American Medical Compliance

AUGUST 7, 2024

Notably, many of these incidents are preventable and could have been avoided with proper compliance measures. Compliance with healthcare regulations is crucial not only for avoiding legal repercussions but also for ensuring high standards of patient care and safety. It ensures its confidentiality and maintains security.

Compliance 91

Compliance HIPAA Medicaid Medicaid 91

MedTrainer

JANUARY 10, 2024

It may seem a little early to do some spring cleaning, but not when it comes to compliance! It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. The OIG is making major investments to systematically detect and prosecute fraud.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

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 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

HIPAA Journal

JULY 4, 2024

The HIPAA rules and regulations are the standards and implementation specifications adopted by federal agencies to streamline healthcare transactions and protect the privacy and security of individually identifiable health information. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to.

HIPAA 58

HIPAA Compliance Fraud Medicare 58

Compliancy Group

NOVEMBER 6, 2024

Unfortunately, the complexity of healthcare compliance makes following the rules and being aware of updates challenging. Workforce compliance management entails implementing policies and procedures that align with these regulations. Staying compliant with healthcare regulations is everyone’s responsibility in the organization.

Compliance 52

Compliance Compliance Officers Fraud Health Insurance 52

HIPAA Journal

MARCH 30, 2023

The seven elements of a compliance program are integrated processes organizations in all industries can adopt to help them develop a culture of compliance in the workplace. While the seven elements of a compliance program apply to all industries, they originated in the healthcare industry in the 1990s.

Compliance 111

Compliance Compliance Officers Fraud HIPAA 111

HIPAA Journal

DECEMBER 31, 2022

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?

HIPAA 135

HIPAA Due Diligence Compliance Fraud 135

Total HIPAA

MARCH 22, 2023

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). Failure to comply with HIPAA regulations can result in severe consequences for insurance agents and their clients. million per year for each violation. Enforcement Highlights.”

US Department of Health and Human Services 52

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

HIPAA Journal

JANUARY 20, 2023

It has been almost 27 years since the Health Insurance Portability and Accountability Act (HIPAA) was signed into law, more than 2 decades since the Privacy Rule was enacted, and this February will be the 20 th anniversary of the HIPAA Security Rule.

HIPAA 119

HIPAA Fraud Compliance Health Insurance 119

Compliancy Group

OCTOBER 16, 2024

There’s a significant connection between healthcare compliance and risk management. Compliance officers must thoroughly understand both concepts to protect their organizations and the patients they serve. We’ll discuss how regulatory compliance enables proper risk management and how risk assessment advances healthcare compliance.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Compliancy Group

AUGUST 30, 2024

Ensuring compliance in your hospital, private practice, or healthcare company means safeguarding patient data, optimizing working conditions for employees, and promoting the highest quality of care. We suggest incorporating them into an annual compliance checklist for companies across the healthcare sector.

Compliance 52

Compliance Fraud Compliance Officers HIPAA 52

Compliancy Group

AUGUST 9, 2024

Maintaining healthcare compliance depends on having many tools and strategies at your disposal, especially when faced with an audit or incident of non-compliance. Perhaps the most essential element is compliance documentation. What Does Compliance Documentation Involve?

Compliance 72

Compliance Compliance Officers Regulations Compliance HIPAA 72

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act (HIPAA) is a landmark piece of legislation, but why is HIPAA compliance important? What changes did HIPAA introduce and what are the benefits to the healthcare industry and patients? Why is HIPAA Important for Healthcare Organizations?

HIPAA 115

HIPAA Compliance Fraud Health Insurance 115

HIPAA Journal

OCTOBER 21, 2022

A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson identified the patients through the medical practice of Dr. Frank Alario.

Fraud 63

Fraud HIPAA FDA Health Insurance 63

HIPAA Journal

JULY 3, 2024

The HIPAA transactions and code sets rules have the objective of replacing non-standard descriptions of healthcare activities with standard formats for each type of activity in order to streamline administrative processes, lower operating costs, and improve the quality of data. diagnoses, procedures, and drugs). Health Care Claims Status.

HIPAA 58

HIPAA Medicaid Medicaid Compliance 58

Compliancy Group

SEPTEMBER 16, 2024

Office of Inspector General (OIG) enforces the General Compliance Program Guidance. In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. Organizations should ramp up their risk assessment efforts.

Compliance 52

Compliance Compliance Officers Fraud Electronic Medical Records 52

Compliancy Group

JULY 3, 2024

One area that is often overlooked in onboarding training is regulatory compliance. Healthcare regulatory compliance training is of particular importance as it ensures the safety and wellbeing of patients and staff, and that privacy standards are upheld. Some compliance training is mandatory, while others are recommended.

Regulatory Compliance 59

Regulatory Compliance Compliance HIPAA Ransomware 59

Healthcare IT Today

DECEMBER 20, 2022

The hospital may be penalized for its HIPAA compliance based on the investigation caused by the alleged illegal activities of its rogue employees. Most HIPAA violations result in civil penalties against organizations for not adequately protecting patient information or by violating a patient’s right to access their medical records.

HIPAA 107

HIPAA Nurses Licensing Compliance 107

Compliancy Group

MARCH 12, 2024

must also be mindful of these healthcare compliance frameworks. A Compliance Framework for the U.S. healthcare compliance framework serves these purposes: Protect patient privacy : Health records and protected health information must remain confidential and private, with only essential providers and personnel having access to it.

Compliance Framework 52

Compliance Framework Compliance US Department of Health and Human Services Fraud 52

Compliancy Group

JULY 10, 2024

Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the compliance officer. What Does a Compliance Officer Do?

Compliance Officers 64

Compliance Officers Compliance Fraud Electronic Medical Records 64

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

Compliancy Group

JANUARY 18, 2022

But the best tool to prevent small practice cybercrime can be as basic as having a truly effective HIPAA compliance strategy. For HIPAA compliance to help prevent small practice cybercrime, it must address the particulars of your practice. More Ways HIPAA Compliance Helps Prevent Small Practice Cybercrime.

HIPAA 52

HIPAA Compliance Ransomware Malpractice 52

MedTrainer

JUNE 28, 2023

In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?

Fraud 52

Fraud Compliance Governance Compliance Officers 52

HIPAA Journal

JANUARY 12, 2023

One of the challenges with developing HIPAA was to create rules that would correct inefficiencies and get the healthcare system working more harmoniously. The way that HIPAA needed to be written has naturally led to the legislation receiving a lot of criticism. How HIPAA has Benefited Healthcare Organizations.

HIPAA 98

HIPAA Compliance Fraud COVID-19 98

Compliancy Group

OCTOBER 9, 2024

The primary place where healthcare organizations go wrong with their compliance efforts is that their compliance programs are reactive versus proactive. Workforce compliance in healthcare involves a comprehensive approach to establishing certain protocols and guidelines and helps maintain a continuously safe working environment.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

MARCH 8, 2024

Employee compliance training is essential to any healthcare organization’s onboarding process. This blog post will explore why compliance training is vital for an industry where mistakes or non-compliance can seriously affect patients, staff, and the organization.

Compliance 52

Compliance Fraud Governance HIPAA 52

Compliancy Group

FEBRUARY 28, 2024

Many industries have compliance rules and regulations to meet and follow, but few would argue that healthcare is one of the most stringent. Privacy and security – Compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient privacy and data security is crucial.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

Total HIPAA

DECEMBER 13, 2021

In the event of a breach, a company that has complied with the DPA can assert DPA compliance as a defense to any claim that may come up. How does this relate to HIPAA compliance? So, if your organization is one that is required to adhere to sector-specific laws, HIPAA compliance may be part of DPA compliance as well.

HIPAA 59

HIPAA Compliance Fraud Health Insurance 59

HIPAA Journal

OCTOBER 7, 2022

Questions are often sent to HIPAA Journal about the Health Insurance Portability and Accountability Act, one of which is how HIPAA has improved healthcare. In this article, I explain some of the main ways that healthcare has been improved by HIPAA for healthcare providers, health plans, and patients.

HIPAA 98

HIPAA Fraud Health Insurance Compliance 98

HIPAA Journal

FEBRUARY 23, 2022

What is HIPAA? HIPAA is an acronym for the Health Insurance Portability and Accountability Act. So how did HIPAA evolve from being a vehicle for improving the portability and continuity of health insurance coverage to being one of the most comprehensive and detailed federal privacy laws? What is HIPAA Title II?

HIPAA 100

HIPAA Fraud Health Insurance Medicaid 100

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). in 2011 that was settled for $100,000.

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

Compliancy Group

MARCH 21, 2024

It’s challenging enough to stay on top of constantly changing compliance regulations in healthcare, including training. Instead of continuously working hard to maintain all these administrative and logistical functions, you can be more innovative by letting compliance training software do the heavy lifting.

Compliance 52

Compliance US Department of Health and Human Services Compliance Officers Fraud 52

MedTrainer

APRIL 22, 2024

Creating and using a supplier compliance checklist ensures vendors meet regulatory requirements and are trusted partners in managing sensitive information. In this article, I’ll discuss why supplier compliance is as critical as legal and regulatory adherence for healthcare organization employees.

Compliance 52

Compliance HIPAA Licensing Fraud 52

HIPAA Journal

JANUARY 1, 2023

Many articles discussing what does HIPAA stand for fail to give a complete answer. Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. Tackling the Cost Implications of HIPAA.

HIPAA 84

HIPAA Health Insurance Fraud Governance 84

HIPAA Journal

JUNE 15, 2023

The HHS’ Office for Civil Rights (OCR) investigates all reported breaches of the protected health information of 500 or more individuals and some smaller breaches to determine if the breach was caused by the failure to comply with the HIPAA Rules.

HIPAA 96

HIPAA Hospitals Electronic Medical Records Fraud 96

Compliancy Group

OCTOBER 4, 2024

Despite your best efforts in meeting healthcare compliance requirements, errors may still occur. Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. What is an Audit in Healthcare?

Compliance Officers 59

Compliance Officers Compliance Regulatory Compliance Fraud 59

MedTrainer

JULY 31, 2024

Meeting Tennessee training requirements for compliance is critical to maintain this level of excellence. What Is Required for Tennessee Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Included in this blog post are the results of an audit on Tennessee requirements.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52