Automation technologies may have grown by leaps and bounds over the past few years, but that has not done away with the need for documentation, which continues to be a challenge in the healthcare area. This is endemic to the healthcare industry as a whole, but is all the more prominent in a ... Views: 768
Noting perhaps is as important for a Covered Entity and its Business Associate as HIPAA compliance. Compliance or lack of it with HIPAA will decide their very existence as a business. Does it need repetition that HIPAA compliance is absolutely critical for a Covered Entity and a Business ... Views: 562
The Internet is jam-packed with dangerous, highly visible HIPAA violations by Covered Entities on websites, social media pages and patient review sites.
The violations are dangerous and unnecessary. HIPAA spells out simple safeguards to protect Covered Entities that are easy to apply. But ... Views: 619
One errant email or text message can cost you tens of thousands of dollars in HIPAA fines and penalties and it doesn't matter who you're communicating with: patients, staff, providers or with insurance carriers.
A violation is a violation. And if you think it couldn't happen to you, think ... Views: 731
This Article focuses on the issues of managing health information when it may that of students and may involve substance abuse treatment information. HIPAA and FERPA allow a number of disclosures without consent that SAMHSA prohibits without consent.
how HIPAA relates to information management ... Views: 860
Physician Employment Agreements are a core part of the relationship between healthcare providers and the physicians who work for them. Physician Employment Agreements have evolved with the consolidation of the healthcare industry in which physicians are hired and due to the passage of the ... Views: 766
Is the US hospital management sector waiting for the next big thing in hospital management? What is it going to be and what shape is it going to take? Any change in the hospital management sector needs to be watched for, because it is part of the $ three-trillion healthcare sector in the US, the ... Views: 815
Medical coding has been around as a profession in the healthcare insurance sector for a while now. Let us get down to understanding medical coding then. Medical coding is a practice in which the full set of medical data relating to a patient, which could range from diagnosis to medication, is ... Views: 813
Hospital management is one of the giant areas of healthcare in the US, estimated at over $ three trillion. This is the world’s largest healthcare market by a long stretch. The sheer size of this market, however, belies the realities that hospital management has to face in their daily ... Views: 925
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a US legislation that was enacted under the HITECH Act under Bill Clinton’s presidency with the intention of offering safeguards for medical information through its data privacy and security provisions. The Act consists ... Views: 1097
Information Technology (IT), which has traversed and influenced almost every area known to the human mind, has made a solid impact on healthcare. The healthcare industry in the US is the world’s largest, with some estimates putting its size at $ three trillion. Information Technology is an ... Views: 701
HIPAA compliance is not an optional, but mandatory requirement for healthcare IT systems. HIPAA requires compliance with its requirements from healthcare organizations that handle Protected Health Information (PHI)-called Covered Entities-and their Business Associates. The US healthcare system ... Views: 678
A Physician Extender is one who is not a physician, but is of a lesser qualification, who helps physicians by carrying out many activities usually carried out by physicians. As the name suggests, Physician Extenders work to supplement the functions of a physician and could take a considerable ... Views: 675
Meeting the legal requirements required of a healthcare provider hinges on and depends directly on a clear grasp of HIPAA compliance requirements. A thorough grasp of HIPAA compliance entails being fully equipped with all the knowledge needed to put the proper policies and procedures in place. ... Views: 837
A proper understanding of the Anti-Kickback Statute (AKS) is completely necessary for healthcare providers and professionals. It is among the strongest weapons in the government arsenal for enforcing the federal fraud and abuse laws. Along with Stark II (the federal physician anti-referral ... Views: 921
The major reason for which there are widespread violations of the HIPAA Rules for communicating with patients by unencrypted email and text message is that healthcare providers and Covered Entities and their Business Associates are ignorant of the rules. Although the HIPAA Rules are pretty ... Views: 822
With HIPAA now being fully enforced and the government getting stricter and stricter about its implementation; practice or business or compliance officers need to be absolutely thorough about all the areas of HIPAA implementation. Given that there are enormous issues of risks that Covered ... Views: 893
The introduction of the Electronic Health Record (EHR) has certainly brought about a major change in the way healthcare is administered in this vast country.
EHR's have evolved in a big way from the time they first came to be used in a moderate way in the healthcare industry a few decades ago. ... Views: 789
Food technology has been growing at a quick pace, having come under the influence of the twin paradigms of the late 20th century, technology and globalization. As populations keep moving from one part of the world to another in the millions; it is natural that they get influenced by the food ... Views: 845
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal Act that regulates the manner in which physicians have to be paid when they treat patients who come to them under Medicare. It modifies and supersedes the earlier legislation on this topic, namely the Balanced Budget ... Views: 818
Protected Health Information (PHI) is a very valuable piece of information. It is valuable for the patient, for the healthcare provider, and for the insurer. Unfortunately, there is one source to which it is more valuable than to all these: Hackers. Protected Health Information is meant to be ... Views: 835
Perhaps no educational campus is free of students with some or another kind of mental or emotional issues. Considering the wide diversity of students that enroll into American colleges and the varied backgrounds they come from; it is no surprise that American colleges will have to deal with such ... Views: 783
The medical profession is different from most others in one vital aspect: Practitioners of this profession don’t retire. The profession allows the physician to continue for as long as her physical and mental faculties allow her to. The US’ Supreme Court judges too, don’t retire, but theirs is ... Views: 772
Since the Affordable Care Act (ACA) –popularly called Obamacare –came into existence, there has been an exponential increase in the number of physician practice acquisitions. Some of the reasons that can be ascribed for this phenomenon are these:
Physician practice acquisitions are an ... Views: 764
Carrying out audits is among the most important requirements for any organization that handles Protected Health Information (PHI). HIPAA hosting providers, who implement safeguards in the manner specified in the HIPAA Privacy Rule, must be included in these audits. The indispensability of audits ... Views: 747
Stark Law compliance is now more than just a compliance issue. It has grown to become an Enterprise Risk Management matter, if the substantial awards and settlements in recent enforcement actions are anything to go by. For healthcare organizations that develop and implement provider contracts; ... Views: 809
The fact of about 120 million individuals being affected by HIPAA breaches in 2015 highlights two important points:
1. There is a mad demand for these records in the black market, which is why they are being targeted to this extent. Any wonder that PHI is in greater demand in the black market ... Views: 746
When people with autism spectrum disorder (ASD) –called just autism –enter college, they are up against challenges that are unique and peculiar to the group. They need to be understood for their special needs, because they enter college at a sensitive age. There is an onus on the part of the ... Views: 743
It goes without saying that preparing for HIPAA enforcement is of crucial importance to organizations. The reason: Last year saw a spike in the settlement payments ordered by HIPAA. There were as many as seven settlements of a value of over $1 million each. Of these seven, one was for $5.5 ... Views: 764
Malicious software that infects susceptible computers’ operating systems; ransomware works by blocking access to files. It is only after the ransom demanded by the attackers is paid that the legitimate user can regain access to files on a computer system. Ransomware also works by blocking user ... Views: 728
Those who plan to start a care transitions or care coordination program need to be aware of the challenges that go into doing this successfully. In developing a Care Transitions Program; they should know how to utilize the performance improvement processes and analytics, and also know how to put ... Views: 745
In this age of outsourcing and globalization, and with it, the emerging potential phenomenon of the Internet of Things (IoT); it is quite a tempting proposition for HIPAA Business Associates or Covered Entities to think of outsourcing their processes relating to Protected Health Information ... Views: 1235
MentorHealth webinars are designed to offer professionals in the healthcare industry the knowledge they need in all the areas of the healthcare industry that enables them to excel in their professions. MentorHealth’s trainings bring experts from all the core areas of healthcare and impart ... Views: 1017
A Claim Adjustment Reason Code (CARC) is a code used in medical billing to communicate a change or an adjustment in payment. CARCs have to be used to communicate why there was a difference between the amount paid in a claim or service line and the amount that was billed against it. CARCS are to ... Views: 2152
One of the major fallouts of the passage of the Affordable Care Act (ACA) or Obamacare is the phenomenal rise in the number of physician practice acquisitions. These are some of the reasons for this rise:
Because of physician practice acquisitions, healthcare providers can consolidate and ... Views: 1057
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal Act that determines the way in which physicians need to be paid when they treat patients who come to them under Medicare. It substantially alters and replaces the earlier Act in this regard, namely the Balanced Budget ... Views: 984
In many years that it has been in existence, one of the noticeable changes that HIPAA has undergone is in its attitude. The earlier phase of advice and counseling has now given way to hardboiled and unforgiving enforcement. The Office of Civil Rights (OCR) no longer uses the cajoling and ... Views: 881
It is imperative for any organization that is carrying out clinical research to have in place thoroughly and properly written and complete policies and procedures. These are the cornerstone for any well-functioning Institutional Review Board (IRB) and Human Research Protection Program (HRPP). ... Views: 841
Violations of ethical law by psychologists are a major topic for the society in general and the healthcare industry in particular because psychologists are a highly trained and skilled workforce in the medical profession. Since mental healthcare practitioners work in today's diverse, ... Views: 1084
Ransomware and HIPAA risks are now inseparable. After a lot of deliberation, ransomware has now become part of HIPAA compliance for Business Associates and Covered Entities that have to show HIPAA compliance. This became official on July 11, 2016, when the HHS issued a new guideline that makes ... Views: 942
Health care boards are an important element of healthcare governance. These health care boards have oversight of a number issues relating to governance. The US Department of Justice (DoJ) has tightened the oversight functions of health care boards by holding them responsible for any fraud that ... Views: 807
The costs of medical malpractice are exorbitant, to put it mildly. First, what is a medical malpractice? A straightforward definition of medical malpractice is that it is an act of wrongdoing, a sort of negligence by a medical practitioner in diagnosing or administering treatment that leads to ... Views: 1054
Stark Rules require Physician Leases to be properly structured and audited. An important law about physician referrals in the US is the Stark Law. Short for The Physician Anti-Referral Law (known as Stark II), the Stark Law requires compliance with its provisions by healthcare providers that ... Views: 857
Understanding HIPAA compliance requirements is the foundation to meeting the legal requirements required of a healthcare provider. Understanding HIPAA compliance involves being knowledgeable about the proper policies and procedures in place, because being in compliance with HIPAA is as important ... Views: 930
HIPAA and suing are two important elements closely related to each other. When HIPAA and suing are discussed, what needs to be borne in mind is that an individual cannot sue HIPAA. Yes, you are reading it right. An individual cannot sue a Covered Entity or Business Associate for violation of ... Views: 1010
The Office of Inspector General (OIG) has oversight of protection of the integrity of Health and Human Services (HHS) programs and operations. The aim of this function is to ensure the wellbeing of American people who benefit from these programs. The OIG seeks to prevent fraud, abuse and waste, ... Views: 763
HIPAA has regulations concerning the use of the mobile devices to access Protected Health Information PHI). Secure technologies for communications and storage of data should also be considered when using portable technologies. Due to these requirements, the use of portable devices by patients ... Views: 782
The Electronic Health Record (EHR) license agreement is the core document for physician practices that have just entered the EHR arena, as well as for practices that transition to a new EHR software package.
The license agreement should ideally state and clear issues such as:
o Whether and ... Views: 1101
By their nature, clinical trials are at times large complex projects that take years to complete. They involve many different resources, and are covered by extensive federal regulations. Regulations have been enacted with the purpose of documenting the efficacy of the treatment, as well as to ... Views: 881
Collections and Appeals for past due amounts can be difficult in any industry; adding the Medical Billing office element to it complicates it further. With this, one has the share of cost for patients, Medicare rules and Regulations, Private Payor contracts, and Collectors without experience in ... Views: 1217