Why You Should Complete an SRA Now Even If You Qualify for a MIPS Exception

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 [...]

2022-05-06T14:25:47-04:00October 19th, 2020|

What are Telehealth Laws By State?

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, [...]

2022-05-06T14:25:55-04:00October 6th, 2020|

What is Health Information Blocking?

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 [...]

2022-05-06T14:25:56-04:00May 19th, 2020|

HIPAA Security Risk Analysis Step 6: Determining the Level of Risk to ePHI

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 [...]

2022-05-06T14:25:56-04:00September 23rd, 2019|

HIPAA Security Risk Analysis Step 5: Determining the Potential Impact of Threat Occurrence

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 [...]

2022-05-06T14:25:56-04:00September 17th, 2019|

What is MACRA?

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 [...]

2022-05-06T14:25:56-04:00September 16th, 2019|

HIPAA Security Risk Analysis Step 4: Determining the Likelihood of Threat Occurrence

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 [...]

2022-05-06T13:36:54-04:00September 10th, 2019|

MACRA MIPS 2019 Security Risk Analysis Requirements

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 [...]

2022-05-06T14:25:56-04:00August 6th, 2019|

HIPAA MACRA MIPS 2019: 4 Changes Regarding Exemptions

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernized how doctors are paid for their Medicare patients, increased efficiency, and reduced the cost for taxpayers. As part of MACRA, the Merit-Based Incentive Payment System (MIPS) was put in place. MIPS assess Medicare doctors and clinicians to give them a score, determining how much compensation the practice will receive from the government. Each year, [...]

2022-05-06T14:25:56-04:00July 11th, 2019|

MACRA Measures, MIPS Measures, and HIPAA Compliance

MIPS measures and MACRA measures are becoming more and more important for healthcare providers to begin understanding as reporting deadlines get closer. Regardless of whether your practice participated in CMS' Meaningful Use incentive program, it's in your best interest to pay attention to upcoming MACRA and MIPS deadlines. By not participating or sending any data to CMS, providers will automatically incur a negative 4% payment adjustment on Medicare reimbursements. [...]

2022-05-06T14:25:56-04:00September 21st, 2017|