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In early December of 2024, the Department of Health and HumanServices (HHS) Office for Civil Rights (OCR) announced it has issued a $548,625 civil monetary penalty (CMP) against Childrens Hospital Colorado (CHC), for the latters HIPAA compliance trip-ups: violations of the HIPAA Privacy and Security Rules.
The UShealth system is in a desperate cybersecurity state of affairs. For example, throughout 2023 about one in three Americans were affected by health-related data breaches. Most of the largest hacks targeted vendors who bill, mail, or provide other services for hospitals, doctors, and other health providers.
A home healthservices company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home healthservices provided to beneficiaries living in Florida.
The settlement resolves allegations that between 2013 and 2020, the company paid remuneration to its home health medical directors in Oklahoma and Texas for the purpose of inducing referrals of Medicare and TRICARE home health patients. The corporate officers were previously the CEO and COO of the company.
Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The Throughout the investigation, the hospital cooperated with the above entities. Issue: False claims can be generated in a variety of capacities.
This post aims to answer all of your HIPAA compliance questions. If you’re just learning about HIPAA compliance, or beginning the process of becoming HIPAA compliant, this article will guide you through the initial steps you must take to adhere to the law. What is HIPAA Compliance? Protected Health Information (PHI).
by Frank Fairchok, Vice President of Medicare Reporting Services. Last week, the Centers for Medicare & Medicaid Services (CMS) advanced the rulemaking process in two long-awaited areas. 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047). 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047).
Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. The Risk-Adjustment Program.
On March 28, 2022, the Department of Health and HumanServices (“HHS”) Office for Civil Rights (“OCR”) announced the resolution of two more complaints under its Right of Access Initiative. Dentist Agrees to $30,000 Settlement for Failure to Provide Entire Copy of Designated Record Set.
How Emergency Use Authorization of Medical Products Helps Provide Relief During a COVID-19 Major Crisis. It is a public health emergency of massive scale that has affected nearly all aspects of our life. The current COVID-19 global pandemic continues to remain out of control. You can also watch a brief video about this process below.
Executive Health Resources, Inc. , Executive Health Resources, Inc. , United States Department of Health and HumanServices , 58 F.4th In 2023, these include United States ex rel. Polansky v. UnitedHealthcare, Inc. , 3d 239 (Cal. Croda Inc. , 3d 191 (Del. C-8 Personal Injury Litigation , 87 F.4th
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