Compliancy Group

MARCH 19, 2024

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. name, phone number). healthcare.

Regulatory Compliance 52

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

C&M Health Law

JANUARY 20, 2023

This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Health Insurance 52

Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

Compliancy Group

FEBRUARY 12, 2024

In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. Department of Health and Human Services, Office of Inspector General (HHS-OIG), said.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

MedTrainer

OCTOBER 16, 2023

Dive with us as we explore the complexities and necessities of compliance in the healthcare sector. Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Why Is Compliance Important in Healthcare?

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

Total HIPAA

FEBRUARY 23, 2023

Did you know that any HIPAA security breaches affecting less than 500 individuals in 2022 must be reported to the US Department of Health and Human Services by March 1, 2023? Reporting HIPAA Breaches: When Should I Contact HHS? Will I Be Penalized for HIPAA Breaches I Report?

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Medicaid 52

Total HIPAA

JANUARY 4, 2021

HIPAA breaches involving fewer than 500 individuals, which occurred during 2020 , must be reported to the US Department of Health and Human Services (HHS) by Monday, March 1, 2021. Reporting HIPAA Breaches: When Should I Contact HHS? Definition of HIPAA Breaches. 351 Days. -15 15 Hours. -26

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HIPAA US Department of Health and Human Services Compliance Medicaid 40

Healthcare IT Today

JANUARY 2, 2024

In the same step, the number of regulations governing the sector has grown in complexity, which stems from movements including the HIPAA Right of Access Initiative and fallout from the reversal of federally protected abortion access. Healthcare’s most valuable data is their patient or policyholder data.

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Compliance US Department of Health and Human Services HIPAA Health Insurance 69

Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

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US Department of Health and Human Services Medicare Medicare Medicaid 52

Compliancy Group

JANUARY 17, 2024

Understanding the OIG Work Plan The OIG Work Plan for physicians and health organizations is a dynamic document that lays out the various audits, reviews, and inspections the OIG intends to conduct in relation to healthcare programs and services within a time frame. HIPAA violations alone are incredibly costly to health providers.

US Department of Health and Human Services 52

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

Verisys

JANUARY 19, 2022

Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Human Resources.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Healthcare IT News - Telehealth

JUNE 17, 2020

In a hearing this week, members of the Senate Committee on Health, Education, Labor and Pensions asked how many of those changes should be made permanent – and how to make sure the most vulnerable won't get left behind. At UVA, she said, "we saw a greater than 9,000% increase in the use of telehealth. Tina Smith, D-Minn.

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US Department of Health and Human Services Telemedicine COVID-19 Doctors 160

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. The Social Security Act establishes rules for reimbursement from Medicare, Medicaid, and CHIP. Reimbursement. Healthcare administration.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Hall Render

JUNE 30, 2023

Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B after home health provider reneges on Option deal Will the doctor see you now? Maybe not amid the changing healthcare landscape in the US. Here’s why.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

NOVEMBER 4, 2022

CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. Cullman Regional to build north Alabama’s 1st freestanding emergency department. USDA funds 11 rural Alabama health care projects with $7.3 CMS bumps ASC payments to 3.8 prescription drugs.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Healthcare IT News - Telehealth

JUNE 4, 2021

But for health IT, things sped up. When new technologies were needed to solve fast-moving healthcare challenges, hospitals and health systems could not afford to wait the time it normally took to stand up IT. This is the ninth installment in Healthcare IT News ' Health IT Lessons Learned in the COVID-19 Era feature story series.

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US Department of Health and Human Services COVID-19 Doctors Nurses 144

Hall Render

SEPTEMBER 15, 2023

NATIONAL 988 suicide hotline adds support for American Sign Language 3 Takeaways from Physician Compensation Trends Adventist Health completes merger with Montebello’s ailing Beverly Hospital AHA-supported bill to protect health care workers introduced in Senate AHA weighs in on CMS’ proposed ASC payment system AHA submits comments on CY 2024 (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

OCTOBER 27, 2023

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B 11 Plan To Slash $1.5B 11 Plan To Slash $1.5B

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Healthcare IT Today

JUNE 30, 2022

Derek Shaw, President at Invicta Health Solutions , a company that combines technology and people power to help healthcare providers improve operational and financial performance. We have developed automation and have worked with team members and other vendors to create automation and scripts with the use of robots and AI,” said Stover.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Hospitals Medicaid 52

Hall Render

APRIL 1, 2022

AHA Urges DOJ to Protect Health Care Workers??from Coalition of hospitals, health plans and others urge for stronger guidance around third-party apps. Hospital, long-term care groups again petition Becerra to extend COVID-19 public health emergency. Justice Department to join whistleblower lawsuit against EHR vendor, CEO.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

Verisys

AUGUST 14, 2023

US Drug Enforcement Administration (DEA): Public Notice: The DEA has issued a notice of a public listening session requesting input concerning the practice of telemedicine with regards to controlled substances and potential safeguards that could effectively prevent and detect diversion of controlled substances prescribed via telemedicine.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Telemedicine Medicare 52

Compliancy Group

DECEMBER 16, 2022

At first glance, the Department of Health and Human Services’ Office for Civil Rights HIPAA enforcement for the year 2022 appears to be lax. In 2022, OCR entered into 20 resolution agreements with HIPAA-covered entities, and imposed civil monetary penalties on two more. 22 cases total. .

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Medicaid 52

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

JUNE 23, 2023

NATIONAL AHA, CHA respond to Human Rights Watch report on nonprofit hospitals AMA urges end of noncompete clauses in physician contracts Amazon launches $100M generative AI center, targeting healthcare As urged by AHA, Supreme Court rules government can dismiss FCA case over relator’s objection Biden announces leader of the CDC Bill would give Biden (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

MAY 26, 2023

Experts say why it matters.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

APRIL 21, 2023

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

MARCH 22, 2024

NATIONAL 79 percent have positive outlook for senior living and care: NIC 12 key legal issues impacting health systems AHA: 94% of hospitals financially impacted by Change Healthcare’s cyberattack A conversation about the HHS plan on AI in health care A new kind of hospital is coming to rural America.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

AUGUST 11, 2023

NATIONAL 7 new ASCs in the South in 1 month 6 Congressional moves could impact ASCs this year 5 recent moves from The Joint Commission 90% of healthcare organizations look to adopt digital health platforms A cyberattack has disrupted hospitals and health care in 5 states AHA: Site-Neutral Payment Policies Hurt Hospitals AHA Voices Concern Re: FY 2024 (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. billion since pandemic U.S. billion since pandemic U.S.

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

MARCH 9, 2023

Maternity Wards Closing.

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COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

JUNE 16, 2023

Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 12, 2024

NATIONAL 60% of health systems considering ASC joint ventures 9% of hospitals had ‘vulnerable’ cash on hand levels in 2022 $3.7B

Nursing Homes 40

Nursing Homes US Department of Health and Human Services COVID-19 Nurses 40

Hall Render

JULY 21, 2023

Vincent’s nurse, physician communication among top in Alabama UAB Hospital receives millions in state funds to expand ED 988 one year later: More needed to expand mental health in Alabama communities of color Alabama lawmakers hear from Pickens County on effort to re-open medical center ALASKA City OKs $8.1M Million St. Million St.

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US Department of Health and Human Services Nurses Hospitals Nursing Homes 40