HIPAA Journal

MARCH 31, 2023

The reason the HIPAA retention requirements needs clarifying is that the distinction between HIPAA medical records retention and HIPAA record retention can be confusing. Throughout the Administrative Simplification Regulations of HIPAA, there are several references to HIPAA data retention.

HIPAA 128

HIPAA Medicare Medicare Compliance 128

HIPAA Journal

FEBRUARY 23, 2022

What is HIPAA? HIPAA is an acronym for the Health Insurance Portability and Accountability Act. So how did HIPAA evolve from being a vehicle for improving the portability and continuity of health insurance coverage to being one of the most comprehensive and detailed federal privacy laws? What is HIPAA Title II?

HIPAA 103

HIPAA Fraud Health Insurance Medicaid 103

Healthcare It News

OCTOBER 4, 2022

The Electronic Healthcare Network Accreditation Commission and The CARIN Alliance have partnered to bring both the CARIN Code of Conduct and EHNAC’s criteria review process to health plans, health systems, EHR vendors and others for reporting to the Centers for Medicare & Medicaid Services on their data practices and privacy protections.

COVID-19 Vaccine 346

COVID-19 Vaccine COVID-19 Medicaid Medicaid 346

HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. Telligen performs annual assessments on Medicaid recipients for the Iowa DHSS.

Medicaid 114

Medicaid Medicaid Ransomware HIPAA 114

HIPAA Journal

JANUARY 12, 2024

The HIPAA Omnibus Rule mandated modifications to the Privacy, Security, and Enforcement Rules in order to adopt measures passed in the HITECH Act, finalized the Breach Notification Rule, and added standards to account for the passage of the GINA Act. The adoption of a four-tired civil monetary penalty structure for violations of HIPAA.

HIPAA 110

HIPAA Compliance Health Insurance Medicaid 110

Medisys Compliance

DECEMBER 19, 2024

HIPAA Compliance and Data Security: Ensure that the billing service adheres to HIPAA regulations to protect patient information. Reputable billing services follow stringent HIPAA regulations, utilizing encrypted data transmission and secure data storage. Ask about encryption, secure data storage, and compliance protocols.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medicare Medicare Compliance 105

HIT Consultant

JULY 22, 2024

HIPAA (Health Insurance Portability and Accountability Act) stands as a sentinel, guarding the security and privacy of patient information, but its limitations in supporting contemporary information-sharing needs must be acknowledged. Amid this mandate, questions remain around how to share PHI with entities not covered under HIPAA.

HIPAA 105

HIPAA Health Insurance Medicaid Medicaid 105

AIHC

NOVEMBER 12, 2024

This article addresses how these privacy rights extend beyond rules designated under HIPAA and States passing rules banning unauthorized pelvic exams. 1],[2] UIEs are training and education-related examinations, including, but not limited to, pelvic, breast, prostate, and rectal examinations.

Informed Consent 98

Informed Consent HIPAA Compliance Hospitals 98

Compliancy Group

JULY 15, 2022

A 2016 hacking incident that hit Oklahoma State University’s Center for Health Sciences has led to an $875,000 HIPAA breach fine settlement to address potential violations. Background of Oklahoma State University HIPAA Breach. The university announced the HIPAA breach on January 5, 2018. failure to perform an evaluation .

HIPAA 97

HIPAA Medicaid Medicaid Compliance 97

Healthcare IT News - Telehealth

MARCH 18, 2020

The HHS Office for Civil Rights announced on Tuesday that during the coronavirus pandemic it will use discretion when enforcing HIPAA-compliance for telehealth communications tools. " Wherever possible, providers should use telehealth tools from vendors that are HIPAA compliant and will enter into business-associate agreements, said OCR.

COVID-19 218

COVID-19 HIPAA Nursing Homes Medicare 218

HIPAA Journal

JANUARY 2, 2023

The settlements pursued by the Department of Health and Human Services’ Office for Civil Rights (OCR) are for egregious violations of HIPAA Rules. Settlements are also pursued to highlight common HIPAA violations to raise awareness of the need to comply with specific aspects of HIPAA Rules. Are Data Breaches HIPAA Violations?

HIPAA 107

HIPAA Compliance Hospitals Medicare 107

HIPAA Journal

DECEMBER 31, 2022

One of the questions we are sometimes asked is how to report a HIPAA violation anonymously. Consequently, it is not possible to report a HIPAA violation anonymously via the OCR Complaints Portal. HHS´ Office for Civil Rights is not the only “enforcer” of HIPAA. How Else to Report a HIPAA Violation Anonymously.

HIPAA 98

HIPAA Medicaid Medicaid Medicare 98

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. Medicare, Medicaid, and private health insurers suffered losses of more than $4.7

Medicaid 102

Medicaid Medicaid Medicare Medicare 102

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 98

Medicaid Medicaid Ransomware Health Insurance 98

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. It is not mandatory that an employer extend their HIPAA special enrollment period beyond the existing 60-day requirement.

Medicaid 100

Medicaid Medicaid COVID-19 Compliance 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. It is not mandatory that an employer extend their HIPAA special enrollment period beyond the existing 60-day requirement.

Medicaid 100

Medicaid Medicaid COVID-19 Compliance 100

HIPAA Journal

OCTOBER 21, 2022

There are – and always have been – gaps in HIPAA and, after more than a quarter of a century, some have yet to be addressed. Most of the gaps in HIPAA are attributable to omissions from the original Act, provisions of HIPAA and HITECH that have never been enacted, and the increasing use of technology in healthcare.

HIPAA 107

HIPAA Compliance Medicare Medicare 107

American Medical Compliance

OCTOBER 25, 2024

For instance, an individual who unknowingly violates HIPAA will pay a $100 fine per violation with an annual maximum of $25,000 for those who repeat violation, according to the National Institutes of Health. When conducted effectively, these audits can help healthcare providers avoid costly penalties.

Compliance 105

Compliance Fraud HIPAA Compliance Framework 105

Compliancy Group

MAY 27, 2022

Here’s a roundup of recent HIPAA breach lawsuits and settlements. Lawsuits Increasing Following HIPAA Breaches – Facts and Figures. Let’s Simplify Compliance HIPAA and cybersecurity go hand-in-hand. × HIPAA Compliance Simplified. No damages have been claimed, but the lawsuit requests a jury trial.

HIPAA 98

HIPAA Ransomware Hospitals Health Insurance 98

HIT Consultant

DECEMBER 3, 2024

The number of HIPAA-compliant note-taking tools is growing every day. The Centers for Medicare & Medicaid Services (CMS) added codes for Digital Mental Health Treatment in its 2025 Medicare Physician Fee Schedules. The FDA is approving digital therapeutics tools (i.e.,

FDA 111

FDA Medicare Medicare Medicaid 111

HIPAA Journal

SEPTEMBER 11, 2023

Care Health Plan, has settled multiple violations of the HIPAA Privacy and Security Rules with the HHS’ Office for Civil Rights (OCR) and will pay a $1,300,000 penalty and adopt a robust corrective action plan. OCR determined that there had been several failures to fully comply with the requirements of the HIPAA Privacy and Security Rules.

HIPAA 97

HIPAA Compliance Medicaid Medicaid 97

Total HIPAA

JANUARY 18, 2022

HIPAA breaches involving fewer than 500 individuals which occurred during 2021 must be reported to the US Department of Health and Human Services (HHS) by Tuesday, March 1, 2022. Reporting HIPAA Breaches: When Should I Contact HHS? Reporting HIPAA Breaches: When Should I Contact HHS? Definition of HIPAA Breaches.

HIPAA 92

HIPAA US Department of Health and Human Services Compliance Medicaid 92

Fierce Healthcare

SEPTEMBER 11, 2023

million people in Medicaid, Medicare, and Affordable Care Act plans, was ordered to shore up its data protection systems. Care, which provides coverage for about 2.9

HIPAA 125

HIPAA Medicaid Medicaid Medicare 125

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

US Department of Health and Human Services 83

US Department of Health and Human Services HIPAA Compliance Medicaid 83

HIPAA Journal

SEPTEMBER 11, 2024

The Department of Health and Human Services Office of Inspector General (HHS-OIG) conducted an audit of New Mexico’s state Medicaid agency’s personal care services (PCS) program and found that it did not always ensure that PCS were provided by appropriately qualified personnel, which put Medicaid enrollees at risk.

Medicaid 75

Medicaid Medicaid Compliance HIPAA 75

Compliancy Group

JANUARY 23, 2025

billion in recuperated funds account for federal losses, many cases also involved Medicaid losses at the state level, in which the federal government was instrumental in aiding recovery efforts. While the $1.67 Gregory Gerber: $4.7M Allegations that he issued prescriptions without a medical need for opioids and other controlled substances.

Fraud 98

Fraud Medicare Medicare Regulatory Compliance 98

Compliancy Group

NOVEMBER 1, 2024

HIPAA The Health Insurance Portability and Accountability Act (HIPAA) requires protecting the security and privacy of medical records and all patient data. 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

JUNE 26, 2023

HIPAA enforcement discretion occurs when the Secretary for Health and Human Services (HHS) announces the Department will exercise discretion in the enforcement of HIPAA Rules. Typically, Notices of Enforcement Discretion last between 72 hours and 60 days, are state or region-specific and apply to specific provisions of the HIPAA Rules.

HIPAA 70

HIPAA COVID-19 COVID-19 Vaccine Public Health 70

Healthcare IT News - Telehealth

JUNE 29, 2020

Until regulatory changes, such as those enacted by the Centers for Medicare and Medicaid Services, had made telehealth provision more financially feasible, a doctor "had every economic incentive to require the patient to come to the office in person," he explained.

Telemedicine 218

Telemedicine HIPAA Medicaid Medicaid 218

Healthcare IT News - Telehealth

JUNE 15, 2020

This past week, Centers for Medicare and Medicaid Services Administrator Seema Verma said she "can't imagine going back" to making beneficiaries return to in-person visits after the agency's relaxation of telehealth regulations in response to the coronavirus pandemic.

Telemedicine 218

Telemedicine Licensing HIPAA COVID-19 218

Verisys

MARCH 6, 2025

Department of Health and Human Services (HHS) Enforces regulations like the Health Insurance Portability and Accountability Act (HIPAA) to ensure patient data privacy and security. In another case, Californias Providence Medical Institute was fined $240,000 for violating HIPAA Security Rules, which led to a data breach. Sources: ADA.

Compliance 52

Compliance HIPAA Licensing Governance 52

HIPAA Journal

JULY 3, 2024

The HIPAA transactions and code sets rules have the objective of replacing non-standard descriptions of healthcare activities with standard formats for each type of activity in order to streamline administrative processes, lower operating costs, and improve the quality of data. diagnoses, procedures, and drugs). Health Care Claims Status.

HIPAA 56

HIPAA Medicaid Medicaid Compliance 56

Compliancy Group

FEBRUARY 12, 2025

Using the ICPG to Maintain an Effective Compliance Program The Centers for Medicare & Medicaid Services (CMS) has issued participation requirements for nursing facilities in the Medicare and Medicaid programs (Requirements of Participation or ROPs). The ICP covers the areas listed below.

Nurses 52

Nurses Compliance Medicare Medicare 52

HIPAA Journal

MAY 12, 2023

Under HIPAA, continuity of care is not always as straightforward as it could be due to seemingly contradictory guidance issued by HHS’ Office of Civil Rights. The Privacy Rule ( HIPAA §164.502(b)(2) ) also states the minimum necessary standard does not apply to disclosures to or requests by a health care provider for treatment.

HIPAA 64

HIPAA Compliance Health Services Administration Medicare 64

HIPAA Journal

JULY 4, 2024

The HIPAA rules and regulations are the standards and implementation specifications adopted by federal agencies to streamline healthcare transactions and protect the privacy and security of individually identifiable health information. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to.

HIPAA 56

HIPAA Compliance Fraud Medicare 56

Healthcare IT News - Telehealth

JULY 2, 2020

Secretary of Health and Human Services Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma to provide a written plan for permanent changes to Medicare, Medicaid and Children’s Health Insurance Program rules around telehealth.

COVID-19 180

COVID-19 Medicare Medicare Medicaid 180

Medisys Compliance

DECEMBER 24, 2024

Medicaid Policies Medicaid coverage for teletherapy varies by state, but most states now offer robust telehealth benefits for mental health services. Check state-specific Medicaid guidelines to ensure compliance. HIPAA-compliant Zoom) and any technical difficulties.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59