Despite the COVID-19 pandemic and continued sequestration of enforcement funds, the federal Health Care Fraud and Abuse Control Program (Program) reversed recent trends and recovered more money in FY 2020 than it had the year before. In fact, recoveries for the year reached nearly $3.1 billion, the highest return since 2016. Here’s a briefing for medical office managers on the … [Read more...] about Fraud recoveries grow as feds target telemedicine and COVID-19 add-on test scams
HIPAA
Healthcare data breaches hit a new high in first half of 2021
While healthcare data breaches have become an all-too-common occurrence, the problem seems to be getting worse. According to the HHS’ Office for Civil Rights (OCR), there have already been 360 federally reported data breaches involving health information in the first half of 2021, the highest total for the first six months of a year since the government began tracking this data … [Read more...] about Healthcare data breaches hit a new high in first half of 2021
New HHS policy makes your office potentially liable for LGBTQ discrimination
While it doesn’t directly relate to billing and reimbursement, federal civil rights laws have an impact on certain aspects of healthcare operations. These laws ban your office from discriminating on the basis of protected personal characteristics, including sex. So, compliance managers need to be aware that on May 10, the Department of Health and Human Services (HHS) issued an … [Read more...] about New HHS policy makes your office potentially liable for LGBTQ discrimination
New OCR data shed light on the costs of privacy noncompliance
HIPAA enforcement isn’t nearly as fat a cash cow as enforcement of False Claims Act (FCA) and other healthcare fraud laws is, it still takes a lot of money out of the pockets of providers and into the hands of the federal government. But tracking the economics of HIPAA enforcement is tough because the government doesn’t publish data on HIPAA recovery amounts the way it does … [Read more...] about New OCR data shed light on the costs of privacy noncompliance
What medical office managers need to know about HIPAA
By Jordan MacAvoy bio The Health Information Portability and Protection Act (HIPAA) was enacted in 1996. The regulation stipulates standards that healthcare organizations and vendors must adhere to when it comes to patients’ protected health information (PHI). HIPAA-beholden organizations must secure their PHI for them to gain compliance status. Healthcare organizations and … [Read more...] about What medical office managers need to know about HIPAA
Cybersecurity risks rise when medical admin staff work from home
By Ron Slyker The number of people who work from home has slowly increased from year to year. In 2020 that number skyrocketed as companies including medical offices were forced to implement telecommuting policies. Making the transition from traditional office to home office has brought some challenges, but arguably the most challenging aspect of the process has been … [Read more...] about Cybersecurity risks rise when medical admin staff work from home
5 lessons learned From 5 HIPAA fines in one day
By Danika Brinda bio The Office for Civil Rights (OCR) of the Department of Health and Human Services (HHS) hit a new record on Sept. 15, 2020—five HIPAA Fines with Corrective Action Plans in one day. The fines and corrective action plans had one main theme in common—not supplying patients with a copy of requested medical records in a timely fashion. The other thing of note … [Read more...] about 5 lessons learned From 5 HIPAA fines in one day
How to create a legally sound COVID-19 medical screening policy
As essential workplaces, medical offices need to remain open and operating during the pandemic. At the same time, they need to ensure that employees practice social distancing and keep the infected and potentially infected away from the well. Like so many other companies facing the same challenge, you may be considering medically screening your employees each day before … [Read more...] about How to create a legally sound COVID-19 medical screening policy
AMA puts out telemedicine guide
The American Medical Association (AMA) has compiled a guide to help physicians get telemedicine up and running so they can safely care for patients. The telemedicine quick guide outlines the first steps to get started and lays out key considerations to implementing telemedicine and explains policy, coding and payment. Even if your practice didn’t use telemedicine before, it … [Read more...] about AMA puts out telemedicine guide
Public health emergency jumpstarts remote care
From video chats to relaxation of state licensing requirements, the coronavirus pandemic has accelerated the adoption of remote and virtual healthcare services. Here is an update from CMS: Medicare Telehealth Visits: Effective for services starting March 6, 2020, and for the duration of the COVID-19 Public Health Emergency (PHE), Medicare will make payments for Medicare … [Read more...] about Public health emergency jumpstarts remote care