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Settlement Agreed with Florida Children’s Health Insurance Website Contractor to Resolve False Claims Act Allegations

HIPAA Journal

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

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What is HIPAA?

HIPAA Journal

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA? What is HIPAA Title II?

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Another Resolution by DOJ Pursuant to its Civil Cyber-Fraud Initiative Highlights Continued Efforts to Hold Companies Accountable for Ensuring Data are Secured

Health Care Law Brief

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. To resolve these allegations, Jelly Bean and Spinks agreed to pay $293,771. FHKC shut down its website’s application portal shortly thereafter.

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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

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Safeguarding Against Medical Identity Theft Training

American Medical Compliance

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This type of theft is just one example of healthcare fraud. trillion in 2015. trillion in 2015.

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CMS Extends Ban on New Home Health Agencies and Ambulance Suppliers

The Health Law Firm

In an effort to do so, the agency is temporarily blocking several home health agencies (HHAs) and ground ambulance suppliers in fraud hot spots around the country from enrolling in and receiving reimbursements from Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) programs.

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MFA Bypassed in Cyberattack on L.A. County Department of Mental Health

HIPAA Journal

Healthfirst The New York health insurance provider, Healthfirst, has recently notified 6,836 of its 2 million members about unauthorized access to its member portal. Healthfirst, which provides health plans under the names Healthfirst PHSP, Inc., Healthfirst Health Plan, Inc.,

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