American Medical Compliance

AUGUST 29, 2024

In today’s healthcare environment, ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA) is more crucial than ever, especially for business associates. This enforcement power applies only to the requirements and prohibitions explicitly outlined in the HIPAA regulations.

HIPAA 96

HIPAA Compliance Health Insurance 96

HIPAA Journal

FEBRUARY 23, 2022

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?

HIPAA 102

HIPAA Fraud Health Insurance Medicaid 102

HIPAA Journal

MAY 30, 2023

MCNA), which also does business as MCNA Dental – a provider of dental benefits and services for state Medicaid and Children’s Health Insurance Programs – has recently reported a major data breach to the Maine Attorney General that has affected 8,923,662 individuals. Nascentia Health, Inc.

Health Insurance 103

Health Insurance Medicaid Medicaid Ransomware 103

The Health Law Firm

SEPTEMBER 25, 2013

Board Certified by The Florida Bar in Health Law The Health Insurance and Portability and Accountability Act (HIPAA) Privacy and Security Rules were amended by an Omnibus Final Rule published by the US Department of Health and Human Services (HHS) in January 2013. Indest III, J.D.,

US Department of Health and Human Services 40

US Department of Health and Human Services HIPAA Health Insurance Hospitals 40

The Health Law Firm

MARCH 1, 2018

Board Certified by The Florida Bar in Health Law On February 26, 2018, a pediatric cardiologist was charged with wrongfully disclosing protected health information in Massachusetts federal court. Prosecutors alleged that in 2013, Dr. Eduardo Montaña disclosed patient data to representatives of Aegerion Pharmaceuticals.

HIPAA 40

HIPAA Electronic Medical Records Doctors Health Insurance 40

The Health Law Firm

JUNE 12, 2013

Board Certified by The Florida Bar in Health Law The Department of Health and Human Services (HHS) acknowledged the need for technical corrections to a ruling published as part of the Health Insurance Portability and Accountability Act (HIPAA) omnibus rule on January 23, 2013, according to a final rule published on the Federal Registrar.

HIPAA 40

HIPAA Health Insurance 40

The Health Law Firm

SEPTEMBER 24, 2013

Board Certified by The Florida Bar in Health Law The Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules were amended by an Omnibus Final Rule published by the US Department of Health and Human Services (HHS) in January 2013. Indest III, J.D.,

US Department of Health and Human Services 40

US Department of Health and Human Services HIPAA Health Insurance 40

The Health Law Firm

SEPTEMBER 26, 2013

Board Certified by The Florida Bar in Health Law The Health Insurance and Portability and Accountability Act (HIPAA) Privacy and Security Rules were amended by an Omnibus Final Rule published by the US Department of Health and Human Services (HHS) in January 2013. Indest III, J.D.,

US Department of Health and Human Services 40

US Department of Health and Human Services HIPAA Health Insurance 40

Health Populi

DECEMBER 6, 2018

In contrast, in 2013 the Affordable Care Act was in implementation and consumer-adoption mode, accompanied by aggressive anti-“Obamacare” campaigns in mass media. What happens to these patients’ financial health? That’s the top lighter green line in the first chart.

Governance 73

Governance Medical Billing Medicaid Medicaid 73

The Health Law Firm

JANUARY 29, 2013

With the popularity of electronic health records (EHRs), social media and everything in between, the US Department of Health and Human Services (HHS) has released stronger rules and protections governing patient privacy. Click here to read the entire 563-page rule.

US Department of Health and Human Services 40

US Department of Health and Human Services HIPAA Health Insurance Governance 40

The Health Law Firm

MAY 31, 2013

Board Certified by The Florida Bar in Health Law, and George F. Board Certified by The Florida Bar in Health Law. On April 8, 2013, a Los Angeles jury awarded $3.8 On April 8, 2013, a Los Angeles jury awarded $3.8 Anthem Blue Cross is a unit of the insurance giant WellPoint Inc. Smith, R.R.T., Indest III, J.D.,

Doctors 40

Doctors Health Insurance 40

The Health Law Firm

JULY 23, 2013

Board Certified by The Florida Bar in Health Law Shasta Regional Medical Center in Redding, California, has agreed to pay $275,000 to settle a federal investigation concerning alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Indest III, J.D.,

US Department of Health and Human Services 40

US Department of Health and Human Services Health Insurance HIPAA Hospitals 40

The Health Law Firm

MARCH 6, 2014

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.

Fraud 40

Fraud Medicaid Medicaid Medicare 40

Health Care Law Brief

JUNE 5, 2023

In 2013, Jelly Bean contracted with the Florida Health Kids Corporation (“ FHKC ”)—a state-created entity that offers health and dental insurance for Florida children—to create, host, and maintain HealthyKids.org, where, in part, parents and others could apply for state Medicaid insurance coverage for eligible children.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

Health Populi

JUNE 1, 2018

I’ve mined Meeker’s report for several years here on Health Populi: 2017 – Digital healthcare at the inflection point, via Mary Meeker. 2015 – Musings with Mary Meeker on the digital/health nexus. 2013 – The role of internet technologies in reducing healthcare costs – Meeker inspirations.

Health Insurance 54

Health Insurance 54

HIPAA Journal

OCTOBER 21, 2022

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.

HIPAA 106

HIPAA Compliance Medicare Medicare 106

HIPAA Journal

MARCH 29, 2022

The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced its first financial penalties of 2022 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Three of the cases were settled with OCR, and one resulted in a civil monetary penalty being imposed.

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HIPAA Compliance Health Insurance 123

HIPAA Journal

MARCH 2, 2022

The Health Insurance Accountability and Portability Act (HIPAA) introduced multiple HIPAA rights. The Rule was extended in the Final Omnibus Rule in 2013 to include Business Associate data breaches, and further changes are being considered in response to the Safe Harbor Act 2021.

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HIPAA Health Insurance Public Health Compliance 102

Healthcare IT Today

AUGUST 19, 2022

Diameter Health’s automated, scalable technology transforms high volumes of multi-source clinical data into an interoperable and flexible data asset that drives better health outcomes and greater efficiency.

Governance 92

Governance Health Insurance Health Outcomes 92

Health Populi

OCTOBER 29, 2019

Start with tracking: nearly 80% of people tracked at least one health metric in 2019, but nearly one-half of that tracking was done in an analog, not digital way. What do health trackers track, then? ” How not-so-far we have come, right?

Telemedicine 78

Telemedicine Health Insurance 78

Health Populi

JANUARY 2, 2024

Ten years ago here in Health Populi , I wrote about New Year’s Resolutions for Health and the 2013 Consumer Electronics Show. Then, one-third of consumers were keen to buy health tracking technology but most of those people were healthy, CTA’s research found. “Elevance Health, a health insurance company?

Hospitals 87

Hospitals Health Insurance Telemedicine 87

Total HIPAA

MAY 31, 2023

HIPAA (Health Insurance Portability and Accountability Act) has evolved over the years to adapt to advancements in healthcare and technology. The 2013 HIPAA Omnibus Final Rule expanded its scope, and now the HIPAA Privacy Rule is set to change again in 2023. HIPAA’s Evolution: HIPAA has been crucial in U.S.

HIPAA 52

HIPAA Compliance Health Insurance 52

American Medical Compliance

JANUARY 9, 2024

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 wastes taxpayer money and interferes with your medical care. trillion in 2015.

Fraud 52

Fraud Medicare Medicare Compliance 52

HIPAA Journal

MARCH 29, 2024

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.,

Fraud 82

Fraud HIPAA Health Insurance Nurses 82

Compliancy Group

FEBRUARY 1, 2023

Nearly every American knows about the Health Insurance Portability and Accountability Act (HIPAA). The first is covered entities – healthcare providers, health insurance companies, and healthcare clearinghouses. All three groups perform activities essential to protected health information (PHI) as defined by the law.

HIPAA 52

HIPAA Compliance Health Insurance 52

Healthcare Law Blog

MAY 31, 2022

The FTC’s increasing interest in health information that sits outside of HHS/OCR’s reach is likely to only expand in light of health-related metaverse use cases. 2] “The Path to Interoperability,” The Office of the National Coordinator for Health Information Technology (Sept. 1, 2021). [2]

FDA 90

FDA HIPAA Medicare Medicare 90

Health Populi

DECEMBER 7, 2018

This means that health care spending grew twice the rate of inflation. The main contributor to spending growth was prices – raising the time-tested mantra of Uwe Reinhardt, “It’s the Prices, Stupid,” coined in a 2013 sentinel essay in Health Affairs. But medical prices march onward and upward.

Health Insurance 54

Health Insurance Medicaid Medicaid Medicare 54

HIPAA Journal

JANUARY 1, 2023

Milestones of the Health Insurance Portability and Accountability Act. Prior to the Final Omnibus Rule in 2013, OCR had to prove a data breach resulted in a “significant risk of financial, reputational or other harm for the individual” before taking enforcement action. HIPAA Compliance Infographics. How to Spot a Phishing Email.

HIPAA 103

HIPAA Hospitals Compliance Health Insurance 103

MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

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). Introduction to HIPAA “HIPAA” stands for the Health Insurance Portability and Accountability Act.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

Jane Sarashon

JUNE 1, 2022

Note that this does not reflect prescription drug rebates, which made up about 26% of drug claims in 2021, Milliman noted, more than doubling from 2013). For my previous write-ups of the MMI, here are some links to check out… MMI 2021 The Cost of Health Care for a Family of 4 in America Will Reach $28,256 in 2021.

COVID-19 72

COVID-19 Hospitals Public Health Health Insurance 72

Healthcare Law Blog

MARCH 25, 2022

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. Once the new rules were published, Vista Health Plan, Inc., at 15,432 ); and.

ACA 52

ACA US Department of Health and Human Services Health Insurance Medicaid 52

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

HIPAA Journal

JULY 4, 2024

In 1996, Congress passed the Health Insurance Portability and Accountability Act ( HIPAA ) with the objective of reforming the health insurance industry. When large scale changes occur – such as happened in 2013 with the HIPAA Omnibus Rule – almost every covered entity and business associate is impacted by the changes.

HIPAA 56

HIPAA Compliance Fraud Medicare 56

Total HIPAA

OCTOBER 28, 2019

He altered patient records as part of a scheme to steal narcotics from a local hospital from January 2013 to May 2015. A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. This incident highlights just how important it is to maintain and regularly monitor detailed logs.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

Jane Sarashon

JUNE 5, 2023

Points well-taken, but my perspective through my own health economics lens has been that the more costs are borne by a patient, the more that person grows (or should grow) consumer-style “muscles.” family income — most recently pegged at around $70,000. mortality rate.

COVID-19 52

COVID-19 Medicaid Medicaid Health Insurance 52

CMS.gov

MARCH 6, 2013

Did you know that the United States spends more than $150 billion annually on health care administration, and for the average physician, two-thirds of a full time employee is needed to carry out billing and insurance related tasks? And please stop by our booth (#2868) in the exhibit hall.

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ACA HIPAA Medicaid Medicaid 30