HIPAA Journal

JANUARY 1, 2023

Throughout the text of the Health Insurance Portability and Accountability Act (HIPAA) a lot of content connects HIPAA law and employers. However, the most complex areas of HIPAA compliance for employers are the Administrative Simplification Regulations in Title II.

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HIPAA Compliance Health Insurance 100

HIPAA Journal

APRIL 29, 2024

The Federal Trade Commission (FTC) issued a final rule on April 26, 2024, that updates the FTC Health Breach Notification Rule. While the Health Breach Notification Rule has been in effect for more than a decade, the FTC has only recently started enforcing compliance.

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HIPAA Health Insurance Compliance 104

Compliancy Group

JANUARY 3, 2024

This article discusses the issues related to medical billing compliance policy and the steps for providers to maintain financial integrity and adherence to all requirements. Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Total Medical ComplianceHIPAA

DECEMBER 16, 2024

Department of Health and Human Services (HHS) has issued the Final Privacy Rule to support reproductive health care and the protection of related health information under the Health Insurance Portability and Accountability Act (HIPAA). The Notice of Privacy Practices must be adhered to by February 16, 2026.

Compliance 52

Compliance HIPAA Health Insurance 52

MedTrainer

MARCH 28, 2024

Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. And they’d be partly right.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare IT Today

JANUARY 12, 2024

The HHS also outlines its intentions to seek funding from Congress to provide the necessary resources to protect our health system. I agree that healthcare organizations can definitely use the resources, as they are faced with reduced margins. About C hris Bowen Chris is the Founder and Chief Information Security Officer at ClearDATA.

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Ransomware Hospitals HIPAA Health Insurance 133

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

HIT Consultant

SEPTEMBER 5, 2023

John Berndt, SVP of Health North America, Valtech Also known as the Kennedy–Kassebaum Act, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines and regulates individuals’ medical records and other individually identifiable health information, collectively known as patient healthcare information (PHI).

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HIPAA Electronic Medical Records Pharmaceutical Industry Compliance 98

HIPAA Journal

JULY 8, 2024

Pennsylvania has updated its data breach notification law, narrowing the definition of personal information, adding the requirement to notify the state Attorney General, and requiring credit monitoring services to be provided to data breach victims in certain circumstances.

Licensing 122

Licensing HIPAA Health Insurance Compliance 122

Compliancy Group

JUNE 29, 2022

The intruder accessed compromised information, including name, address, phone numbers, health insurance information, and medical information related to eye care services – protected health information. Health insurance information. Let’s Simplify Compliance Cybersecurity and HIPAA go hand-in-hand.

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Ransomware Electronic Medical Records HIPAA Compliance 98

American Medical Compliance

APRIL 17, 2024

Medicare is the federal health insurance program for people aged 65 or older, certain younger people with disabilities, and also people with End-Stage Renal disease. American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education to physicians.

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Medicare Medicare Compliance Health Insurance 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

HIPAA Journal

JANUARY 12, 2024

The key provisions of the HIPAA Omnibus Rule were: Make business associates of covered entities directly liable for HIPAA compliance. Strengthen the limitations on uses and disclosures of Protected Health Information. Expand individuals’ rights to restrict disclosures of Protected Health Information.

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HIPAA Compliance Health Insurance Medicaid 91

Compliancy Group

APRIL 26, 2024

In a press release accompanying the Final Rule, HHS reports that “The Final Rule strengthens th e Health Insurance Portability Act of 1996 (HIPAA) Privacy Rule by prohibiting the disclosure of protected health inform ation (PHI) related to lawful reproductive healthcare in certain circumstances.” What Does the Final Rule Do?

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HIPAA Compliance Health Insurance Public Health 59

HIPAA Journal

JUNE 5, 2023

The Texas Data Privacy and Security Act adopts a broad definition of personal data, which is any information that is linkable or reasonably linkable to an individual, including pseudonymous information that could be combined with other information to allow an individual to be identified.

Compliance 68

Compliance HIPAA Health Insurance 68

Healthcare IT Today

AUGUST 15, 2022

Lyniate , a global leader in healthcare data interoperability, and CareCom , a leader in healthcare terminology management solutions including HealthTerm® and CareIndexing®, have entered into a definitive merger agreement. The Lyniate merger with CareCom is driven in part by a long and successful partnership between the two companies.

Governance 97

Governance Health Insurance Compliance 97

Compliancy Group

SEPTEMBER 25, 2024

PBM services also include negotiating or administering rebates, discounts, or similar incentives on behalf of health plans. If a pharmacy benefit manager is providing services to patients through managed care networks , it is likely that the PBM is acting as a business associate of a health plan. Are PBMs Covered by HIPAA?

Prescription Drug Pricing 52

Prescription Drug Pricing HIPAA Compliance Health Insurance 52

Compliancy Group

MAY 22, 2023

This pioneering legislation aims to safeguard personal information related to consumer health data and attempts to obtain healthcare services for Washington residents. Additionally, it covers other consumer health data processed within the state. HIPAA Compliance Software Learn How Simple Compliance Can Be Get Compliant Today! ×

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HIPAA Compliance Governance Health Insurance 52

HIPAA Journal

MAY 19, 2023

There has been an explosion of health apps and connected devices that collect health data, and those apps and devices are collecting vast amounts of health data. There are also incentives for companies that collect health data to disclose that information to third parties for advertising and other purposes.

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HIPAA Health Insurance Compliance 58

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. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to. What are Covered Entities? What is PHI under HIPAA?

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HIPAA Compliance Fraud Medicare 58

Physician Credentialing Company

MAY 16, 2024

These organizations are tailored to support healthcare operations through services such as billing and collections, human resources, vendor management, and compliance with regulations. Information Technology: Electronic health records (EHR) management and IT support. Human Resources: Recruitment, training, and benefits administration.

Compliance 52

Compliance ACA Health Insurance Hospitals 52

Healthcare Blog

OCTOBER 19, 2023

There are public health policies on a legislative level you are sure to recognize. These include The Affordable Care Act, which helps give Americans access to affordable health insurance, or The Clean Water Act and Safe Drinking Water Act, which ensures access to clean water and clean air. 2021, May 6). Columbia University.

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Public Health Compliance Hospitals Health Insurance 105

Healthcare Law Blog

JANUARY 10, 2022

Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 As of January 1 of the applicable contract year, the 10-percentage point credit would no longer apply, and MA organizations’ provider networks would need to be in full compliance for the entire service area. and 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

YouCompli

MAY 11, 2022

It reflects remarks CJ made at HCCA’s 2022 Compliance Institute. For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). Compliance officers should watch for: Follow the money. Billing for services not needed or received.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

HIPAA Journal

DECEMBER 24, 2022

The Health Insurance Portability and Accountability Act of 1996 placed a number of requirements on HIPAA-covered entities to safeguard the Protected Health Information (PHI) of patients, and to strictly control when PHI can be divulged, and to whom. Penalties for Non-Compliance with HIPAA. OCR HIPAA Fines 2020.

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HIPAA Compliance Hospitals COVID-19 128

Compliancy Group

MAY 11, 2023

They both apply to healthcare providers, insurers, and other entities that handle personal health information in some capacity. HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. The post Iowa Sixth State to Enact Data Privacy Law appeared first on Compliancy Group.

HIPAA 52

HIPAA Compliance Governance Licensing 52

Hall Render

JANUARY 11, 2023

Federal Food, Drug, and Cosmetic (“FD&C”) Act – If an app includes a software function that meets the definition of a medical device under section 201(h) of the FD&C Act, the app may be subject to regulatory oversight by the FDA. Hall Render blog posts and articles are intended for informational purposes only.

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Compliance HIPAA FDA Due Diligence 40

Healthcare IT Today

SEPTEMBER 3, 2023

Health insurance consumers are increasingly comfortable with digital tools, the latest Voice of the Member survey from Cognizant said. Identity verification software maker Melissa announced compliance with Project US , an ONC initiative to create a industry-wide specification for representing patient addresses.

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FDA Telemedicine Health Insurance Hospitals 97

Health Law RX

JUNE 9, 2023

Background The HBNR was first implemented in 2009 in response to the anticipated proliferation of online personal health record (PHR) services — many of which are now defunct (e.g., Clarifying the Information that is Protected by the HBNR The FTC also proposes to redefine “PHR identifiable health information.” in the list below).

HIPAA 52

HIPAA Health Insurance Medicare Medicare 52

HIT Consultant

JUNE 16, 2022

Lynne Rinehimer, Esq, GRC Sales Engineer and Compliance SME for symplr. Yet, even if the hospital is in your insurance network, if the surgeon or anesthesiologist who performs the surgery happens to be out of network, you could receive a medical bill of $35,000 or more, even though you have great health insurance.

Medical Billing 52

Medical Billing Compliance Health Insurance Hospitals 52

Innovaare Compliance

FEBRUARY 5, 2024

Health Care Service Corporation (HCSC) has entered into a definitive agreement to purchase Cigna’s Medicare Advantage, Medicare Supplemental Benefits, Medicare Part D, and CareAllies businesses for $3.3 Financial and Strategic Implications HCSC, the largest customer-owned health insurer in the U.S.,

Medicare 52

Medicare Medicare Due Diligence Health Insurance 52

Verisys

JANUARY 19, 2022

As the number of satellite facilities per provider increases and the definition of healthcare expands, it adds to healthcare organizations’ burdens–not just in providing care, but also in terms of the administrative burden and costs necessary to maintain a practice. Human Resources. Medical Staffing Services.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Compliancy Group

JUNE 12, 2024

The main goal of the bill was to strengthen the privacy protections afforded to protected health information and electronic health information, beyond what the federal Health Insurance Portability and Accountability Act (HIPAA) required. The definition of PHI under HB 300 is the same as the definition of PHI under HIPAA.

HIPAA 52

HIPAA Health Insurance Governance Compliance 52

YouCompli

JUNE 14, 2023

This article considers the government’s increasing interest in patient rights in relationship to covered entities or business associates and what proactive compliance officers can do to fulfill those obligations through effective monitoring. Definitions and policies from the covered entities vary. The variables are in the details.

Compliance 52

Compliance Compliance Officers HIPAA Health Insurance 52

AIHC

JANUARY 5, 2022

A news release from November 22, 2021, entitled New HHS Report Highlights How the No Surprises Act Will Prevent Surprise Medical Bills Faced by Millions of Americans highlights that millions of Americans with private health insurance experience some kind of surprise medical billing. Track results – are your processes working?

Medical Billing 52

Medical Billing Health Insurance Medicare Hospitals 52

HIT Consultant

SEPTEMBER 11, 2024

By its very nature, collecting a patient’s (or prospective patient’s) information over the web leaves the door open to accidental and unsafe collection of protected health information (PHI). Consequently, the management of analytics – specifically, its compliance with all current privacy laws – is an ongoing effort. But… what is IIHI?

Health Insurance 96

Health Insurance HIPAA Compliance 96