Healthcare IT Today

OCTOBER 24, 2023

The potential consequences include identity theft, financial fraud, and reputational damage to healthcare organizations. Employees are often the weakest link in the cybersecurity chain, inadvertently responsible for sharing passwords, inadvertently downloading malware, opening phishing emails, and other cybersecurity gaffes.

Fraud 119

Fraud Hospitals 119

HIT Consultant

DECEMBER 10, 2021

Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know. What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Report Background.

COVID-19 98

COVID-19 Fraud Nurses Licensing 98

MedTrainer

FEBRUARY 6, 2024

CMA (AAMA) Recertification Using MedTrainer The CMA (AAMA) credential must be recertified every 60 months to provide evidence of current competency and knowledge.

Fraud 98

Fraud Compliance 98

Verisys

NOVEMBER 8, 2023

The results are shown in the search result window and can be downloaded , or, alternatively, captured through an application programming interface. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud.

Fraud 97

Fraud HIPAA Medicare Medicare 97

HIPAA Journal

NOVEMBER 17, 2022

Salud Family Health said affected employees and patients have been offered free credit monitoring and identity fraud protection services, and security policies and procedures are being reviewed and will be updated to protect against future cyberattacks. New York-Presbyterian Hospital Discovers Breach Affecting up to 12,000 Patients.

Ransomware 79

Ransomware Health Insurance Fraud HIPAA 79

MedTrainer

FEBRUARY 27, 2025

This list includes individuals convicted of healthcare fraud, patient abuse, or other serious violations. Download Now Exclusion Checks vs. Exclusion Monitoring Same concept, different strategy, different outcomes. This proactive approach safeguards those under your care and builds trust between patients and healthcare providers.

Compliance 52

Compliance Malpractice Fraud Licensing 52

HIPAA Journal

JANUARY 27, 2023

Data theft could not be ruled out, but at the time of issuing notifications, no reports had been received to suggest that sensitive information has been used for identity theft or fraud. The company’s software was accessed in the attack and attachments were downloaded from the hosted service that included UCHelath files.

Ransomware 105

Ransomware HIPAA Fraud Licensing 105

Provider Trust

SEPTEMBER 12, 2022

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program. The second option offers multiple downloadable formats that offer full access to the exclusion list.

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

YouCompli

MAY 11, 2022

For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). The doctor will be sentenced in July for multiple counts of healthcare fraud. He faces up to 20 years in prison for healthcare fraud and wire fraud conspiracy.

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Compliance Officers Fraud Compliance Medicare 52

HIPAA Journal

DECEMBER 7, 2022

Salud Family Health said impacted employees and patients have been offered free credit monitoring and identity fraud protection services. It was not possible to tell which emails in the account were accessed or if any emails or attachments were downloaded.

COVID-19 Vaccine 101

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 101

HIPAA Journal

MARCH 8, 2023

Trend Micro also reports that ransomware groups have shifted their focus to monetizing exfiltrated data and are moving to other criminal business models such as BEC attacks, stock fraud, cryptocurrency theft, and money laundering.

Ransomware 101

Ransomware Fraud HIPAA 101

HIPAA Journal

JULY 28, 2022

38% of respondents said they visit those sites for streaming sporting events, 37% use the sites to download songs and video games that are hard to find, and 36% said they would visit those sites if they offered good discounts on purchases. The risks from bad cybersecurity practices are not just theoretical.

Fraud 62

Fraud HIPAA Governance 62

MedTrainer

JULY 25, 2024

HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud. Download a free and ready-to-use HIPAA Breach Notification Policy. Download Now The post HIPAA Compliance Checklist For Healthcare Leaders appeared first on MedTrainer. What Is HIPAA?

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

HIPAA Journal

FEBRUARY 13, 2023

The forensic investigation confirmed that AWS S3 storage buckets were accessed by the attackers, the contents of those buckets were downloaded, then the data in the buckets were deleted. A security breach was detected in January 2021, when suspicious activity was identified in its AWS cloud storage environment.

HIPAA 68

HIPAA Fraud Health Insurance 68

MedTrainer

FEBRUARY 7, 2025

Office of Inspector General (OIG): conducts audits to identify and prevent fraud, waste, and abuse in healthcare programs. Be sure that you can demonstrate to auditors that all staff have completed training, as that will show the proactive measures youre taking to prevent fraud. Download a ready-to-use and customizable Code of Conduct.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

JANUARY 12, 2024

Department of Health and Human Services focuses on preventing fraud, abuse, and waste in federal healthcare programs. Whistleblower Programs: Individuals who suspect healthcare fraud or violations can report them through whistleblower programs. Download this free cheat sheet for healthcare inspections.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

MARCH 8, 2024

Fraud, Waste, and Abuse: Training should cover the key provisions of the False Claims Act and other laws that prohibit healthcare fraud, waste, and abuse. Compliance training should cover the key regulations, including those related to bloodborne pathogens, hazardous chemicals, and workplace violence.

Compliance 52

Compliance Fraud Governance HIPAA 52

Verisys

FEBRUARY 1, 2022

The results are shown in the search result window and can be downloaded , or, alternatively, captured through an application programming interface. Tracking actions to a standardized identifier provides transparency that can identify and impede fraud. NPI Helps Prevent Healthcare Fraud . Understanding NPI Lookup Results .

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Fraud Medicare Medicare HIPAA 52

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

Licensing 52

Licensing Fraud Compliance Nurses 52

HIPAA Journal

JANUARY 30, 2023

Tennant, MA The full schedule for the event can be downloaded here – HIPAA Summit Schedule (PDF). The pre-conference basic training day is included in the basic HIPAA Summit registration and includes 8 training sessions, followed by a HIPAA Workforce Training Faculty Q&A.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

HIPAA Journal

MARCH 29, 2024

The digital forensics team determined that unauthorized individuals had gained access to the network and may have downloaded files containing patient data. Third-party cybersecurity specialists were engaged to investigate the incident and determine the nature and scope of the unauthorized activity. The post MFA Bypassed in Cyberattack on L.A.

Fraud 80

Fraud HIPAA Health Insurance Nurses 80

MedTrainer

FEBRUARY 1, 2024

Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization. By identifying and addressing potential issues early, they reduce the risk of fraudulent activities that could lead to legal action and financial penalties.

Compliance 52

Compliance Malpractice Fraud HIPAA 52

Healthcare Law Blog

FEBRUARY 3, 2023

In addition, each MMCO must develop a fraud, waste and abuse prevention plan and submit it to OMIG within 90 days of the effective date of the new rules or upon signing a new contract with the New York State Department of Health to begin participation as an MMCO.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

HIPAA Journal

DECEMBER 2, 2022

Information disclosed in confidence by a patient of a website or web application could be transferred to a third party and be used for fraud, identity theft, extortion, stalking, harassment, or to promote misinformation. That information could be provided to law enforcement or other third parties.

HIPAA 106

HIPAA Compliance Hospitals Fraud 106

MedTrainer

JANUARY 31, 2024

It covers various aspects of healthcare regulations and compliance, including fraud and abuse prevention and ethical coding practices. privacy and data security, fraud and abuse, corporate compliance) or have a broad understanding of compliance across various aspects of healthcare? Do you want to specialize in a particular area (e.g.,

Compliance 52

Compliance Compliance Officers Fraud HIPAA 52

MedTrainer

JANUARY 26, 2024

Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud. Ways Compliance Can Decrease Revenue Fines and Penalties: Compliance with federal, state, and local regulations is essential to avoid fines, penalties, and legal liabilities.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JANUARY 26, 2024

By understanding what is required by role, you can structure training to be the most beneficial, which may mean reducing the number of courses your organization requires. Why Is Compliance Training and Education Important?

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

MedTrainer

JANUARY 30, 2024

The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS). Download Now The post Healthcare Compliance Certification Is Within Your Reach appeared first on MedTrainer.

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

Health Care Law Brief

APRIL 11, 2022

Adherence is often tracked and confirmed by those that provide the incentive payment through digital health technologies—including apps that can be downloaded to the patient’s smart phone or that are already downloaded to a smart phone provided to the patient as part of a CM program. The OIG highlighted four specific reasons.

Fraud 52

Fraud Medicare Medicare Compliance 52

Verisys

DECEMBER 29, 2024

How Verisys Utilizes NPI Data: Verisys leverages NPI data through its healthcare provider credentialing solutions to enhance fraud prevention and ensure data accuracy. Contact Verisys to learn more about how NPI numbers support provider credentialing and prevent fraud.

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

MedTrainer

JULY 3, 2024

Download the Ultimate List of Training Requirements for Home Health to see a full list of federal training requirements broken down by role, with the applicable standard and frequency. Home Health Compliance Training Requirements There isn’t a universal list of training requirements for all home health employees.

Compliance 52

Compliance HIPAA Fraud Health Insurance 52

Healthcare IT Today

OCTOBER 3, 2024

Unlike credit card numbers, which can be quickly canceled, medical information remains useful for years, offering opportunities for identity theft, fraud, and even blackmail. For instance, sudden large-scale data downloads by a researcher could signal a potential breach, allowing for real-time detection and response.

Hospitals 70

Hospitals Ransomware Fraud Health Insurance 70

MedTrainer

MARCH 8, 2024

Download the Ultimate List of Training Requirements for Long-Term Care to see a full list of federal training requirements for nursing homes and skilled nursing staff broken down by role, with the applicable standard, CMS violation category, and frequency. Training requirements vary by employee role and specific healthcare setting.

Compliance 52

Compliance Nursing Homes HIPAA Nurses 52

MedTrainer

JANUARY 31, 2024

Compliance Programs: Healthcare’s Guardian Angels Here are several ways in which compliance programs help safeguard the healthcare industry: Prevent Fraud and Abuse: Compliance programs help to identify and potentially prevent fraudulent activities such as billing for services not rendered, upcoding, or submitting false claims.

Compliance 52

Compliance Compliance Officers Governance Fraud 52

MedTrainer

JULY 30, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 11, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

Healthcare IT Today

JUNE 27, 2023

In this scenario, there are no applications to download, no additional portal to navigate, and no account number, username, or password to remember. These technologies can boost operational efficiency, mitigate fraud, and optimize pricing, leading to impactful cost savings and increased revenue.

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Health Outcomes Fraud Hospitals 103