Compliance Now

APRIL 6, 2022

Notably, the rules only impact whether an individual is eligible for federally subsidized health insurance; they DO NOT change the affordability requirements for applicable large employers under the ACA’s employer mandate. If finalized, the new rules will increase access to federal subsidies beginning January 1, 2023.

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Health Insurance ACA Hospitals 189

HIPAA Journal

APRIL 6, 2022

An audit of Connecticut’s Health Insurance Exchange, Access Health CT, by the state auditor has revealed Access Health CT suffered 44 data breaches over the last 3.5 Access Health CT said it is also strengthening its internal purchasing policies and procedures and will be revising its contract procurement policy.

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Health Insurance HIPAA Medicaid Medicaid 138

Compliancy Group

FEBRUARY 26, 2025

In January 2025, the Department of Health and Human Services’ Office for Civil Rights received 70 reports of large-scale data breaches (affecting more than 500 patients) in the healthcare sector, impacting the protected health information of approximately 2,768,422 patients. Protect your business with compliance!

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Compliance HIPAA Regulatory Compliance Health Insurance 95

Verisys

MARCH 6, 2025

What Is AI in Healthcare Compliance? Imagine having a tireless assistant who handles the nitty-gritty of regulatory compliance so healthcare teams can focus on what matters mostpatient care and privacy. AI in healthcare compliance taps into the power of machine learning, natural language processing, and automation.

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

Electronic Health Reporter

JANUARY 15, 2021

And in 2021, the focus on compliance is expected to increase. The Health Insurance Portability and Accountability Act (HIPAA) affects thousands of organizations across the […]. The article Challenges of Maintaining HIPAA Compliance: 9 Pain Points appeared first on electronichealthreporter.com.

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HIPAA Compliance Health Insurance 136

Compliancy Group

JANUARY 27, 2025

To maintain your organizations reputation and understand the positive influence of a SOC 2 report, youll want to know what is required for SOC compliance. You may ask, What is SOC 2 compliance, and why does my business need it? Contact us today to learn how our compliance software can get you ready for your next SOC 2 audit.

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Compliance HIPAA Health Insurance Hospitals 59

Compliancy Group

NOVEMBER 1, 2024

When you work in healthcare, you must comply with the most rigorous regulations that safeguard patient health and privacy, protect workers, and prevent fraud, waste, and abuse of federal funds. Anyone in this industry should know the healthcare compliance laws and regulations that guide how they do their jobs and provide quality care.

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Compliance HIPAA Electronic Medical Records Fraud 52

Compliancy Group

JANUARY 1, 2025

CIS controls and ISO 27001 provide crucial compliance frameworks for healthcare organizations of all types and sizes. Any compliance officer knows that adhering to both standards takes considerable time, resources, and effort. This adaptability makes CIS ideal for mapping or integrating into another compliance framework like ISO 27001.

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Compliance Framework Compliance Compliance Officers HIPAA 98

Compliancy Group

DECEMBER 9, 2024

Patient files, clinical and treatment information, and information related to insurance or claim information, constitute electronic protected health information (ePHI) under the Health Insurance Portability and Accountability Act (HIPAA).

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Ransomware Licensing HIPAA Compliance 98

HIPAA Journal

MAY 2, 2022

Achieving and maintaining compliance with all provisions of the Health Insurance Portability and Accountability Act (HIPAA) Rules can be a challenge for healthcare providers, health plans, healthcare clearinghouses, and business associates of HIPAA-covered entities. Ingredients for a well-run compliance program.

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HIPAA Compliance Health Insurance 114

American Medical Compliance

MARCH 15, 2024

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. Therefore, for healthcare providers to prevent these charges from happening, understanding FWA compliance is essential. In this comprehensive guide, we delve into FWA compliance in healthcare.

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Compliance Fraud HIPAA Health Insurance 105

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.

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Compliance HIPAA Medicaid Medicaid 105

HIPAA Journal

APRIL 13, 2023

The Nevada-based creative marketing agency, Estipona Group, has achieved compliance with the federally mandated standards of the Health Insurance Portability and Accountability Act (HIPAA) and has demonstrated its commitment to protecting the privacy and security of its clients’ patient health information.

Compliance 98

Compliance HIPAA Regulatory Compliance Health Insurance 98

HIPAA Journal

DECEMBER 7, 2022

Achieving and maintaining compliance with the Privacy, Security, Breach Notification, and Omnibus Rules of the Health Insurance Portability and Accountability Act (HIPAA) can be a challenge for HIPAA-regulated entities. On December 14, 2022, Compliancy Group is hosting a webinar to demonstrate The Guard. PT ¦ 12:00 p.m.

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HIPAA Compliance Health Insurance 109

Compliancy Group

AUGUST 28, 2024

Human resources (HR) professionals have a stake in their organizations’ healthcare compliance practices. Regardless of company size or number of employees, thorough HR compliance training ensures that your practice, hospital, or company protects patients and workers.

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Compliance Fraud Regulatory Compliance HIPAA 97

Healthcare IT Today

NOVEMBER 30, 2023

Hospital records contain sensitive data, including diagnostic details and sensitive personal health information. This information must be protected to avoid any legal implications and ensure compliance with privacy regulatory laws, like the Health Insurance Portability and Accountability Act (HIPAA). What is HIPAA?

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Compliance HIPAA Health Insurance Hospitals 128

American Medical Compliance

MARCH 11, 2024

It also ensures dental regulatory compliance, protecting both patients and practitioners. Understanding the Significance Dental recordkeeping includes the systematic documentation of a patient’s oral health history, examinations, diagnoses, treatments, and outcomes.

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Regulatory Compliance Compliance ADA Informed Consent 105

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.

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

American Medical Compliance

AUGUST 29, 2024

In today’s healthcare environment, ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA) is more crucial than ever, especially for business associates. Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions.

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HIPAA Compliance Health Insurance 96

AIHC

NOVEMBER 12, 2024

6] The letter also notes that obtaining informed consent for sensitive examinations is the standard of care and that OCR will continue to focus on provider compliance with HIPAA and proper informed consent. About the Author Gabriella Neff , RHIA, CHA, CHC, CHRC, CHPC is a Research Compliance Officer for H.

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Informed Consent HIPAA Compliance Hospitals 98

HIPAA Journal

FEBRUARY 10, 2023

Achieving compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA) can be a challenge for healthcare organizations and their business associates. One of the biggest challenges for compliance professionals is interpreting the HIPAA Rules and applying those requirements to their organization.

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HIPAA Compliance Compliance Officers Health Insurance 116

HIPAA Journal

JULY 22, 2022

The National Institute of Standards and Technology (NIST) has updated its guidance for HIPAA-regulated entities on implementing the HIPAA Security Rule to help them better protect patients’ personal and protected health information. The post NIST Updates Guidance on HIPAA Security Rule Compliance appeared first on HIPAA Journal.

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HIPAA Compliance Health Insurance 102

Center for Health Insurance Reform

SEPTEMBER 22, 2022

Hospitals and health insurers are now required to publicly post their prices for health care services. Their piece identifies options for federal and state regulators to improve compliance and ultimately help support informed health care purchasing and policy decisions.

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Compliance Hospitals Health Insurance 93

American Medical Compliance

FEBRUARY 9, 2024

Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

American Medical Compliance

DECEMBER 21, 2023

Thus, you should uphold the sacred trust between you and your patients with successful quality care, and of course, compliance. Digitizing Healthcare: Do’s and Don’ts Electronic health records, telemedicine, and health apps have transformed the way patients and professionals interact with healthcare data.

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Compliance HIPAA Telemedicine Health Insurance 97

HIPAA Journal

DECEMBER 8, 2022

Even if a health app has not been developed for use by a HIPAA-covered entity, there may be one or more federal laws or regulations that apply. On December 7, 2022, the HHS announced that the online Mobile Health App Interactive Tool has been updated. The updated version can be found here.

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Compliance HIPAA FDA Health Insurance 106

HIPAA Journal

JUNE 20, 2022

Healthcare providers, health plans, healthcare clearinghouses, and business associates of those entities that come into contact with protected health information (PHI) are required to ensure policies, processes, and people are compliant with the Rules of the Health Insurance Portability and Accountability Act (HIPAA).

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HIPAA Compliance Health Insurance 98

American Medical Compliance

MARCH 14, 2025

Providers learn what defines a covered entity, as well as patients’ rights to access, amend, and restrict their health information. By mastering these regulations, providers can ensure compliance, strengthen patient trust, and avoid legal and financial penalties. Additionally, they explore the required safeguards to protect PHI.

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HIPAA Compliance Regulatory Compliance Medical Billing 52

MedTrainer

FEBRUARY 20, 2023

Being aware of the newest healthcare compliance rules and regulations is no easy task. You might be wondering if there are critical compliance trainings you’re either missing at your facility or that need revision. Providing consistent compliance training is not only mandatory, but it can help to avoid some of these situations.

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Compliance HIPAA Health Insurance COVID-19 98

Healthcare Blog

NOVEMBER 9, 2023

An effective healthcare compliance program is a crucial aspect of any healthcare organization. Healthcare organizations should clearly define their expectations and the consequences for non-compliance. Healthcare organizations should clearly define their expectations and the consequences for non-compliance.

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Compliance Compliance Officers ACA Patient Satisfaction 98

Healthcare IT Today

APRIL 11, 2024

Stay informed about the latest security threats and compliance requirements relevant to healthcare data, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Regularly review and update your security policies and procedures to ensure compliance with applicable regulations and standards.

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Compliance Health Insurance HIPAA 124

HIT Consultant

JUNE 27, 2024

The healthcare sector has been a prime target for cyberattacks and data breaches over the last several years, which makes compliance with the Health Insurance Accountability and Portability Act (HIPAA) all the more important. Worse still, these breaches result in non-compliance with the guidelines established by HIPAA.

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HIPAA Compliance Patient Satisfaction Nursing Homes 97

Total HIPAA

NOVEMBER 15, 2023

As 2023 unfolds, the urgency for entities in the healthcare sector to initiate or reinforce their HIPAA compliance cannot be overstated. It also ensures that you step into the new year with a robust culture of compliance, seamlessly aligning your operations with the necessary legal frameworks.

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HIPAA Compliance Due Diligence Health Insurance 98

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

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Health Insurance HIPAA Fraud Due Diligence 100

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?

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Compliance Compliance Officers Regulations Compliance HIPAA 72

HIT Consultant

NOVEMBER 3, 2024

Impact on Employers There is no federal mandate dictating the minimum employer contribution towards health insurance, although many states require at least a 50% contribution. The ideal contribution percentage varies by industry, company size, and the health benefits offered. Coverage is becoming unaffordable for many.

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ACA Health Insurance Governance Compliance 98

HIT Consultant

NOVEMBER 7, 2022

Jessica Badichek, Chief Informatics and Compliance Officer, MediTelecare. Payers and insurance providers want better patient outcomes due to the high cost of poor health, while health providers want to ensure their patients aren’t overlooked and are appropriately cared for.

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Health Insurance Compliance Officers Health Outcomes Medicare 98