Healthcare IT News - Telehealth

JANUARY 23, 2023

With Congress providing telehealth waivers as part of its omnibus spending bill at the close of 2022, delaying the "telehealth cliff" for two years, HIMSS says it's now ready to make the case for permanent reimbursement of virtual care. Creating standards synergy for 'Interoperability 3.0'

Medicare 189

Medicare Medicare Governance Medicaid 189

HIPAA Journal

MARCH 10, 2022

The breach was detected on January 20, 2022, and immediate action was taken to secure its systems, and an independent computer forensics company was engaged to conduct a forensic investigation to determine the nature and scope of the breach. Notification letters were sent on January 28, 2022. DataHealth. Dr. Douglas C.

Ransomware 140

Ransomware Licensing Health Insurance HIPAA 140

The Health Law Firm Blog

APRIL 18, 2022

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S.

Licensing 40

Licensing Medicaid Medicaid Fraud 40

Provider Trust

SEPTEMBER 29, 2022

A 49-year-old Brownsville, TX man named Fernando Mendez was taken into custody in early September after being charged with defrauding Medicaid. Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. How Often Should You Verify Employee Licenses?

Licensing 52

Licensing Fraud Medicaid Medicaid 52

HIPAA Journal

MAY 25, 2022

The break-in was discovered on March 4, 2022, with the subsequent investigation confirming on April 22, 2022, that six boxes of paper documents had been stolen from the facility, which included files relating to patients served by SAC Health in 1997 and between 2006 and 2020. Lifespan Services Suffers Ransomware Attack.

Ransomware 137

Ransomware Fraud HIPAA Licensing 137

HIPAA Journal

MAY 19, 2022

The settlement has received preliminary approval from the court and a final hearing for the settlement has been scheduled for September 12, 2022. The deadline for submitting a claim is August 8, 2022, and the deadline for objecting to the settlement or requesting to be excluded from the settlement is August 22, 2022.

Licensing 124

Licensing HIPAA Health Insurance Medicaid 124

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 114

HIPAA Health Insurance Medicaid Medicaid 114

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Licenses that allowed physicians to practice across state lines and provided reimbursement parity due to the pandemic have now expired.

Telemedicine 188

Telemedicine Licensing Health Outcomes Governance 188

HIPAA Journal

FEBRUARY 16, 2022

The system contained patients’ names, birth dates, insurance card numbers, driver’s license numbers, and copies of patients’ insurance cards and driver’s licenses. The security breach was detected on or around January 9, 2022, when certain systems were rendered inaccessible.

Ransomware 132

Ransomware Hospitals Licensing HIPAA 132

HIPAA Journal

APRIL 13, 2022

The theft occurred on or around January 27, 2022, and was discovered by RHD on February 16, 2022. The data was uploaded to the leak site on March 17, 2022. Wellstar Health learned about the security breach on February 7, 2022, with the forensic investigation confirming that the breach was limited to two email accounts.

Ransomware 120

Ransomware HIPAA Licensing Health Insurance 120

HIPAA Journal

MARCH 14, 2022

A subset of patients also had their Social Security numbers, driver’s license numbers, and/or financial account information exposed. Labette Health said on March 11, 2022, written notifications were sent to affected individuals out of an abundance of caution.

Electronic Medical Records 142

Electronic Medical Records Health Insurance HIPAA Licensing 142

HIPAA Journal

MARCH 25, 2022

Notification letters were sent to affected individuals on February 22, 2022. The files contained first and last names, Social Security numbers, drivers’ license information, dates of birth, health insurance information, medical treatment information, and financial account information.

Health Insurance 120

Health Insurance Licensing Ransomware Fraud 120

HIPAA Journal

APRIL 8, 2022

The email accounts were compromised between January 10 and 11, 2022. That review was completed on March 16, 2022. That process was completed on January 27, 2022, the affected clients were notified, and authorization was received to send notification letters.

Medical Billing 133

Medical Billing Licensing Health Insurance Medicaid 133

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). MFCUs reported 1,143 total convictions in FY 2023—a marked decrease from 1,327 convictions in FY 2022.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

HIPAA Journal

MAY 16, 2022

According to the April 29, 2022, notification on the healthcare provider’s website, “We recently discovered unauthorized access to our network occurred between May 31, 2021, and June 1, 2021.” On March 15, 2022, RiverKids discovered an unauthorized individual had gained access to the email account of an employee.

Health Insurance 117

Health Insurance Ransomware HIPAA Licensing 117

Healthcare Law Today

NOVEMBER 28, 2022

With over 10,000 people in attendance, HLTH 2022 was inspiring and covered a wide range of subjects from health equity to the future of the digital health investment environment. rural primary, complex behavioral health, urban Medicaid, primary care) is identified and creative solutions evolve (e.g., The State of Mental Health.

Medicaid 59

Medicaid Medicaid Licensing Public Health 59

HIPAA Journal

MARCH 6, 2023

The types of information exposed varied from individual to individual and may have included names, addresses, medical information, health insurance information, Medicaid identification numbers, driver’s licenses, account and routing numbers, and Social Security numbers.

Electronic Medical Records 100

Electronic Medical Records HIPAA Licensing Nurses 100

HIPAA Journal

JULY 4, 2023

ARx Patient Solutions Reports Email Account Breach from 2022 The Kansas-based healthcare provider, ARx Patient Solutions, has recently notified the Maine Attorney General about a security breach that has affected 41,116 individuals, including individuals who used the ARx Patient Solutions Pharmacy.

Medicaid 97

Medicaid Medicaid Health Insurance Licensing 97

Healthcare IT Today

NOVEMBER 2, 2023

Since January 2022 , the Centers for Medicare & Medicaid Services (CMS) and other federal agencies have had their eyes on California with the launch of the nation’s largest-ever program to transform the healthcare system for vulnerable communities.

Medicaid 123

Medicaid Medicaid Licensing Medicare 123

Healthcare IT Today

AUGUST 17, 2022

They reported the breach to have occurred January 20, 2022. Looks like the review of the breach happened from June 13, 2022 and August 3, 2022 which seems like a long time to wait to notify patients of a potential breach of their information. Resolute Health Hospital. The Hospitals of Providence Memorial Campus.

Licensing 109

Licensing Hospitals Health Insurance Medicaid 109

HIPAA Journal

OCTOBER 11, 2022

The incident was detected in April 2022, and immediate action was taken to secure its email environment to prevent further unauthorized access. The forensic investigation confirmed the incident was confined to a single employee email account, which was accessed between March 30, 2022, and April 6, 2022.

Licensing 75

Licensing HIPAA Health Insurance Medicaid 75

HIPAA Journal

SEPTEMBER 14, 2022

The attack was detected on July 3, 2022, and immediate action was taken to contain the attack and prevent further unauthorized access to its network. TennCare, Tennessee’s state Medicaid program, has recently notified approximately 1,700 patients about the accidental exposure of some of their protected health information.

Ransomware 106

Ransomware Licensing HIPAA Health Insurance 106

MRO Compliance

JUNE 1, 2022

This review is part of the Star rating system, which according to RAC Monitor was developed by the Centers for Medicare & Medicaid Services (CMS) to rate health plan performance for Medicare Advantage programs and Medicare risk adjustment initiatives. HEDIS audits are important for Medicare and Medicaid health plans.

Medicare 130

Medicare Medicare Compliance Medicaid 130

AIHC

DECEMBER 27, 2024

Medical boards, institutions, facilities, and universities must be held accountable for violations, with penalties such as fines, suspensions, or revocation of licenses. 2022 Jan;52(1):28-31. 1] Yet, as bioethicists and others have illustrated, these directives and laws are inadequate. [2] Institutional Reforms 1. Hastings Cent Rep.

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Informed Consent Bioethics ADA Medical Personnel 98

HIPAA Journal

APRIL 25, 2023

The email account breach was detected on February 13, 2023, and the forensic investigation confirmed the email account was accessed between June 16, 2022, and July 18, 2022. TRPHD said suspicious activity was detected within its server infrastructure on November 9, 2022.

Health Insurance 106

Health Insurance Public Health Ransomware Fraud 106

HIT Consultant

SEPTEMBER 13, 2021

The added capabilities aligns perfectly with the company’s recent decision to commence supporting those members utilizing Medicaid (starting in certain markets). Therapy and psychiatry: Members can access clinical care in Spanish from licensed therapists and psychiatrists via video within days. Availability.

Licensing 94

Licensing Medicaid Medicaid 94

HIPAA Journal

NOVEMBER 15, 2022

Anesthesiology firms started reporting data breaches to the Department of Health and Human Services’ Office for Civil Rights in September 2022, with the notification letters to patients indicating there had been a data breach at their anesthesia management services organization. The notification letters failed to name that company.

HIPAA 83

HIPAA Fraud Licensing Health Insurance 83

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. This went on from 2015 to 2022, when he was caught for fraud.

Fraud 52

Fraud Licensing Medicaid Medicaid 52

HIPAA Journal

JUNE 8, 2023

PVOC discovered on March 3, 2022, that malware had been installed on the servers of the vendors between November 13, 2021, and November 15, 2021. On May 11, 2022, PVOC learned that Alta’s online patient portal was vulnerable to unauthorized access to payment receipts until October 26, 2021.

Ransomware 107

Ransomware HIPAA Licensing Health Insurance 107

C&M Health Law

SEPTEMBER 11, 2023

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. HPRD from licensed practical nurses, and 2.38 On September 1, 2023, the U.S. HPRD consisted of 0.75

Nursing Homes 98

Nursing Homes Nurses Medicaid Medicaid 98

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

Hall Render

MAY 17, 2022

All acute care hospitals licensed under RCW 70.41 and all psychiatric hospitals licensed under RCW 71.12 The expanded requirements of the charity care law become effective July 1, 2022, but hospitals are required to take action prior to July 1, 2022, so that they can be in compliance as of the effective date.

Hospitals 40

Hospitals Licensing Medicaid Medicaid 40

HIPAA Journal

AUGUST 12, 2022

WNJ said Priority Health was notified about the breach n June 6, 2022 – Almost 8 months after the security incident was detected. The email account breaches were detected on June 7, 2022, when suspicious email account activity was detected. PHI Exposed in Attempted BEC Attack on Living Innovations.

Licensing 64

Licensing Health Insurance HIPAA Medicaid 64

HIPAA Journal

NOVEMBER 7, 2022

The exposed information included names, addresses, dates of birth, Social Security numbers, dates of service, medical record numbers, Medicaid numbers, and some limited clinical information, such as treatment and diagnosis codes. Luke’s Health was notified about the breach on September 1, 2022.

Electronic Medical Records 78

Electronic Medical Records Ransomware HIPAA Licensing 78

HIPAA Journal

OCTOBER 17, 2022

RAA said the review and cataloging of the affected files took until July 2022 to complete, then it took until September 2022 to verify up-to-date contact information. RAA explained in a substitute breach notice on its website that the delay in issuing notifications was due to the time taken to investigate the incident.

Licensing 56

Licensing HIPAA Health Insurance Medicaid 56

Healthcare Law Blog

MARCH 20, 2023

For example, an overwhelming sixty percent (60%) of recently-surveyed licensed psychologists reported having no openings for new patients, with many having a volume of patient requests that outweighs their ability to even maintain a waitlist. [1] 6] Increase provider reimbursement strategies. Redefining the workforce.

Medicaid 52

Medicaid Medicaid Licensing ACA 52

HIPAA Journal

OCTOBER 10, 2022

The error was detected on August 8, 2022, and the file was removed from the meeting minutes and replaced with a file that did not provide access to PHI. DHS said the breach affected 12,358 Wisconsin Medicaid members, who have now been notified and offered complimentary 12-month memberships to a credit monitoring service.

Medicaid 56

Medicaid Medicaid Governance Fraud 56