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INFORMATION SECURITY

HIPAA enforcement takes a dramatic new direction

Historically, HIPAA enforcement has focused predominantly on the failure of covered entities to keep protected health information (PHI) private and secure; but now the scope is broadening to encompass keeping PHI too private and too secure. The HHS Office for Civil Rights (OCR), the agency that enforces HIPAA rules, has broken new ground by fining a Florida hospital for failing to provide access to PHI to the individual it relates to. Here’s a look at the case and what it portends about the new direction in HIPAA enforcement. The HIPAA Right of Access When you hear the term “HIPAA Privacy Rule,” the first thing likely to jump into your mind is the obligation to keep PHI secure and refrain from disclosing it to third parties without appropriate authorization. But there’s… . . . read more.

COMPLIANCE

Compliance officers must establish credibility with consistent, well-documented decision-making

One of the tougher issues a non-lawyer compliance officer faces is a challenge to their decisions and recommendations by other members of…


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HEALTH CARE REFORM

What every medical office manager needs to know about the Sunshine Law

Another product of the Affordable Care Act, the Sunshine Law (also called Open Payments) begins implementation this year. The law requires manufacturers and…


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INSIGHT

What makes a successful practice manager

By Shane Carter  bio
Being a practice manager in today’s healthcare environment is a very tough job. Disruptive and transformational change is underway in health care delivery. The modernization of…


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QUALITY PAYMENT PROGRAM

New Quality Payment Program resources are now available

The Centers for Medicare & Medicaid Services (CMS) has recently posted the following new and updated resources on the…


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HEALTH INSURANCE EXCHANGES

2018 Health Insurance Exchanges Issuer County Map

The Centers for Medicare and Medicaid Services has posted an update to the Health Insurance Exchanges Issuer County Map. This map is of projected…


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HEALTH CARE REFORM

How to determine your MIPS participation status

Are you unsure of your participation status in the Merit-based Incentive Payment System (MIPS)…


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HEALTH CARE REFORM

Watch for your MIPS participation status letter

The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System. MIPS is…


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INSIGHT

Repeal and Replace has failed. Now what?

By Ron Howrigon  bio
It’s no secret that the healthcare environment is changing on a daily basis. As it stands today, it appears highly unlikely that the…


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HEALTH CARE REFORM

CMS’ Accountable Health Communities Model selects 32 participants to serve as local ‘hubs’ linking clinical and community services

Last year, the Centers for Medicare & Medicaid Services (CMS) released a Funding Opportunity Announcement (FOA) for applications for the Center for Medicare and…


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