This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Compliance Health Insurance US Department of Health and Human Services 
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.
99 
American Medical Compliance
AUGUST 14, 2024
The HIPAA Refresher training reinforces your understanding of key HIPAA provisions, highlights recent updates, and provides practical tips for maintaining compliance in your daily operations. American Medical Compliance designates this activity for a maximum of 0.25 AMA PRA Category 1 Credits.
104
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
American Medical Compliance
AUGUST 15, 2024
Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC). Languages: American English Key features: Audio narration, learning activity, and post-assessment.
Compliancy Group
APRIL 11, 2022
In one of the largest breaches reported in 2022 so far, SuperCare Health suffered a hacking incident affecting 318,379 patients. However, it took SuperCare Health until February 2022 to discover the incident had potentially compromised that patient information. More details regarding the SuperCare Health hack are discussed below.
Total HIPAA
MARCH 7, 2023
Health insurance agents became covered under HIPAA with the HITECH Act of 2009. The inclusion of insurance agents was a response to the increasing use of electronic health records and the need to safeguard patients’ medical information.
98 
Natalia Mazina
JULY 28, 2022
While this is not a new case, it serves as a good reminder that even a small healthcare provider is subject to potential monetary penalties under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Penalties for non-compliance have increased. ”.
98 
Compliancy Group
JANUARY 13, 2025
Having a website has become standard for healthcare organizations and service providers. If your website collects and uses patient data, you must satisfy specific HIPAA website requirements. Department of Health and Human Services (HHS) enforces these regulations and imposes penalties for non-compliance.
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.
Compliancy Group
MARCH 19, 2024
Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. name, phone number).
Compliancy Group
MARCH 12, 2024
Because care requires using and exchanging sensitive patient information, adherence to U.S. When personal health information transcends international borders, vendors outside the U.S. must also be mindful of these healthcare compliance frameworks. A Compliance Framework for the U.S. law extends to you. law extends to you.
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.
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.
52 
Verisys
FEBRUARY 23, 2022
As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. Training employees on compliance issues.
MedTrainer
OCTOBER 16, 2023
This is the essence of corporate compliance in healthcare. Just as every piece of the puzzle must fit perfectly, every compliance element in healthcare needs precise integration to ensure seamless, ethical, and effective operations. Dive with us as we explore the complexities and necessities of compliance in the healthcare sector.
52 
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.
52 
Medisys Compliance
JUNE 23, 2024
Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse.
Compliancy Group
JUNE 1, 2023
Let me tell you the tooth and nothing but the tooth about HIPAA compliance consulting and management for dental practices! Dental practices handle a significant amount of sensitive patient information ranging from medical history and insurance details to personal information. Learn More!
52 
Total HIPAA
MAY 19, 2022
Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). One way to ensure compliance is to undergo a HIPAA compliance audit. It’s important for insurance agents to be prepared for a HIPAA compliance audit.
52 
Healthcare IT Today
SEPTEMBER 4, 2024
According to a 2023 report by the US Cyber Threat Intelligence Integration Center , the number of cyberattacks on the healthcare sector doubled in 2023 from the year prior. So far in 2024 that accelerated trajectory shows no sign of slowing down. We need to do more to protect the vital healthcare infrastructure and ecosystem.
96 
American Medical Compliance
JUNE 26, 2023
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) granted enforcement discretion for certain aspects of the Health Insurance Portability and Accountability Act (HIPAA) during the public health emergency. In response to the COVID-19 pandemic, the U.S.
52 
HIPAA Journal
DECEMBER 30, 2022
The HIPAA definition of Covered Entities is generally explained as health plans, health care clearinghouses, and health care providers that conduct electronic transactions for which the Department of Health and Human Services (HHS) has developed standards. 2) A health care clearinghouse. (3)
101 
Compliancy Group
JUNE 24, 2024
Among the many tasks of chief information security officers (CISOs), one of the most essential is ensuring the organization’s compliance with IT and cybersecurity regulations in healthcare. In this post, we discuss the critical laws governing healthcare security compliance. Cybersecurity Act, Section 405(d) The U.S.
Compliancy Group
JULY 24, 2024
Ensuring compliance with healthcare regulations is critical for any healthcare organization. One of the most significant regulatory bodies is the Centers for Medicare & Medicaid Services (CMS), which conducts rigorous inspections to ensure that healthcare providers meet required standards.
Compliancy Group
JUNE 7, 2024
The onboarding process is pivotal in ensuring employees understand their job duties, engage in best cybersecurity practices, and comply with important regulations like the Health Insurance Portability and Accountability Act, Occupational Health and Safety Administration, and prevention of Fraud, Waste, and Abuse in healthcare.
American Medical Compliance
JUNE 24, 2023
A hospital security patient privacy breach has resulted in a hefty settlement of $240,000 under the Health Insurance Portability and Accountability Act (HIPAA). The breach involved numerous patients’ personal health information (PHI) and violated the HIPAA Privacy Rule, which mandates strict protection of patient data.
Total HIPAA
MAY 9, 2022
Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). One important aspect of HIPAA compliance is ensuring that all staff members receive appropriate training on HIPAA regulations. HHS.gov, [link] Accessed 10 Mar.
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).
52 
The Health Law Firm
MARCH 31, 2016
Board Certified by The Florida Bar in Health Law On March 21, 2016, the Office for Civil Rights (OCR) of the US Department of Health and Human Services (HHS) launched a new round of audits to help ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA), especially its Privacy Rule and Security Rule.
Healthcare Compliance Blog
MARCH 30, 2022
The US Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has announced the resolution of three investigations and one matter related to compliance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. OCR Director Lisa J.
59 
Compliancy Group
MARCH 28, 2023
According to the Department of Health and Human Services (HHS), Office for Civil Rights (OCR), in 2020, the requirements of HIPAA applied to at least 2.7 The good news is that HIPAA compliance is an excellent foundation upon which to begin SOC 2 HIPAA mapping. million healthcare organizations in the United States.
52 
Compliancy Group
FEBRUARY 12, 2024
Pharmacy Fraud and Kickback Scheme In early February 2024, the co-owner and the administrator of a New Jersey pharmacy admitted to defrauding insurance providers, including Medicare and Medicaid. Department of Health and Human Services, Office of Inspector General (HHS-OIG), said.
52 
Verisys
JANUARY 19, 2022
Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Human Resources.
Compliancy Group
MARCH 16, 2023
Wouldn’t you think a big company like Cerebral Health wouldn’t need help being HIPAA compliant? The telehealth startup specializing in mental health, says it inadvertently shared the sensitive information of over 3.1 million patients with Google, Meta, TikTok, and other third-party advertisers, as reported earlier by TechCrunch.
Med-Net Compliance
NOVEMBER 3, 2022
The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) produced a new video on recognized security practices for organizations covered under the Health Insurance Portability and Accountability Act (HIPAA) Rules.
Healthcare Law Blog
MARCH 25, 2022
Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum.
52 
Med-Net Compliance
SEPTEMBER 22, 2022
The US Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced the resolution of three investigations concerning potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule’s patient right of access provision.
59 
C&M Health Law
JANUARY 20, 2023
This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.
52 
Med-Net Compliance
JULY 25, 2022
The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) announced the resolution of eleven investigations in its Health Insurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.
59 
Healthcare Law Blog
JANUARY 26, 2024
On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.
Hall Render
MAY 3, 2022
On March 28, 2022, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced the resolution of two more complaints under its Right of Access Initiative. Dentist Agrees to $30,000 Settlement for Failure to Provide Entire Copy of Designated Record Set.
Healthcare IT Today
JANUARY 2, 2024
Combining this with the increasing number of digital-first health applications and services on the market, protecting data at every touchpoint is mission-critical. By analyzing policyholder data trends, health insurers can learn where their resources are over or underutilized and adjust as needed to better balance their initiatives.
80 
Hall Render
SEPTEMBER 16, 2022
4 Health Systems Join Provider-Created Data Collective to Improve Care. Why asking about social determinants of health is so important. Alabama Women’s Health Center Suffers Data Breach, 34K Impacted. Southeast Health wants to receive additional property taxes. Banner Health’s big bet on population health.
Hall Render
AUGUST 19, 2022
Amazon to offer behavioral health services through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.
40 
Hall Render
JULY 8, 2022
CMS issues updated nursing home staffing compliance guidelines. SCOTUS won’t hear challenge to health worker vaccine mandate. Why health systems are choosing Amazon as their cloud provider. Worst health system data breaches of 2022, according to Wired. Officials scramble to hire for the 988 mental health crisis hotline.
40
Expert insights. Personalized for you.
We have resent the email to
Are you sure you want to cancel your subscriptions?
Let's personalize your content