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What is Non-Compliance in Healthcare?

MedTrainer

It jeopardizes patient health, and can seriously harm the legal standing and reputation of healthcare institutions. Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information.

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Protecting the Consumer at the Heart of DTC Precision Medicine

Bill of Health

Namely, legal protections concerning personal health data may not apply when the entity offering the service is decidedly not a “provider.” To illustrate the issue, consider that the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) expressly covers genetic information as a form of health data.

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Introduction to Telebehavioral Health

AIHC

Medicare covers many telebehavioral and telemental health services including audio-only services. 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.

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Managing Healthcare Compliance in Idaho

MedTrainer

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

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Federal and State Healthcare Compliance Requirements

MedTrainer

These federal compliance governing agencies regulate the industry at the national level: Centers for Medicare & Medicaid Services (CMS). CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. HIPAA sets the standard for protecting sensitive patient data.

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Update on No Surprises Act 2022

AIHC

A news release from November 22, 2021, entitled New HHS Report Highlights How the No Surprises Act Will Prevent Surprise Medical Bills Faced by Millions of Americans highlights that millions of Americans with private health insurance experience some kind of surprise medical billing.

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“The No Surprises Act” a/k/a “The Act that Continues Surprising Providers”

Health Law RX

There has been legal movement as health care providers and facilities (collectively, “Providers”) have brought lawsuits against the Departments of Health and Human Services (“HHS”), Labor, and Treasury, and the Office of Personnel Management (collectively, “Departments”). April 4, 2022 – Continued Litigation Movement.