article thumbnail

The History of Healthcare Compliance

MedTrainer

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. HIPAA (1996): The Health Insurance Portability and Accountability Act (HIPAA) established strict standards for patient data privacy and security.

article thumbnail

HIM Professionals Advocate For Uniform HIPAA Protection Across Social, mHealth Apps

Electronic Health Reporter

Members of the American Health Information Management Association (AHIMA) called on Congress to better serve and protect the growing population of healthcare consumers who use technology – such as social media, wearables and mobile health (mHealth) apps – to manage their health. on this issue, among […].

HIPAA 89
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

UnitedHealth Group Confirms Data Stolen in Change Healthcare Ransomware Attack

HIPAA Journal

OCR recently announced that due to the impact of the Change Healthcare ransomware attack, the decision had been taken to investigate Change Healthcare promptly to establish whether it was compliant with the HIPAA Rules. What is HIPAA and does this Cyberattack Break the Law?

article thumbnail

OIG Issues Final Information Blocking Enforcement Rule and Highlights the Potential for Referrals to the FTC and FCA Liability

Health Care Law Brief

Unlike developers, exchanges, and networks, the Act does not empower OIG to directly assess penalties for non-compliance against health care providers. [6] At a recent health care conference , HHS officials stated that they anticipate the provider disincentive rules to be published this fall.

HIPAA 52
article thumbnail

CMS Finalizes its Proposal to Advance Interoperability and Improve Prior Authorization Processes

Healthcare Law Blog

The payers impacted by the Final Rule include Medicare Advantage (“MA”) organizations, state Medicaid and Children’s Health Insurance Program (“CHIP”) agencies, Medicaid and CHIP managed care plans, and plans on the Affordable Care Act exchanges (collectively, “Impacted Payers”).

article thumbnail

CMS Issues a New “Advancing Interoperability and Improving Prior Authorization Processes” Proposed Rule

C&M Health Law

The regulations impact CMS-regulated payers and provide incentives for providers and hospitals that participate in the Medicare Promoting Interoperability Program and the Merit-based Incentive Payment System (MIPS). Most of the Proposed Rule’s provisions will be effective on January 1, 2026. Our initial takeaways are summarized below.

article thumbnail

Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting “reasonable and customary charges” requiring physicians to collect data to negotiate reasonable contracts. Hospital reimbursement also changed.