Compliance

In an era where digital transformation is reshaping industries, healthcare finds itself at the crossroads of innovation and privacy. Telehealth, a symbol of this transformation, promises unparalleled convenience and accessibility. Yet it also brings forth a myriad of challenges, especially concerning the protection of patient data.

Every click, swipe, and keystroke can lead to a breach in today’s digital healthcare landscape. Robust data protection procedures have never been more critical.

The conclusion of the COVID-19 public health emergency has led to the termination of the Office for Civil Rights’ relaxed enforcement and providers are in the midst of a 90-day transition period back to full compliance with the HIPAA rules for telehealth.

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate. 

Read this Q&A to better understand which telehealth programs were made permanent or temporarily extended for Medicare Part B patients until 2024 under the Consolidated Appropriations Act of 2023.

Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.

In this article, we will dissect the latest significant breach reported by the Office of Civil Rights. It involved MedEvolve Inc. and resulted in a $350,000 fine. We’ll explore the potential preventive strategies that healthcare entities can implement.

Learn which rules and regulations are changing as providers navigate the post-COVID-19 public health emergency transition period to full OCR compliance with HIPAA telehealth rules.

Elizabeth Hogue, Esq., explains why it just got a little harder for the federal government to hold healthcare organizations liable under the False Claims Act.

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.