact information, Social Security number, Medicare/Medicaid IDs, health information, and health insurance information.

Fraud 109

Fraud Health Insurance Medicaid Medicaid 109

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 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

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 122

Health Insurance Licensing Fraud HIPAA 122

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

HIPAA Journal

MAY 19, 2022

Million Data Breach Settlement Gets Preliminary Approval appeared first on HIPAA Journal. The breach was reported to the HHS’ Office for Civil Rights as affecting 114,007 individuals. The post Solara Medical Supplies $9.76

Licensing 116

Licensing HIPAA Health Insurance Medicaid 116

MedTrainer

JANUARY 30, 2024

Compliance is Mandatory for Federal Programs One constant is that organizations and facilities that participate in federal healthcare programs, such as Medicare and Medicaid, must have a compliance program. Laboratories: Clinical laboratories that perform tests covered by Medicare or Medicaid.

Governance 52

Governance Compliance Nursing Homes Medicaid 52