HIPAA Journal

APRIL 27, 2023

The Centers for Medicare & Medicaid Services (CMS) has started notifying certain Medicaid beneficiaries about an impermissible disclosure of some of their protected health information due to a mailing error at one of its contractors. The CMS believes that the risk of identity theft and Medicare fraud is minimal.

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Medicare Medicare Medicaid Medicaid 91

HIPAA Journal

DECEMBER 15, 2022

HMS is a subcontractor of ASRC Federal Data Solutions, LLC (ASRC Federal), which is a business associate of the HHS’ Centers for Medicare and Medicaid Services (CMS). The CMS says up to 254,000 Medicare beneficiaries have potentially been affected and had some of their PII and PHI exposed.

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Ransomware Medicare Medicare HIPAA 102

HIPAA Journal

MARCH 6, 2023

The Department of Justice has announced one of its first prosecutions under the Medicare Access and CHIP Reauthorization Act of 2015 in a case involving the theft and sale of Medicare Beneficiary Identifiers. MACRA also made it illegal to buy, sell, or distribute Medicare Beneficiary Identifiers without proper authority.

Medicare 89

Medicare Medicare Fraud Medicaid 89

HIPAA Journal

JUNE 26, 2023

HIPAA enforcement discretion occurs when the Secretary for Health and Human Services (HHS) announces the Department will exercise discretion in the enforcement of HIPAA Rules. Typically, Notices of Enforcement Discretion last between 72 hours and 60 days, are state or region-specific and apply to specific provisions of the HIPAA Rules.

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HIPAA COVID-19 COVID-19 Vaccine Public Health 68

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

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HIPAA Compliance Due Diligence COVID-19 93

Total HIPAA

OCTOBER 24, 2022

The world of HIPAA compliance is often confusing and complex. Whether you’re an insurance agent or do business with one, you might wonder, “Do insurance agents need to be HIPAA compliant?” Insurance agents are required to comply with the HIPAA Privacy and Security Rules. How Do I Make Sure My Business Is HIPAA Compliant?

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HIPAA Health Insurance Compliance Medicare 98

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.

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HIPAA Compliance Medicare Medicare 95

HIPAA Journal

DECEMBER 31, 2022

One of the questions we are sometimes asked is how to report a HIPAA violation anonymously. Consequently, it is not possible to report a HIPAA violation anonymously via the OCR Complaints Portal. HHS´ Office for Civil Rights is not the only “enforcer” of HIPAA. How Else to Report a HIPAA Violation Anonymously.

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HIPAA Medicaid Medicaid Medicare 93

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?

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HIPAA Compliance Health Insurance Hospitals 52

HIPAA Journal

OCTOBER 28, 2022

HIPAA training is important beyond “ticking the box” of HIPAA compliance. In this article, we explain how a fully trained and compliant workforce can deliver multiple benefits for organizations subject to HIPAA and provide 5 reasons why HIPAA training is important. Reduce the Risk of HIPAA Violations.

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HIPAA Compliance Medicare Medicare 98

Total Medical ComplianceHIPAA

JANUARY 11, 2024

HIPAA stands as a beacon of privacy and security standards within the industry. These screenings search through various databases containing records of individuals or organizations barred from participating in Medicaid, Medicare, or other federal/state healthcare programs due to fraud, abuse, or other offenses.

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HIPAA Regulatory Compliance Malpractice Compliance 52

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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US Department of Health and Human Services HIPAA Compliance Medicaid 81

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. 2) A health care clearinghouse. (3)

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

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. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Fraud Medicare Medicare US Department of Health and Human Services 52

HIPAA Journal

SEPTEMBER 11, 2023

Care Health Plan, has settled multiple violations of the HIPAA Privacy and Security Rules with the HHS’ Office for Civil Rights (OCR) and will pay a $1,300,000 penalty and adopt a robust corrective action plan. OCR determined that there had been several failures to fully comply with the requirements of the HIPAA Privacy and Security Rules.

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HIPAA Compliance Medicaid Medicaid 71

Compliancy Group

FEBRUARY 9, 2023

Navigating the complexities of HIPAA compliance takes work, especially for healthcare providers and their vendors. Because of the vague nature of the law and the fact that HIPAA compliance is an all-or-nothing endeavor, too many organizations depend on hope more than knowledge. Learn More × Get HIPAA Compliant! Please Wait.

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HIPAA Compliance Regulations Compliance Medicaid 52

HIPAA Journal

DECEMBER 26, 2022

Generally, HIPAA compliance for nurses is considered to mean adhering to policies and procedures developed by an organization’s HIPAA Privacy Officer and applying the best practices of security awareness training provided by an organization’s HIPAA Security Officer. The Primary Issue with HIPAA Training for Nurses.

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HIPAA Nurses Compliance FDA 55

Innovaare Compliance

DECEMBER 11, 2023

Before the Medicare Advantage Open Enrollment Period (MA OEP) [1] begins on January 1, 2024, Medicare Advantage Organizations (MAOs) still have time to review if they are completely ready for a new contract year. The Annual Election Period (AEP) has ended. ethnic, cultural, racial, or religious minorities. the disabled.

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Medicare Medicare Compliance Medicaid 52

HIPAA Journal

SEPTEMBER 29, 2022

The Government Accountability Office (GAO) recently conducted a review of Medicare telehealth services provided during the COVID-19 pandemic, when a waiver was in place that greatly expanded access to telehealth and virtual visits. Between April and December 2019, 5 million Medicare telehealth visits were conducted.

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Medicare Medicare COVID-19 HIPAA 70

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

Fierce Healthcare

SEPTEMBER 11, 2023

million people in Medicaid, Medicare, and Affordable Care Act plans, was ordered to shore up its data protection systems. Care, which provides coverage for about 2.9

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HIPAA Medicaid Medicaid Medicare 126

Healthcare IT Today

MARCH 23, 2020

We wrote previously about HIPAA enforcement being suspended for telehealth during COVID-19 and more details on how to implement it. Plus, we shared the expansion of Medicare coverage and payment for telehealth. The good news is that HHS released a HIPAA and Telehealth FAQ that addresses some of those […].

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HIPAA COVID-19 Medicare Medicare 69

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. Medicare, Medicaid, and private health insurers suffered losses of more than $4.7

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Medicaid Medicaid Medicare Medicare 75

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. The Old Laws. The Guidances.

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HIPAA Medicare Medicare Medicaid 184

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.

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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!

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HIPAA Compliance Health Insurance Doctors 52

HIPAA Journal

FEBRUARY 8, 2024

Department of Health & Human Services Office of Inspector General (HHS-OIG) has published a Roadmap for New Physicians on avoiding Medicare and Medicaid fraud and abuse. The post Advice for New Physicians on Avoiding Medicare and Medicaid Fraud and Abuse appeared first on HIPAA Journal.

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Fraud Medicaid Medicaid Medicare 40

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.

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HIPAA Compliance Governance Health Insurance 52

Compliancy Group

SEPTEMBER 11, 2023

As guardians of privacy and security in the realm of protected health information (PHI), OCR enforces the HIPAA: Privacy Rule Security Rule Breach Notification Rule These set forth the mandatory obligations of HIPAA-regulated entities. Schedule a Demo See the software that makes getting compliant a breeze! Please Wait.

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HIPAA Compliance Medicaid Medicaid 52

Fierce Healthcare

FEBRUARY 12, 2024

CMS said it now has more faith in newer, HIPAA-compliant secure texting platforms.

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HIPAA Medicare Medicare Hospitals 133

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. HIPAA Training to RCM Team.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

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. The post 6 HIPAA-Regulated Entities Report Email Account Breaches and the Exposure of PHI appeared first on HIPAA Journal.

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HIPAA Health Insurance Licensing Hospitals 86

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.

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HIPAA Compliance COVID-19 Medicaid 52

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. Learn More! ×

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HIPAA COVID-19 Compliance Health Insurance 52

The Health Law Firm

FEBRUARY 17, 2021

Board Certified by The Florida Bar in Health Law In October 2020, Massachusetts federal prosecutors charged three individuals for their alleged roles in a multi-million dollar plot to defraud Medicare. Indest III, J.D., Both individuals obtaining the personal health information were located in Florida, wouldn't you know it.

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Medicare Medicare Fraud HIPAA 40

HIPAA Journal

APRIL 23, 2024

The HHS Office of Inspector General (HHS-OIG) has issued a warning to the public about a fraud scheme that targets Medicare enrollees and involves them setting up monthly payments for medically unnecessary remote patient monitoring (RPN). Scammers are targeting Medicare enrollees and convincing them to sign up for RPN. billion in 2023.

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Medicare Medicare Fraud HIPAA 52

The Health Law Firm

MARCH 17, 2021

Board Certified by The Florida Bar in Health Law In October 2020, Massachusetts federal prosecutors charged three people for their alleged roles in a multi-million dollar plot to defraud Medicare. Indest III, J.D., The two individuals who allegedly obtained the patient information were both located in Florida, wouldn't ya know.

Medicare 40

Medicare Medicare HIPAA 40