Health Law RX

JUNE 28, 2022

The Guidance is the strongest signal yet from OCR that it intends to resume imposing penalties against covered entities that do not comply with the HIPAA Rules when providing telehealth. The Guidance is meant to assist covered entities with HIPAA compliance when the Telehealth Notification (defined below) is no longer in effect.

HIPAA 52

HIPAA Compliance COVID-19 Medicaid 52

HIT Consultant

OCTOBER 27, 2022

Color’s behavioral health solution creates timely access to behavioral health screening and counseling, embeds care access points and resources directly into neighborhoods and community spaces, is in-network with leading Medicaid and Medicare plans in all 50 states and delivers multilingual, culturally appropriate care.

Medicaid 52

Medicaid Medicaid Public Health Medicare 52

Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. Does the state apply different standards, for example, to Medicaid encounters? Were patients provided with appropriate consents, including a HIPAA Notice of Privacy Practices?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Health Law RX

APRIL 27, 2023

On April 11, 2023, the Department of Health and Human Services’ Office for Civil Rights (OCR) confirmed that four notifications of enforcement discretion regarding enforcement of the HIPAA Privacy, Security, and Breach Notification Rules (the HIPAA rules) during the COVID-19 public health emergency (PHE) will expire at the end of the PHE.

COVID-19 52

COVID-19 COVID-19 Vaccine HIPAA Public Health 52

HIT Consultant

SEPTEMBER 6, 2023

By transitioning to dedicated hardware in a data center, you regain full control over your servers and can chart your own course when it comes to updates and implementing security and privacy measures mandated by HIPAA regulations. The top HIPAA violations are averaging $5M and the largest resulted in a $115M settlement with Anthem.

HIPAA 122

HIPAA Compliance Medicaid Medicaid 122

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. Response to Emergencies or Outbreaks. Previous Findings and Follow-Up.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

More than 85% of the patients served by Temple are covered by government programs, including Medicare and Medicaid. Patients dually eligible for both Medicare and Medicaid make up roughly half of the Medicare inpatient base. More than 40% of total inpatient cases include a behavioral health diagnosis.

Telemedicine 174

Telemedicine COVID-19 Nurses Medicare 174

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

HIPAA Journal

JANUARY 31, 2024

In the paper, the HHS indicated it will be adopting a carrot-and-stick approach by developing voluntary Healthcare and Public Health (HPH) Sector Cybersecurity Goals (CPGs) that consist of cybersecurity measures that will have the greatest impact on security along with an update to the HIPAA Security Rule to add new cybersecurity requirements.

Ransomware 126

Ransomware HIPAA Hospitals Compliance 126

Healthcare IT News - Telehealth

MAY 13, 2020

Although research supported the efficacy of video telepsychiatry, the National Institute of Mental Health-funded study notes, only 5% of psychiatrists in the Medicare program had ever provided a telemedicine visit. "In addition, the U.S.

Telemedicine 218

Telemedicine COVID-19 HIPAA Medicare 218

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

In a virtual public meeting this past Friday, members of the Medicare Payment Advisory Commission discussed how – and whether – to permanently expand telehealth in Medicare. Before the pandemic, Medicare's physician fee schedule covered a limited set of telehealth services in rural locations.

Medicare 143

Medicare Medicare HIPAA Public Health 143

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. The post 277,000 Santa Clara Family Health Plan Members Affected by GoAnywhere Hack appeared first on HIPAA Journal.

Health Insurance 90

Health Insurance Public Health Ransomware Fraud 90

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

Over the years, while digital technology was quickly advancing, telehealth had a relatively low adoption rate due to poor reimbursement rates and regulatory challenges when it came to patient privacy and HIPAA compliance. According to CMS.gov , CMS is expanding access to telehealth services with Medicare.

Telemedicine 191

Telemedicine COVID-19 Medicare Medicare 191

MedTrainer

OCTOBER 4, 2023

These federal compliance governing agencies regulate the industry at the national level: Centers for Medicare & Medicaid Services (CMS). CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. HIPAA sets the standard for protecting sensitive patient data.

Compliance 52

Compliance Fraud HIPAA Governance 52

AIHC

SEPTEMBER 5, 2023

Medicare covers many telebehavioral and telemental health services including audio-only services. Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). However, your organization should not address only “HIPAA” or only “HITECH”. What is “HITECH”?

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

HIPAA & Health IT

MAY 19, 2023

Interoperability capabilities may include: Sending/accepting electronic referrals; An established electronic health records (EHR) system and maintenance of same; and Payor portals.

Nursing Homes 52

Nursing Homes Nurses Public Health Medicaid 52

HIPAA & Health IT

MAY 19, 2023

Interoperability capabilities may includes Sending/accepting electronic referrals; An established electronic health records (EHR) system and maintenance of same; and Payor portals.

Nursing Homes 52

Nursing Homes Nurses Public Health Medicaid 52

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). However, your organization should not address only “HIPAA” or only “HITECH”. What is “HITECH”?

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIT Consultant

APRIL 4, 2023

Top of mind is the announcement to end the COVID-19 public health emergency (PHE), which is slated to expire on May 11, 2023. State agencies are beginning to unwind expanded Medicaid coverage in conjunction with the expiration of a 2020 federal provision requiring continuous enrollment.

FDA 52

FDA Medicaid Medicaid COVID-19 52

HIPAA Journal

DECEMBER 8, 2022

Modernize HIPAA to better address healthcare cybersecurity. Instead, the AHA recommends modernizing HIPAA to address the current cyber threat landscape. One way to support healthcare organizations financially would be to make sure that Medicare and Medicaid fixed payments accurately reflect the cost of care.

HIPAA 112

HIPAA FDA Governance Hospitals 112

HIPAA Journal

MARCH 29, 2024

United Health Group has also confirmed that it has paid out more than $3.3 billion has been provided to safety net hospitals and federally qualified health centers that serve high-risk patients and communities. military medical health agency. 40% of the $3.3 Screenshots of some of the data were shared as proof of data theft.

Ransomware 98

Ransomware US Department of Health and Human Services HIPAA Hospitals 98

HIT Consultant

OCTOBER 18, 2021

The numbers lend credence to the numerous benefits touted throughout the public health emergency, most notably serving as a vital lifeline for high-risk patients, reducing the risk of exposure for staff, alleviating patient demand on facilities, and more.

Fraud 98

Fraud COVID-19 Public Health Medicare 98

Healthcare IT News - Telehealth

JUNE 17, 2020

advocated for two particular policy changes to be made permanent: the originating site rule, allowing physicians to be reimbursed for telehealth appointments wherever a patient is located, including a patient's home, and the expansion of Medicare- and Medicaid-reimbursable telehealth services. Lamar Alexander, R-Tenn., Dr. Karen S.

US Department of Health and Human Services 180

US Department of Health and Human Services Telemedicine COVID-19 Doctors 180

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

Healthcare IT News - Telehealth

MAY 15, 2023

Ryan Health has seven primary care centers, seven school-based health centers, two community outreach centers at transitional housing sites, and one mobile health center, all located throughout Manhattan. As an FQHC, 75% of patients are enrolled in Medicaid or Medicare; another 7% are uninsured.

COVID-19 133

COVID-19 COVID-19 Vaccine Telemedicine Medicaid 133

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era. Are You a Mobile Health App Developer?

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

Healthcare IT News - Telehealth

DECEMBER 28, 2020

"Our legacy telemedicine program also was limited to a certain degree because of restrictions on reimbursement for services, particularly reduced rates for off-site telemedicine paid by New York State Medicaid funding," he explained. As a standalone, HIPAA-compliant telemedicine platform, Doxy.me

COVID-19 187

COVID-19 Telemedicine Patient Satisfaction Public Health 187

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

JUNE 21, 2024

Medicare fraud scheme OSF HealthCare, Illinois State Collaborate on SDOH Research Second lawsuit filed in deadly fall at UChicago Hospital construction site State fines four nursing homes in west central Illinois Waukegan hospital facing lawsuit over handling of asbestos in demolition project Who’s pursuing ASCs in 2024?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare IT Today

MAY 16, 2024

The US Senate heard the weak excuses of the United Healthcare CEO who admitted Change Healthcare had not secured its Citrix systems with multifactor authentication (MFA) even though they had a written policy to do so, and that they failed to notify data breach victims by the HIPAA and state data breach law deadlines.

Ransomware 115

Ransomware US Department of Health and Human Services Hospitals Compliance 115

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. CMS bumps ASC payments to 3.8 That Number is 3.

US Department of Health and Human Services 40

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

HIPAA Journal

MAY 23, 2023

Largest Healthcare Data Breaches Reported in April 2023 As previously mentioned, April saw a major data breach reported that affected 3,037,303 individuals – The third largest breach to be reported by a single HIPAA-covered entity so far this year, and the 19 th largest breach to be reported by a single HIPAA-regulated entity to date.

Ransomware 104

Ransomware HIPAA Medicaid Medicaid 104

Healthcare IT Today

MARCH 27, 2023

A Surge in Virtual Health Overnight, the pandemic exposed shortcomings in the healthcare system, leading to widespread adoption of virtual care services by patients and clinicians. Their API-driven platform can be aligned to meet brand needs and securely houses patient PII with its built in HIPAA compliance software.

Licensing 106

Licensing Health Outcomes Medicaid Medicaid 106

MedTrainer

NOVEMBER 15, 2023

Department of Health and Human Services The United States Department of Health and Human Services (HHS) is the primary federal agency responsible for protecting the health of all Americans and providing essential human services.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Hall Render

SEPTEMBER 20, 2024

NATIONAL 80 hospitals sue HHS over Medicare Advantage Days payment rule AHA op-ed in Medical Economics sets the record straight on 340B program growth and the role of drug companies As hospitals close obstetric units, maternity care deserts become more common At Catholic hospitals, a mission of charity runs up against high care costs for patients Bill (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

JULY 22, 2022

CMS releases Medicare OPPS and ASC proposed rule. Amazon to buy primary health-care provider One Medical for roughly $3.9 Covid-19 public health emergency extended in the US. Kaiser Permanente Announces iPad Containing Personal Health Records Stolen. Delaware Adds Centene Plan to Medicaid Managed Care Offerings.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40