HIPAA Journal

JUNE 2, 2023

An Arizona man has been sentenced to 54 months in jail for aggravated identity theft and criminal violations of the Health Insurance Portability and Accountability Act (HIPAA). Rico Prunty pleaded guilty to aggravated identity theft and criminal HIPAA violations for accessing and disclosing patients’ protected health information.

HIPAA 58

HIPAA Fraud Health Insurance Compliance 58

Total Medical Compliance Resources

MAY 11, 2023

trillion is spent on healthcare in the United States, of which an estimated $60 billion is attributable to fraud and abuse. In order to combat this, HIPAA established the Healthcare Fraud and Abuse Control Program (HCFAC). Criminal Health Care Fraud Statute – 18 U.S.C. Every year a minimum of $4.3

Fraud 59

Fraud HIPAA Medicare Medicare 59

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. What is HIPAA? Implement Administrative Safeguards Administrative safeguards are the foundation of HIPAA compliance.

Medical Billing 45

Medical Billing HIPAA Compliance US Department of Health and Human Services 45

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.

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HIPAA Health Insurance Fraud Governance 84

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

HIPAA Journal

MARCH 28, 2023

A New York law firm that suffered a LockBit ransomware attack has agreed to pay a financial penalty of $200,000 to the New York Attorney General to resolve alleged violations of New York General Business Law and the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 112

HIPAA Ransomware Malpractice Health Insurance 112

Health Care Performance

AUGUST 16, 2022

The HIPAA Security Rule requires covered entities and business associates to complete a HIPAA Security Risk Analysis, and to periodically update it. When investigating a breach, the OCR also reviews the organization’s compliance with the HIPAA Security Rule. What’s your HIPAA breach risk tolerance? Keep up the good work.

HIPAA 52

HIPAA Ransomware Compliance Fraud 52

Compliancy Group

JUNE 21, 2023

The HIPAA Privacy Rule, established under the Health Insurance Portability and Accountability Act (HIPAA), was designed to protect sensitive patient information from unauthorized access. In the bustling world of healthcare, numerous examples of HIPAA privacy rule violations can befall even the most diligent organizations.

HIPAA 52

HIPAA Compliance Fraud Health Insurance 52

American Medical Compliance

MARCH 15, 2024

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. The Department of Justice recently revealed charges against 78 individuals involved in healthcare fraud schemes.

Compliance 95

Compliance Fraud HIPAA Health Insurance 95

Compliancy Group

AUGUST 28, 2024

The Importance of HR Compliance Training Courses Compliance regulations in healthcare are designed to help organizations prevent fraud, waste, and abuse. As regulations evolve, employees need to know what changes they must make in their operations and which important new documents they should be aware of.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. Another goal was to prevent healthcare fraud. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. Whatever might be the reason, its important that your practice must be HIPAA compliant.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

Total Medical Compliance Resources

NOVEMBER 11, 2024

This course covers general procedures, handling verbal or physical threats, addressing profanity and abusive language, managing physically violent patients, post-incident documentation, breaking bad news to patients, and terminating a patient’s relationship with the practice. link] HIPAA Fraud, Waste, and Abuse Awareness Course $30.00

HIPAA 52

HIPAA ADA Compliance Fraud 52

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. Healthcare compliance under HIPAA includes adhering to the Security Rule, which covers the handling, maintenance, and sharing of PHI.

Compliance 52

Compliance HIPAA Electronic Medical Records Fraud 52

HIPAA Journal

MAY 2, 2024

If they were, class members can claim a cash payment of $50 and can claim up to $7,500 for documented expenses incurred as a result of the data breach, including 3 hours of lost time at $25 per hour, and any unreimbursed losses to identity theft and fraud.

Fraud 109

Fraud HIPAA Health Insurance Compliance 109

HIPAA Journal

JUNE 28, 2023

The total settlement fund has not been disclosed; however, all class members are entitled to claim up to $1,500 as reimbursement for ordinary expenses, which are documented expenses that were incurred as a result of the data breach. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

Hospitals 89

Hospitals Fraud Licensing HIPAA 89

Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. The use of emojis in healthcare documents would align with the idea of legal design. Finally, emojis raise legal issues as a new form of data subject to HIPAA compliance, as well as accessibility concerns for the visually impaired.

Doctors 291

Doctors Hospitals Fraud Health Insurance 291

Compliancy Group

FEBRUARY 16, 2023

Open source is not particularly secure, and when your systems have the potential to access healthcare data, you have to think of how HIPAA factors in. HIPAA and ChatGPT ChatGPT is not HIPAA compliant. How ChatGPT uses and discloses consumer data is in direct contradiction with how HIPAA permits patient information to be used.

HIPAA 52

HIPAA Compliance Fraud Governance 52

MedTrainer

JANUARY 10, 2024

The OIG is making major investments to systematically detect and prosecute fraud. In this guidance it’s clear the OIG expects healthcare organizations and suppliers to understand their role and responsibilities to fight fraud, waste, and abuse. Remember: If it isn’t documented, it didn’t happen.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Compliancy Group

AUGUST 30, 2024

HIPAA The Health Insurance Portability and Accountability Act (HIPAA) of 1996 governs how healthcare organizations handle protected health information (PHI). FWA Fraud, waste, and abuse (FWA) in healthcare primarily refer to the inefficient and inappropriate use of Medicare and Medicaid funds. Under the direction of the U.S.

Compliance 52

Compliance Fraud Compliance Officers HIPAA 52

Compliancy Group

FEBRUARY 9, 2022

Specifically, are you using HIPAA compliant billing software? To help you decide, we’ve prepared an overview of what the HIPAA regulations state. We also reviewed some of the most popular payment apps available to determine whether or not they are HIPAA compliant payment apps. . How Does HIPAA Define Billing Software Compliance?

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HIPAA Compliance Fraud Doctors 52

HIPAA Journal

JULY 4, 2024

As a precaution against identity theft and fraud, the affected individuals have been offered complimentary single bureau credit monitoring/single bureau credit report/single bureau credit score services. The incident was detected on June 14, 2024, and attempts were made to retrieve the documents, but it was not possible to retrieve them all.

Electronic Medical Records 107

Electronic Medical Records Health Insurance Ransomware Fraud 107

HIPAA Journal

SEPTEMBER 7, 2022

Before file encryption, the attackers potentially accessed or acquired documents from its systems that contained names, addresses, dates of birth, Social Security numbers, health insurance information, and medical treatment information. The lawsuit – Marshall v. Lamoille Health Partners Inc. – was filed in the U.S.

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HIPAA Ransomware Fraud Health Insurance 116

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? This is a long, comprehensive post.

HIPAA 52

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

Compliancy Group

OCTOBER 16, 2024

Compliance means adhering to various rules and standards that protect patient privacy, uphold safe working conditions, and prevent fraud, waste, and abuse of federal resources. Risk management procedures enable healthcare organizations to pinpoint their vulnerabilities to such hazards as security breaches or Medicare fraud.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

HIPAA Journal

SEPTEMBER 30, 2022

Had notifications been issued sooner, the plaintiffs argued that they could have taken steps to protect against identity theft and fraud. Class members that have incurred costs related to credit monitoring and fraud resolution may also be able to claim back those costs. Those claims must be supported by appropriate documentation.

Fraud 107

Fraud HIPAA Health Insurance 107

Total HIPAA

OCTOBER 28, 2019

A newsletter on the importance of importance of HIPAA logging requirements states this: 1. A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. What HIPAA Security Rule Mandates. What HIPAA Security Rule Mandates. Creating a log is not as complicated as it seems.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

American Medical Compliance

AUGUST 7, 2024

These regulations protect patient privacy, ensure quality care, and prevent fraud and abuse. Here are the key areas of healthcare compliance. HIPAA (Health Insurance Portability and Accountability Act) This compliance is crucial for safeguarding patient health information. It ensures its confidentiality and maintains security.

Compliance 88

Compliance HIPAA Medicaid Medicaid 88

Compliancy Group

JUNE 3, 2024

What To Know When Navigating HIPAA Incidents Health Insurance Portability and Accountability Act (HIPAA) regulations already require healthcare-based businesses to have a response plan while operational. For many compliance officers, though, it’s not only about the documentation tracking — it’s about the overall savings.

Compliance 59

Compliance Compliance Officers HIPAA Fraud 59

Compliancy Group

FEBRUARY 28, 2024

CMS Compliance Requirements CMS compliance requirements are extensive, covering a wide range of topics: Billing and coding – healthcare providers must accurately code and bill for services rendered to ensure proper reimbursement and prevent fraud and abuse. The complexity depends on the type and scope of the audit.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

HIPAA Journal

APRIL 13, 2023

Several Insight Global employees created Google accounts to share information, including documents and spreadsheets containing contact tracing data. Claims for documented extraordinary losses will also be accepted up to a maximum of $5,000. Insight Global chose to settle the lawsuit with no admission of wrongdoing.

Fraud 101

Fraud COVID-19 HIPAA 101

Compliancy Group

JULY 10, 2024

If you hold this position, you likely understand what’s at stake in protecting health information and preventing fraud, abuse, and adverse incidents. Ensuring compliance with critical regulations falls on the compliance officer. We also discuss the steps and best practices that can guide you on how to be a good compliance officer.

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Compliance Officers Compliance Fraud Electronic Medical Records 64

HIPAA Journal

MARCH 3, 2023

The lawsuit alleged negligence for failing to implement reasonable cybersecurity measures to protect against a known risk of ransomware attacks on the sector, and that as a result of that negligence, victims were placed at an imminent and elevated risk of identity theft and fraud. The fairness hearing has been scheduled for June 27, 2023.

Ransomware 93

Ransomware Fraud HIPAA 93

Total Medical Compliance Resources

JUNE 9, 2023

It encompasses healthcare compliance, fraud prevention, ethics, adherence to rules and laws, and safeguarding patient information. This includes regulations related to privacy, consent, documentation, and professional conduct. Another focus of the HCC is the prevention of fraud, waste, and abuse.

Fraud 59

Fraud Compliance HIPAA Governance 59

HIPAA Journal

MAY 25, 2022

Social Action Community Health System (SAC Health) has recently notified 149,940 patients that documents containing their protected health information were stolen in a break-in at an off-site storage location where patient records were stored. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 134

Ransomware Fraud HIPAA Licensing 134

MedTrainer

JANUARY 26, 2024

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. Credentialing Workflows: Streamlining credentialing documentation can ensure you’re ready for a surveyor.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Answer the questions and document. So, let’s start!

Compliance 99

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

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

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HIPAA Fraud Governance Payment Systems 60