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

DECEMBER 30, 2022

The HIPAA definition of Covered Entities is generally explained as health plans, health care clearinghouses, and health care providers that conduct electronic transactions for which the Department of Health and Human Services (HHS) has developed standards. The HIPAA Definition of Covered Entities.

HIPAA 90

HIPAA US Department of Health and Human Services Health Insurance COVID-19 90

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

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

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

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

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

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

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 the OIG Exclusion Database Came to Be HHS oversees the CMS (Center for Medicare Services), which administers the Medicare program.

Medicare 52

Medicare Medicare Fraud HIPAA 52

American Medical Compliance

FEBRUARY 23, 2023

The HIPAA Regulations and Cybersecurity Training for Dental Healthcare Personnel course educates employees and management on how to be compliant with the Health Insurance Portability and Accountability Act (HIPAA). HIPAA is a federal law that protects patient security in multiple different ways.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

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

MAY 2, 2022

6 data breaches have recently been reported by HIPAA-regulated entities that have collectively resulted in the exposure and potential theft of the protected health information of tens of thousands of individuals. La Casa de Salud, New York. Notification letters were sent to affected individuals on April 15, 2022.

HIPAA 86

HIPAA Health Insurance Licensing Hospitals 86

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

Compliancy Group

APRIL 1, 2022

An HHS study released in December 2021 showed 2020 telehealth usage for Medicare patients increased 63-fold over 2019 (840,000 to 52.7 Regardless of the method used, communications such as cloud-based VoIP, telehealth, texting, and email in healthcare must comply fully with HIPAA rules and regulations. . Compliancy Group can help!

HIPAA 52

HIPAA Compliance Health Insurance Doctors 52

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. HIPAA Training to RCM Team. Scope of PHI.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

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

Compliancy Group

AUGUST 19, 2022

On Friday afternoon, July 15, 2022, the Department of Health and Human Services Office for Civil Rights announced 11 enforcement actions against healthcare providers across the country for alleged violations of the HIPAA Privacy Rule right of access provisions. Let’s Simplify Compliance Avoid HIPAA violation fines.

HIPAA 52

HIPAA COVID-19 Compliance Health Insurance 52

HIPAA Journal

NOVEMBER 10, 2023

Two lawsuits have recently been filed against Costco Wholesale over the use of these trackers on the Costco Pharmacy pages of the Costco website, which has allegedly impermissibly disclosed information protected under the Health Insurance Portability and Accountability Act (HIPAA). Ellersick and Hart L.

HIPAA 104

HIPAA Health Insurance Medicare Medicare 104

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

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

AUGUST 14, 2023

Several other HIPAA-regulated entities have confirmed that they have been affected. The post Johns Hopkins Medicine Confirms More Than 310,400 Individuals Affected by MOVEit Hack appeared first on HIPAA Journal. Complimentary credit monitoring and identity theft protection services are being offered to the affected individuals.

Medicaid 76

Medicaid Medicaid HIPAA Health Insurance 76

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

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

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

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

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

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

MedTrainer

MAY 16, 2024

Below are courses common to many roles in ASC facilities that meet federal requirements for orientation or annual continuing education. Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

HIPAA Journal

AUGUST 14, 2023

Several other HIPAA-regulated entities have confirmed that they have been affected. The post Records of 4 Million Coloradans Compromised in MOVEit Transfer Attack appeared first on HIPAA Journal. 24 months of complimentary credit monitoring and identity theft protection services have been offered to the affected individuals.

Medicaid 73

Medicaid Medicaid HIPAA Health Insurance 73

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

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

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

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

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

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

HIPAA Journal

SEPTEMBER 29, 2022

Humana has recently announced that the protected health information of 22,767 individuals has potentially been compromised in a security incident and data breach at one of its business associates – Choice Health – which Human used to sell Medicare products on its behalf.

Health Insurance 105

Health Insurance Medicare Medicare Fraud 105

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

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