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 58

HIPAA Compliance Fraud Medicare 58

The Health Law Firm

MARCH 6, 2014

Board Certified by The Florida Bar in Health Law The Centers for Medicare and Medicaid Services (CMS) continues to stop fraudulent repayment claims before they happen. The agency performed a similar enrollment moratorium in July 2013. Indest III, J.D., Click here to read the press release from CMS.

Medicaid 40

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

HIPAA 52

HIPAA Compliance Governance 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. For example, services that are billed to Medicaid or Medicare must comply with regulations that may not apply to services that are paid for in cash. 1, 2021). [2]

FDA 90

FDA HIPAA Medicare Medicare 90

HIPAA Journal

JULY 24, 2023

The False Claims Amendment Act in 1986 lowered the bar for proof of fraud and increased the fines the OIG could impose, while the Health Insurance Portability and Accountability Act ( HIPAA ) in 1996 established the Health Care Fraud and Abuse Control (HCFAC) Program. What is the HHS OIG Exclusions List?

Fraud 52

Fraud Medicare Medicare Medicaid 52

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). 1] Kaiser Family Foundation, Medicaid Postpartum Coverage Extension Tracker (Mar. 31, 2022). [2]

Medicaid 52

Medicaid Medicaid ACA Public Health 52

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

Health Populi

DECEMBER 7, 2018

These annual numbers come out of the annual report from the Centers for Medicare and Medicaid Services, published yesterday in Health Affairs. Underneath these macro-health economic numbers is the fact that inflation averaged 1.6% This means that health care spending grew twice the rate of inflation.

Health Insurance 54

Health Insurance Medicaid Medicaid Medicare 54

CMS.gov

MARCH 6, 2013

By: Christine Stahlecker, Director, Administrative Simplification Group, Office of E-Health Standards and Services, Centers for Medicare & Medicaid Services. These requirements are in place to lower costs, create uniform electronic standards, and streamline exchanges between health care providers and payers.

ACA 30

ACA HIPAA Medicaid Medicaid 30

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What are the 3 types of HIPAA violations?

HIPAA 135

HIPAA Due Diligence Compliance Fraud 135

HIPAA Journal

JANUARY 2, 2023

The following is a small selection of those we have reported on: In May 2013, Dianna Hereford was terminated from her position of staff nurse at the Norton Audubon Hospital for improperly disclosing the condition of a patient with Hepatitis C. Milestones of the Health Insurance Portability and Accountability Act.

HIPAA 110

HIPAA Compliance Hospitals Medicare 110

CMS.gov

OCTOBER 22, 2018

New State Relief and Empowerment Waiver Guidance Gives States Tools to Help Fix Broken Health Insurance Markets. Administrator, Centers for Medicare & Medicaid Services. million Americans remain without health insurance. percent in 2019 and more insurers will enter the market—premiums are still far too high.

Health Insurance 55

Health Insurance ACA Medicaid Medicaid 55

New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. 8:121 to update references throughout the chapter to the Department of Health licensing authority. See readopted N.J.A.C.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

HIPAA Journal

MARCH 30, 2022

For example: Had the health insurance industry been allowed to continue operating as it did prior to HIPAA, tens of millions of Americans would be excluded from health plan benefits. Had the momentum to improve health care not been given a kickstart by HIPAA, subsequent health care initiatives may never have happened.

HIPAA 131

HIPAA Fraud Health Insurance Health Care Reform 131

CMS.gov

NOVEMBER 26, 2018

Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Medicare Part D. Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Today the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to Medicare Part D to lower prescription drug costs for beneficiaries.

Medicare 52

Medicare Medicare Pharmaceutical Industry Health Insurance 52

HIPAA Journal

JANUARY 9, 2023

The Health Insurance Portability and Accountability Act was signed into law in 1996 and while there have been some significant HIPAA updates over the last two decades, the last set of major HIPAA updates occurred in 2013 with the introduction of the HIPAA Omnibus Final Rule. In each category, a maximum penalty of $1.5

HIPAA 115

HIPAA COVID-19 COVID-19 Vaccine Compliance 115

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. ” The health plan required patients to have an X-ray first to prove a CT scan was needed.

Medicare 107

Medicare Medicare Governance Overpayments 107

Health Populi

DECEMBER 6, 2018

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. In contrast, in 2013 the Affordable Care Act was in implementation and consumer-adoption mode, accompanied by aggressive anti-“Obamacare” campaigns in mass media.

Governance 73

Governance Medical Billing Medicaid Medicaid 73

Health Populi

MARCH 1, 2018

The report is aptly titled, Americans’ Views on Health Insurance at the End of a Turbulent Year. This is the sixth survey conducted by the Fund to track Americans’ views of the Affordable Care Act; the first survey was fielded in mid-to-fall 2013. The Fund surveyed 2,410 U.S.

ACA 83

ACA Health Insurance Medicaid Medicaid 83