Remove Compliance Remove Due Diligence Remove Medicaid
article thumbnail

What is a HIPAA Violation?

HIPAA Journal

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To? Other Types of HIPAA Law Violation.

HIPAA 135
article thumbnail

Understanding Compliance for Healthcare Vendors

Provider Trust

So what does that mean for your healthcare organization’s compliance program? Is your organization properly vetting and monitoring compliance of your entire vendor network? Which regulations govern vendor compliance?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

What the HHS-OIG says about vendor compliance. However, healthcare receives federal funding, and thus OFAC is an additional sanction list that you should add to your vendor compliance plan/program. In addition, the suit involved alleged submission of false claims for reimbursement to the Massachusetts Medicaid Agency.

article thumbnail

8 Common Physician Credentialing Mistakes to Watch in 2024

HIT Consultant

Therefore, due diligence requires background checks to identify both current and historical adverse actions to be performed. Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system.

article thumbnail

Settlement Agreed with Florida Children’s Health Insurance Website Contractor to Resolve False Claims Act Allegations

HIPAA Journal

FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida. The company provides web hosting functions and services for its clients, one of which was the Florida Healthy Kids Corporation (FHKC).

article thumbnail

Another Resolution by DOJ Pursuant to its Civil Cyber-Fraud Initiative Highlights Continued Efforts to Hold Companies Accountable for Ensuring Data are Secured

Health Care Law Brief

In 2013, Jelly Bean contracted with the Florida Health Kids Corporation (“ FHKC ”)—a state-created entity that offers health and dental insurance for Florida children—to create, host, and maintain HealthyKids.org, where, in part, parents and others could apply for state Medicaid insurance coverage for eligible children.

Fraud 52
article thumbnail

Pharma IT and AI – 2024 Health IT Predictions

Healthcare IT Today

It is key for pharmaceutical companies to recognize that efficiency does not override compliance, patient safety or regulatory standards. There are considerable risks to adoption that may have deep compliance implications. As new systems and automated technologies are built, global health authorities will need to respond accordingly.