May 15th, 2019
Keen on giving Americans in federally-funded programs more control over their healthcare, the U.S. Department of Health and Human Services (HHS) has been working closely with past and present administrations to establish regulations governing electronic health information (EHI). On March 4, the Office of the National Coordinator for Health Information Technology (ONC) published a proposed ...
Apr 10th, 2019
Beginning this month, nine HIPAA-covered entities — a mix of health plans and clearinghouses — will be randomly selected by the Centers for Medicare & Medicaid Services (CMS) for compliance reviews. Any health plan or clearinghouse — not just those that work with Medicare or Medicaid — may be selected. The CMS Division of National ...
In CMS
Feb 12th, 2019
If you thought the Department of Health and Human Services’ loosening of several Obamacare rules indicated less HIPAA enforcement, think again. The agency’s Office of Civil Rights settled $28.7 million worth of HIPAA violations in 2018, up 22 percent over the previous record year. The OCR also announced it achieved the single largest HIPAA settlement ...
In Billing
Dec 14th, 2018
Follow billing guidelines to ensure proper payment for this incentive payment model. The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of pre-diabetes. The clinical intervention consists of a minimum of 16 intensive “core” ...
In CMS
Nov 1st, 2018
Anthem paid a $16 million settlement resulting from a series of attacks in both 2014 and 2015 that had the potential to expose personal health information (PHI) of 79 million people.  Although they paid the $16 million settlement, Anthem does not admit to any wrong doing.  This represented the largest PHI breach in US history ...