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PHI Exposed in Data Incidents at Anthem, WellMed Medical Management and CareOregon

HIPAA Journal

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

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A Profile of People in Medicare Advantage Plans – HealthMine’s Survey of “Digital Immigrants”

Health Populi

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

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Everything You Need To Know About NPI Numbers

Verisys

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

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Telehealth and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Health Populi

For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. Check out this last public health poster about Medicare and COVID-19. That’s Medicare, Australia-style, adopting telehealth in this coronavirus era.

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Maintain Compliance With Behavioral Health Training

MedTrainer

With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care. Training requirements vary by role and specific healthcare setting.

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Missouri Department of Social Services Confirms Medicaid Recipients’ Data Compromised in MOVEit Hacks

HIPAA Journal

Omaha Health Insurance Company The Omaha Health Insurance Company (OHIC), part of Mutual of Omaha, has reported a security breach at a third-party vendor that exposed the records of individuals who were enrolled in the Medicare Part D Prescription Drug Plan, which was issued by Mutual of Omaha Rx.

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Physician Coding and Billing Enforcement: What to Watch For

YouCompli

For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). In March of 2022, a New Jersey rheumatologist was convicted by a federal jury for defrauding Medicare and other health insurance programs.