Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers.

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Compliance Compliance Officers ACA Patient Satisfaction 98

The HIPAA Blog

SEPTEMBER 16, 2024

Offshore Outsourcing of Tech Services Can Be Problematic: A few weeks ago, HHS removed two Obamacare enrollment companies from accessing the ACA Marketplace based on concerns that the companies potentially allowed consumers' personal information to be accessed in India. privacy law does not

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MedTrainer

JANUARY 12, 2024

The protection of patient data, adherence to privacy regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the United States, and the prevention of cyber threats have become paramount concerns. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

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Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

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Compliance Medical Billing Outsourcing Medical Billing ACA 59

MedTrainer

AUGUST 31, 2023

Some common healthcare compliance regulations include the Health Insurance Portability and Accountability Act (HIPAA) for patient privacy, Stark Law for physician referrals, Anti-Kickback Statute for healthcare fraud and abuse, and the Affordable Care Act (ACA) for various provisions related to healthcare organizations and insurance providers.

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Compliance Compliance Officers HIPAA Fraud 52

Health Populi

FEBRUARY 5, 2020

Thus, the rise of alternative sites — whether “consumed” in urgent care, in retail clinics, via a HIPAA-compliant virtual visit on a smartphone, in superstores like Walmart, or at a Health Hub at a CVS brick-and-mortar store. There’s a blur between self-care and more formal primary care.

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Medisys Compliance

APRIL 25, 2023

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

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Regulatory Compliance ACA Medical Billing Outsourcing Compliance 52

Compliancy Group

JANUARY 3, 2024

Partnering with such a company can provide access to tracking software and platforms, training, support for HIPAA, OSHA, and other laws, and assistance with compliance-related tracking and reporting. Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Medical Billing Compliance ACA Health Insurance 52

Physician Credentialing Company

MAY 16, 2024

These laws include HIPAA (Health Insurance Portability and Accountability Act), which mandates the protection of patient health information, and the Affordable Care Act (ACA), which introduces numerous healthcare reforms affecting MSOs.

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Compliance ACA Health Insurance Hospitals 52

CMS.gov

MARCH 6, 2013

To ease these financial and administrative burdens, the Health Insurance Portability and Accountability Act (HIPAA) and the Patient Protection and Affordable Care Act (Affordable Care Act) established administrative simplification requirements. And be sure to check out the ACA website and sign up for Administrative Simplification Updates.

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MedTrainer

APRIL 8, 2024

These requirements include but are not limited to: Health Insurance Portability and Accountability Act (HIPAA): Protects the privacy and security of patients’ health information. Affordable Care Act (ACA): Ensures access to affordable healthcare and prevents fraud and abuse.

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Compliance Governance ACA HIPAA 52

MedTrainer

JUNE 28, 2023

Health Insurance Portability and Accountability Act (HIPAA). While most often associated with patient privacy and data security, HIPAA includes provisions related to healthcare fraud and abuse. Controlled Substances Act (CSA). In addition, the Federal False Statements Act (18 U.S.C.

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Fraud Compliance Governance Compliance Officers 52

MedTrainer

AUGUST 2, 2023

They evaluate whether healthcare organizations comply with laws such as the Health Insurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and other industry-specific regulations. Examples of Internal Audits Compliance Audits Compliance audits aim to ensure adherence to legal and regulatory standards.

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Compliancy Group

FEBRUARY 12, 2024

Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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MedTrainer

JANUARY 31, 2024

The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.

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Compliance Fraud Governance ACA 52

Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers.

Compliance 52

Compliance Compliance Officers ACA Patient Satisfaction 52

MedTrainer

MARCH 28, 2024

Here are key dates in compliance history: 1965 – Medicare and Medicaid 1996 – Health Insurance Portability and Accountability Act (HIPAA) 2009 – Health Information Technology for Economic and Clinical Health (HITECH) Act 2010 – Affordable Care Act (ACA) 2015 – Medicare Access and CHIP Reauthorization Act (MACRA) 2023 – OIG Issues update – (..)

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Compliance Compliance Officers Licensing Regulatory Compliance 52

YouCompli

JANUARY 19, 2022

The HIPAA Privacy Rule requires providers to strictly maintain the privacy and security of patient information and medical records. How are healthcare providers and compliance professionals balancing employee privacy with communications to colleagues and patients? Making sure communications comply with privacy rules.

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Nurses Compliance Hospitals Compliance Officers 40

Healthcare Law Blog

DECEMBER 15, 2022

Include functionality to determine requirements for any other data, forms, or medical record documentation required by the payer for the items or services for which the provider is seeking prior authorization and while maintaining compliance with the mandatory HIPAA transaction standards.

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Compliance Now

JUNE 27, 2022

failure to comply with the ACA, COBRA, HIPAA, etc.). Any employer program providing medical care is by definition a group health plan. If such a plan only provided for travel benefits, it would raise its own set of compliance issues (e.g., Other Considerations.

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VW Health Care Law Blog

OCTOBER 26, 2016

The Patient Protection and Affordable Care Act (ACA) prohibits health care entities from discriminating on the basis of race, color, national origin, sex, age, or disability.

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MedTrainer

NOVEMBER 15, 2023

The Health Insurance Marketplaces: created under the Affordable Care Act (ACA) to enable individuals to find health coverage. OCR’s oversight includes: Enforcing the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules, which protect individuals’ health information.

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Compliance Framework Governance Compliance Medicaid 52

Hall Render

MAY 2, 2023

Will no longer require/allow the extension of specific deadlines in connection with health and welfare plans, including: Time for plan sponsors to provide COBRA notices to plan participants; Time for participants to elect COBRA and pay COBRA premiums; and Time for participants to request a HIPAA special enrollment.

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Public Health COVID-19 COVID-19 Vaccine ACA 40

Bill of Health

MAY 12, 2023

HIPAA and the ACA both responded to concerns about “job lock” – that employer-sponsored insurance restricted job mobility and entrepreneurship. Fertility treatment and the infertility shift only add to this stress.

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HIPAA Journal

SEPTEMBER 16, 2022

Fontes Rainer will lead the department’s enforcement of federal civil rights and HIPAA compliance and will direct the department’s policy and strategic initiatives. The post Melanie Fontes-Rainer Appointed Director of the HHS’ Office for Civil Rights appeared first on HIPAA Journal.

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ACA HIPAA Medical Billing Compliance 103

AIHC

NOVEMBER 18, 2024

Transgender individuals are protected under HIPAA, the Affordable Care Act (ACA) and standards outlined for hospital accreditation under Medicare and Medicaid as well as Joint Commission. HIPAA –Gender Identity is considered PHI – the minimum necessary standard.

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Compliance Compliance Officers ACA HIPAA 52

Hall Render

JANUARY 17, 2025

NATIONAL 340B contractor boosts profits while driving up patient costs: Report A vital hospital revenue stream under threat Aetna suit against private-equity radiologists tests No Surprises Act Americans want action on consolidation, private equity in healthcare, federal report finds Anti-Kickback Statute grows in scope: 5 things to know AWS and General (..)

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Hall Render

NOVEMBER 27, 2023

renovation St. office building purchase Good Shepherd Rehabilitation unveils new robotics center at Center Valley hospital Health care software firm NextGen enacting layoffs at its Horsham office after being acquired Hospital Receives $6.4M

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US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

JANUARY 10, 2025

million recovered for Kent County Memorial Hospital workers denied overtime Connecticut ASC postpones surgeries after car damages building Connecticut judge nixes appeal for new ASC Connecticut psychiatrist settles fraud allegations CT OHS fines Johnson Memorial Hospital $153.5K

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Nursing Homes Nurses Hospitals Doctors 40

Hall Render

OCTOBER 27, 2023

Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St. finds new C-suite exec at a subsidiary MONTANA COVID Map Shows Five States With ‘Substantial Increase’ in Hospital Admissions St.

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US Department of Health and Human Services Nurses Nursing Homes COVID-19 40

Hall Render

JUNE 16, 2023

Artificial Intelligence Poses Threat to Patient Privacy Bill for Rural Hospital Cyber Skills Passes Senate Committee Chemotherapy shortages push cancer centers toward crisis CMS estimates national spending on hospital care grew just 0.8%

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MAY 12, 2023

NATIONAL 4 Healthcare Design And Construction Trends To Watch AHA urges court to preserve ACA preventive services requirement pending appeal AI may pose ‘existential threat,’ physicians warn in BMJ Biden’s nursing home staff mandates expected soon CareFirst, Noom program aims to ‘retrain’ the brain of members with obesity, (..)

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COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Health Populi

APRIL 2, 2021

However, only 15% of Republicans support strengthening the ACA. When it comes to “expanding and strengthening the Affordable Care Act, though, that’s a Democrats’ universal objective — supported by nearly 100% of Dems.

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Kaiser Health News

JUNE 13, 2024

To understand it, we need to break down the protections put in place by the ACA, and those that exist separately. Some basic preexisting condition protections exist independent of the ACA. Biden’s May ad focuses on how many people would be vulnerable if protections for people with preexisting conditions were lost.

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Hall Render

FEBRUARY 14, 2025

Lukes, LVHN facilities among nations 250 best hospitals, report says Health workforce shortages, ACA protections, struggling hospitals among early Pa. confirmed as HHS secretary Rural hospitals push to be spared from possible funding cuts Senate advances RFK Jr.s budget proposal Over 20 Pa.

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Nursing Homes Nurses Hospitals Doctors 40

Health Populi

MAY 3, 2019

A Kaiser Family Foundation Health Tracking Poll published April 24, 2019 found that most Americans health care policy priorities were to lower health care and prescription drug costs, ensure the ACA’s coverage of pre-existing conditions, and protect people from surprise medical bills.

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