In the current labor market, the demand for qualified healthcare employees is skyrocketing. But nearly 74,000 people in the U.S. are missing out on most of these opportunities because their names are on the HHS OIG (Health and Human Services, Office of Inspector General) Medicare Exclusion List. Many people have never heard of this list, and what's worse is that some people [...]
In 2015, legislation known as the Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. Until the passage of the CURES Act in 2016, MACRA was the most significant legislative overhaul of the U.S. healthcare system since 2010’s Affordable Care Act. Under MACRA, the Centers for Medicare and Medicaid Services created regulations for healthcare providers' use of health information technology. One of these incentives is the [...]
CMS recently announced that under certain circumstances, healthcare providers are exempt from the requirement to complete a security risk analysis (SRA), while remaining eligible to benefit from the MIPS Quality Payment Program. However, healthcare providers must still complete an SRA to satisfy HIPAA requirements. So even if you qualify for the MIPS SRA exemption, you will still need to meet the HIPAA SRA requirement. Why you should complete [...]
As the COVID-19 pandemic continues, states have implemented regulatory changes related to telehealth. Telehealth and telemedicine laws by state are discussed below. Telehealth Laws by State: Medicaid Populations The federal Medicaid program has affected telehealth laws by state. Medicaid gives states broad authority to permit coverage for telehealth services. Before the COVID-19 emergency, many states had already implemented broad telehealth coverage. Since March of 2020, [...]
Recently, the Centers for Medicare and Medicaid Services (CMS) issued a final rule on electronic protected health information (ePHI) sharing. The rule is scheduled to become effective by 2021. The rule contains provisions designed to discourage the practice of health information blocking. Health information blocking is information or data blocking that occurs when healthcare providers or IT vendors deliberately and unreasonably interfere with the exchange [...]
The HIPAA Security Rule requires that covered entities (health plans, healthcare clearinghouses, and healthcare providers who electronically transmit any health information in connection with a HIPAA related transaction), and business associates, implement security safeguards. These security safeguards must protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). ePHI is any protected health information that is created, stored, transmitted, or received in any [...]
The HIPAA Security Rule requires that covered entities (health plans, healthcare clearinghouses, and healthcare providers who electronically transmit any health information in connection with a HIPAA related transaction), and business associates, implement security safeguards. These security safeguards must protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). ePHI is any protected health information that is created, stored, transmitted, or received in any electronic format. Performing a [...]
MACRA, short for the Medicare Access and CHIP Reauthorization Act of 2015, is a federal law that changed the payment system for doctors who treat Medicare patients. What is the MACRA Quality Payment Program? MACRA, commonly referred to as the Permanent Doc Fix, created a Quality Payment Program that: Repealed the Sustainable Growth Rate (SGR) formula. That formula had previously been used by the Centers [...]
The HIPAA Security Rule requires that covered entities (health plans, healthcare clearinghouses, and healthcare providers who electronically transmit any health information in connection with a HIPAA related transaction), and business associates, implement security safeguards. These security safeguards must protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). ePHI is any protected health information that is created, stored, transmitted, or received in any [...]
With the MACRA MIPS 2019 deadline approaching, healthcare organizations must be aware of what is required of them to receive their reimbursements. Healthcare organizations seeking MACRA MIPS payment must complete a security risk analysis (SRA) before the December deadline. How to Satisfy the MACRA MIPS Requirement A security risk analysis must be conducted annually to ensure that protected health information (PHI) is adequately safeguarded, this [...]
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