HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

Ransomware 92

Ransomware Electronic Medical Records Licensing Health Insurance 92

HIT Consultant

SEPTEMBER 4, 2024

The consequences of a successful attack can be far-reaching, including identity theft, insurance fraud, and even threats to patient care through compromised medical devices and systems.

Ransomware 111

Ransomware HIPAA Compliance Doctors 111

American Medical Compliance

JULY 9, 2024

The Medicare FWA Compliance Training aims to educate healthcare providers (HCP) on the definitions of fraud, waste, and abuse in the context of Medicare. Medicare is a federal health insurance program in the United States primarily for individuals aged 65 and older. What Is Medicare?

Medicare 52

Medicare Medicare Compliance Fraud 52

Verisys

DECEMBER 29, 2024

Providers, employers, health plans, and payers use these numbers for billing purposes and electronic data transmission. NPIs are critical for maintaining accountability across healthcare transactions, ensuring accurate reporting, and streamlining electronic communication across private and government health insurance programs.

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

Healthcare IT Today

SEPTEMBER 19, 2023

From a financial perspective, this initiative can help prevent healthcare fraud due to identity theft, stop improper use of someone else’s health insurance, and prevent marketing scams where people’s identities are stolen through fake medical billing or enrollment in fake medical benefit plans.

Hospitals 139

Hospitals HIPAA Nurses Governance 139

Healthcare IT Today

FEBRUARY 17, 2023

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Overpayment 89

Overpayment Overpayments COVID-19 Medicare 89

Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Compliancy Group

SEPTEMBER 16, 2024

In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. Organizations should ramp up their risk assessment efforts.

Compliance 52

Compliance Compliance Officers Fraud Electronic Medical Records 52

MedTrainer

JANUARY 30, 2024

Nursing Homes: Skilled nursing facilities, long-term care facilities, and other types of nursing homes. Additionally, compliance programs address a wide range of potential issues, including fraud, waste, and abuse. Is a Compliance Program Useful If It’s Not Mandated?

Governance 52

Governance Compliance Nursing Homes Medicaid 52

HIPAA Journal

MARCH 29, 2024

Healthfirst The New York health insurance provider, Healthfirst, has recently notified 6,836 of its 2 million members about unauthorized access to its member portal. Healthfirst, which provides health plans under the names Healthfirst PHSP, Inc., Healthfirst Health Plan, Inc., The post MFA Bypassed in Cyberattack on L.A.

Fraud 84

Fraud HIPAA Health Insurance Nurses 84

Compliancy Group

AUGUST 31, 2023

Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Office of Inspector General (OIG) Compliance Program Guidance Office of Inspector General (OIG) compliance program guidance is for individual providers like hospitals or nursing homes.

Compliance 52

Compliance Compliance Officers Fraud Compliance Framework 52

HIPAA Journal

JANUARY 24, 2023

The theft of protected health information places patients and health plan members at risk of identity theft and fraud, but by far the biggest concern is the threat to patient safety. million members and cost the health insurer around $230 million in clean-up costs, $115 million to settle the lawsuits, $39.5

HIPAA 138

HIPAA Ransomware Hospitals Fraud 138

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

Florida Health Care Law Firm

JANUARY 20, 2022

Essentially, the AHCA regulates and coordinates the Medicaid system and the healthcare providers that offer medical services through that program to Floridians, so there is sharing of healthcare data and resources across the state through the Florida Center for Health Information and Policy Analysis. What Are Florida AHCA Regulations?

Nursing Homes 40

Nursing Homes Medicaid Medicaid Fraud 40

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What is the HIPAA Law?

HIPAA 133

HIPAA Due Diligence Compliance Fraud 133

MedTrainer

JULY 30, 2024

Requirements vary by care setting (industry), employee role, a risk assessment, and more. It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 11, 2024

It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). million 78.8 million 78.8

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

Hall Render

FEBRUARY 4, 2022

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. Health Care Fraud Actions. That figure does not include even more funds recovered for state Medicaid programs.

Fraud 40

Fraud Governance Medicare Medicare 40

MedTrainer

JULY 31, 2024

Requirements vary by care setting (industry), employee role, a risk assessment, and more. It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 11, 2024

Requirements vary by care setting (industry), employee role, a risk assessment, and more. It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 10, 2024

Requirements vary by care setting (industry), employee role, a risk assessment, and more. It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance Licensing HIPAA Compliance Framework 52

MedTrainer

JUNE 10, 2024

Requirements vary by care setting (industry), employee role, a risk assessment, and more. It’s even possible to offer courses that meet regulatory requirements and qualify for CE.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

Health Law RX

NOVEMBER 22, 2023

Next, the OIG will begin publishing industry-specific CPGs to update prior CPGs that provided guidance for specific providers such as hospitals, clinical laboratories, hospices, Medicare Advantage (formerly known as Medicare+Choice) organizations, and nursing facilities. OIG Resources and Processes.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

MedTrainer

FEBRUARY 27, 2024

The Bureau of Labor Statistics defines a home health aide as a professional who “monitors the condition of people with disabilities or chronic illnesses and helps them with daily living activities.” HHAs are supervised by medical practitioners, usually nurses, and may work with therapists and other medical staff.

Compliance 52

Compliance HIPAA Fraud Licensing 52

MedTrainer

JANUARY 26, 2024

This designation is ideal for healthcare professionals tasked with ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA). It covers various aspects of healthcare regulations and compliance, including fraud and abuse prevention and ethical coding practices.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers HIPAA 52

AIHC

SEPTEMBER 5, 2023

Terminology used for the various forms of telehealth technology are summarized below which applies to both general and behavioral health care use. Not all forms of technology are recognized as services which can be reimbursed by health insurance. This includes understanding various fraud and abuse laws.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

YouCompli

AUGUST 9, 2023

As health care organizations return to business as usual, it’s time to ensure that we’re delivering health care services in a compliant and compassionate way.   The main goal for reframing patient care should be to ensure we express and genuinely meet patient needs as they actually are – not what we think they are.

Compliance 52

Compliance COVID-19 ACA Fraud 52

Hall Render

MAY 13, 2022

Nurses make exit plans after RaDonda Vaught’s conviction. Travel nurses raced to help during Covid. US faces deficit of 450,000 nurses by 2025. Alaska needs to train more nurses, but it doesn’t have enough nursing faculty to meet demand. Banner invests in Atlas Health Partners, plans to double ASC footprint.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

CMS.gov

NOVEMBER 16, 2018

Fraud, waste, & abuse. Even more significant for CMS, is that for the first time in improper payment reporting history, we have achieved improper payment rate reductions across the board in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). The home health improper payment rate decreased from 58.95

Medicare 20

Medicare Medicare Overpayment Overpayments 20

Hall Render

MARCH 14, 2025

Vincent hospital names chief medical officer UAMS Awarded $1.9M to Study Environmental Links to Breast Cancer in Arkansas Arkansas approves additional $4.5 operating margin in FY24 What’s new with Kaiser Permanente? .’s

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

Provider Trust

FEBRUARY 3, 2023

According to a January 2023 Washington Post article , nurses across California, Oregon, Michigan, and Minnesota have also threatened to protest or have already gone on employment strike. The National Council for the State Boards of Nursing has indicated that in 2021, there were 4.4

Compliance 52

Compliance Fraud Nurses Telemedicine 52

Hall Render

MARCH 18, 2022

Former CMS Chief Seema Verma Blasts Nursing Home Reform Proposals. Health Policy Brief: Pandemic-Driven Health Policies To Address Social Needs And Health Equity. How the PE Nursing Home Crackdown Could Affect the Home Health Industry. Nursing home lobbyists request sit-down with Biden about reforms.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

APRIL 22, 2022

GAO investigating private equity ownership of nursing homes. HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. This nursing home chain reported the highest COVID death rate. SuperCare Health sued after data breach of 318,000 patient files. North Hawaii hospital nurses hold informational picket.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40