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. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. 2018 Final Rule, 83 Fed.

ACA 52

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

Total HIPAA

SEPTEMBER 11, 2019

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).

HIPAA 52

HIPAA Compliance US Department of Health and Human Services Health Insurance 52

Medval Compliance Blog

MARCH 10, 2022

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. We have seen this rule moved on the Unified Agenda for several years since 2018, with the abstract language remaining consistent since early 2020.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Innovaare Compliance

JUNE 21, 2023

The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Part B drugs have had the fastest spending growth for drugs for Medicare. percent annually.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

Fraud 52

Fraud US Department of Health and Human Services Medicaid Medicaid 52

Compliancy Group

DECEMBER 16, 2022

At first glance, the Department of Health and Human Services’ Office for Civil Rights HIPAA enforcement for the year 2022 appears to be lax. In 2022, OCR entered into 20 resolution agreements with HIPAA-covered entities, and imposed civil monetary penalties on two more. 22 cases total. . One Security Rule violation case.

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Medicaid 52

Hall Render

MAY 3, 2022

On March 28, 2022, the Department of Health and Human Services (“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.

US Department of Health and Human Services 40

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Health Populi

AUGUST 19, 2019

Data security breaches, access challenges, and privacy leakages plague the current state of Americans’ personal health information (PHI). The Scorecard was developed to gauge the progress (and lack thereof) of patient information access afforded by peoples’ health care providers. What did Ciitizen learn from this process?

US Department of Health and Human Services 82

US Department of Health and Human Services HIPAA Hospitals Electronic Medical Records 82

SQA

OCTOBER 18, 2022

Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 Compliance 40

Healthcare It News

DECEMBER 30, 2024

" THE LARGER TREND OCR said that from 2018-2023, reports of large breaches increased by 102%, with the number of individuals affected increasing by 1,002%. The plans include the publication of voluntary cybersecurity best practices and a strategy for greater cybersecurity enforcement and accountability, the agency said.

HIPAA 331

HIPAA US Department of Health and Human Services Ransomware Health Insurance 331