Healthcare IT Today

AUGUST 29, 2019

???Healthcare compliance analytics company Protenus today announced a $17M investment from some of the country’s top healthcare technology investment firms, to keep up with growing customer demand and to continue partnering with health systems that aim to take a more innovative approach to maintain compliance.

Compliance 53

Compliance 53

HIPAA Journal

JUNE 16, 2022

Risk analyses/assessments are vital for HIPAA compliance. Investigations and audits of HIPAA-regulated entities have shown that the risk assessment/analysis is an aspect of compliance that many healthcare organizations fail to get right, and it is one of the most commonly cited HIPAA violations in OCR enforcement actions.

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HIPAA Compliance 111

HIPAA Journal

MARCH 20, 2025

You can view our H1, 2024 Report here.You can also receive a free copy of our HIPAA Compliance Checklist to understand your organization’s responsibilities under HIPAA. Many of the hacking incidents between 2014 and 2018 occurred many months – and in some cases years – before they were detected.

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HIPAA Ransomware Compliance Hospitals 111

McGuire Wood

FEBRUARY 9, 2022

Aldrich Capital Partners has committed to investing $75 million in Compliancy Group, according to a news release. Compliancy Group , based in Greenlawn, N.Y., is a healthcare compliance software-as-a-service (SaaS) business. Aldrich Capital Partners , based in Tower Vienna, Va.,

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Compliance HIPAA 52

HIPAA Journal

MAY 4, 2022

An audit of the Department of Health and Human Services conducted for the HHS’ Office of Inspector General (OIG) to assess compliance with the Federal Information Security Modernization Act of 2014 (FISMA) in the fiscal year 2021 has seen the agency’s security program rated ‘not effective’, as was the case in fiscal years 2018, 2019, (..)

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HIPAA Compliance 145

HIPAA Journal

JANUARY 9, 2024

Robison pled guilty to knowingly disclosing the protected health information of patients of Commonwealth Health Corporation (CHC) under false pretenses to an unauthorized third party between 2014 and 2015. OPTA Kentucky was dissolved in 2014, and Delaware OPTA was incorporated the same year with Dobson listed as the sole owner.

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HIPAA Compliance 98

MedTrainer

NOVEMBER 20, 2023

Similar to other states, maintaining healthcare compliance in Florida State involves meeting state-specific regulations and requirements. This post offers an overview of must-know compliance requirements for Florida. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

HIPAA Journal

JANUARY 31, 2024

Healthcare is a highly regulated industry, and ensuring compliance and data security is paramount. Recent compliance fear in the industry has healthcare companies reacting wildly by unplugging marketing analytics or halting marketing efforts all together. When did you first get involved with HIPAA compliance?

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HIPAA Compliance Doctors Health Insurance 106

Compliancy Group

AUGUST 3, 2022

Procurement compliance and security are often put on the back burner when companies try to save money. Cisco also caught on to the scheme, sending seven cease and desist letters to Aksoy from 2014 – 2020. ” Let’s Simplify Compliance HIPAA and device security go hand-in-hand. .” Learn More! ×

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Compliance HIPAA Licensing Governance 52

HIPAA Journal

SEPTEMBER 11, 2023

Care Health Plan to assess the state of HIPAA compliance, the first of which was in response to a media report about impermissible disclosures of protected health information (PHI) via its member portal and the second was in response to a breach that was reported to OCR involving the PHI of 1,498 members. million members. OCR informed L.A.

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HIPAA Compliance Medicaid Medicaid 96

Healthcare IT News - Telehealth

AUGUST 21, 2020

MEBS already had been using Azalea Health’s electronic health record software since 2014. "Another draw toward this telehealth solution was its HIPAA compliance," she added. To prevent the transmission of the virus while ensuring continuity of care for the community, MEBS needed a virtual care option.

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COVID-19 Telemedicine Medicaid Medicaid 213

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). 2022 New York EyeMed Vision Care $600,000 2.1

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HIPAA Compliance Ransomware Hospitals 103

HIPAA Journal

APRIL 26, 2022

However, despite receiving more than 13,000 complaints in the first two years, the Office for Civil Rights failed to bring a single enforcement action – giving Covered Entities the impression that HIPAA compliance was optional rather than mandatory. The HIPAA Enforcement Rule takes Shape.

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HIPAA Compliance 91

Healthcare Blog

JULY 26, 2023

Centralized management of healthcare policies solves compliance and efficiency problems for healthcare organization policymakers and employees. This process sounds straightforward until you consider the financial cost of policy creation, maintenance, and the non-compliance of staff when policies are hard to access and read.

Compliance 52

Compliance Nurses Hospitals Licensing 52

Healthicity

OCTOBER 16, 2023

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement $172 million is a lot of money. It's also the amount that the Cigna Group recently agreed to pay to resolve allegations it violated the False Claims Act in relation to its Medicare Advantage (MA) plan enrollees. government joined the action.

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Medicare Medicare Governance Compliance 52

Bill of Health

OCTOBER 28, 2024

She has a Bachelor’s degree from Smith College in history and African studies, where the college awarded her Outstanding Student Leader of the Year in 2014. She currently lives in New York City. Callie Hoffmann , J.D., is a drug policy movement lawyer, organizer, and advocate.

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Bioethics Licensing Regulatory Compliance Hospitals 113

HIPAA Journal

APRIL 5, 2024

A lawsuit against CareFirst BlueCross BlueShield that was filed in response to a 2014 data breach has had a contract class certified by a federal judge, 9 years after legal action was initiated. In June 2014, hackers gained access to CareFirst systems, which contained the data of around 1.1

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Fraud HIPAA Health Insurance Compliance 86

Compliancy Group

APRIL 4, 2023

In August 2014, officials from CHS informed the Securities and Exchange Commission that malware attacks between April 2014 and June 2014 exposed the PHI of 6.1 HIPAA Compliance Prevents Healthcare Breaches Providers can prevent breaches by becoming HIPAA compliant. million patients.

Ransomware 52

Ransomware HIPAA Compliance 52

Med-Net Compliance

JULY 20, 2022

Specifically, between January 2014 and February 2018, the doctor billed Medicare and Medicaid approximately $585,000 and was paid approximately $191,000. Train all staff upon hire and at least annually on your compliance and ethics policies and procedures and on what can be considered a false claim.

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Fraud Doctors Medicare Medicare 59

Healthcare Compliance Blog

FEBRUARY 15, 2022

This is the second largest annual total in False Claims Act history, and the largest since 2014. Routine audits should be conducted, and the results of the audits should be reported at the compliance and ethics committee meetings and in reports to the governing body. More than $5.6 Total recovery now totals more than $70 billion.

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Fraud Governance Compliance Medicare 59

Healthcare Compliance Blog

MARCH 31, 2022

The government’s investigation revealed that two agencies falsely certified their compliance with the law and sought and received reimbursement from Medicaid. million to New York State for conduct between 2014–2017. Under the terms of agreement, one of the agencies has paid $1.6 million to the Unites States and $2.4

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Medicaid Medicaid Governance Fraud 59

American Medical Compliance

DECEMBER 6, 2023

Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC). Languages: American English Key features: Audio narration, learning activity, and post-assessment. Learn more below.

Nurses 52

Nurses Compliance 52

Hall Render

APRIL 28, 2022

In the Notice of Proposed Determination , the United States Department of Health and Human Services Office for Civil Rights (“OCR”) stated that a patient visited the Practice in 2013 and 2014 to receive dental treatment. A year later, the patient posted a negative review about the Practice on the Practice’s Google review page.

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HIPAA Compliance 75

Compliancy Group

FEBRUARY 16, 2024

for Medicaid Fraud In March 2014, the Maryland Board of Dental Examiners received complaints against Seyed Hamid Tofigh, DDS, claiming the dentist posed a risk of harm, and suspended his license. Modernize Your Compliance Using automated compliance software compliance is a breeze. Dentist Ordered to Pay $8.5M

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Fraud Licensing Medicaid Medicaid 52

Symplr

SEPTEMBER 18, 2023

In 2004, President Bush set a goal for every American to have an electronic health record (EHR) by 2014. The goal was that better and safer care could be delivered through more complete knowledge of a patient that was accessible in a secure repository.

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Licensing Compliance Hospitals 52

HIPAA Journal

JULY 3, 2024

In addition, since January 2014, health plans have had to comply with the HIPAA Operating Rules as required by §1104 of the Patient Protection and Affordable Care Act. How Compliance with the Rules is Enforced Compliance with the HIPAA transactions and code sets rules is enforced by HHS’ Centers for Medicare and Medicaid Services (CMS).

HIPAA 56

HIPAA Medicaid Medicaid Compliance 56

Natalia Mazina

JANUARY 26, 2023

From May 2014 to at least February 2016, Fusion Rx received approximately $14 million in reimbursements on its claims for compounded drug prescriptions. The government also alleged that the pharmacy was routinely waiving patients’ copays to encourage patients to continue using expensive compounds.

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Governance Licensing Compliance 52

HIT Consultant

AUGUST 18, 2021

a provider of the eValuator Revenue Integrity Program to help healthcare providers proactively address revenue leakage and compliance exposure, announced the acquisition of Avelead Consulting, LLC (“Avelead”), a provider of solutions and services to improve revenue integrity for healthcare providers. Avelead Background.

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Hospitals Compliance 52

HIPAA Journal

DECEMBER 24, 2022

OCR prefers to resolve HIPAA violations using non-punitive measures, such as voluntary compliance or issuing technical guidance to help covered entities address areas of non-compliance. Penalties for Non-Compliance with HIPAA. Financial penalties for HIPAA violations have frequently been issued for risk assessment failures.

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HIPAA Compliance Hospitals COVID-19 124

Health Law Advisor

FEBRUARY 1, 2023

I also analyze the original 2015 Final Guidance on Medical Device Data Systems, Medical Image Storage Devices, and Medical Image Communications Devices (or “MDDS Guidance”) compared to the earlier draft guidance from 2014. [3] It was quite controversial, even though looking back people may wonder why FDA ever regulated those items.

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FDA Compliance 52

HIT Consultant

AUGUST 4, 2023

These programs should require every staff member’s attendance and include training on data compliance and integrity, education on security policies, and practice identifying and preventing potential data breaches. He went on to cofound Tissue Analytics, Inc.

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Compliance Hospitals 98

HIT Consultant

AUGUST 2, 2022

According to the American Hospital Association (AHA), medical records, billing, and compliance are the fastest growing healthcare white-collar administrative professions, expected to grow 13% by 2026 2. Additionally, automation can reduce the need for review and query management and eliminate the need for spreadsheets. A Path to Success.

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Hospitals Compliance COVID-19 HIPAA 97

Provider Trust

JULY 26, 2022

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. Chief Compliance Officer, ProviderTrust. According to the U.S. Donna Thiel.

Licensing 52

Licensing Fraud Compliance Nurses 52

Innovaare Compliance

FEBRUARY 7, 2022

The Common Conditions, Improvement Strategies, and Best Practices report for FDR Oversight released on August 27, 2014 [4] [5] cited. Sponsor lacked sufficient resources to implement a compliance program in accordance with CMS requirements, particularly related to FDR oversight.”. 4] 2013 Common Findings, Best Practices Memo.pdf. [5]

Medicare 52

Medicare Medicare Compliance Medicaid 52

Med-Net Compliance

OCTOBER 19, 2022

The CIA also increases individual accountability by requiring compliance-related certifications from key executives. The CIA requires, among other things, an independent review organization to evaluate arrangements entered into by or on behalf of the company’s entities.

US Department of Health and Human Services 59

US Department of Health and Human Services Medicare Medicare Medicaid 59

Medisys Compliance

OCTOBER 19, 2022

Only around 45%, or 20 million, of the roughly 44 million mature Americans with mental illnesses in 2014 obtained mental health care in the previous year. In the US, millions of teenagers and adults struggle with behavioral health concerns, with 1 in 5 persons (18 and older) suffering from a mental disease.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Health Insurance 105

Healthcare Law Today

JANUARY 11, 2023

The government alleged that, between April 2014 and April 2019, Jet Medical introduced devices into interstate commerce that were misbranded under the Federal Food, Drug and Cosmetic Act (FDCA) because Jet Medical did not obtain approval or clearance from the U.S. and Martech Medical Products Inc., Pre-submission Meetings.

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FDA Governance Medicare Medicare 59