The HIPAA Journal

APRIL 28, 2025

Email accounts have been compromised at four HIPAA-regulated organizations: Alternate Solutions Health Network in Ohio; Park Royal Hospital in Florida; 90 Degree Benefits in Minnesota; and the Charleston Fire Department in West Virginia. Suspicious activity was identified in an employee’s email account in October 2024.

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HIPAA Billing Hospital Admissions 75

The HIPAA Journal

JULY 4, 2024

Gaia Software has disclosed details of a February 2024 cyberattack, Pinnacle Orthopaedics & Sports Medicine Specialists are investigating an April 2024 cyberattack, and OB GYN Specialists of Lima have discovered the improper disposal of patient data.

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HIPAA Documentation Billing Insurance 120

The HIPAA Journal

MARCH 20, 2025

The HIPAA Journal has compiled healthcare data breach statistics from October 2009, when the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) started publishing summaries of healthcare data breaches on its website. CO Business Associate 14,782,887 Hacking/IT Incident 4 2024 Kaiser Foundation Health Plan, Inc.

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Business Associate HIPAA Unit Organization and Environment Hospital 111

The HIPAA Journal

JULY 9, 2024

The review of the affected files was not completed until June 13, 2024. Call 4 Health Issues Notifications About March 2024 Cyberattack Call 4 Health, Inc., Unauthorized network access was detected on May 6, 2024, and immediate action was taken to prevent further unauthorized access.

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Triage HIPAA Documentation Billing 123

The HIPAA Journal

MARCH 10, 2025

CareFirst BlueCross BlueShield has filed a lawsuit against Change Healthcare in response to the February 2024 ransomware attack that caused extensive disruption to Change Healthcares services.CareFirst BlueCross BlueShield provides health plans to 3.5 million individuals and groups in Maryland and the Washington D.C.

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HIPAA Billing 76

The HIPAA Journal

MARCH 28, 2025

The forensic investigation confirmed unauthorized network access between November 24, 2024, and January 20, 2025, during which time the threat actor viewed or copied information from its network. The post Healthcare Data Breaches Reported in Georgia, Washington & New Hampshire appeared first on The HIPAA Journal.

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Appointments HIPAA Insurance Billing 55

The HIPAA Journal

JULY 8, 2024

The Breach of Personal Information Notification Act was amended by Senate Bill 824 and was signed into law by state Governor Josh Shapiro on June 28, 2024. The amended law takes effect on September 26, 2024.

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HIPAA Insurance Billing Medication 122

Valant

JULY 29, 2024

Altered mental status, unspecified (R41.82) is a billable ICD-10 diagnostic code under HIPAA regulations from October 1, 2020, to September 30, 2021. ICD-10 Code for Altered Mental Status In this blog post, Valant discusses the ICD-10 code for Altered Mental Status. Check out the 2023 ICD-10 updates here. Clinicians should only use the R41.82

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Diagnostics Insurance HIPAA Medication 97

The HIPAA Journal

APRIL 22, 2024

A third-party cybersecurity firm was engaged to investigate the breach and it was determined on January 5, 2024, that the email account had been accessed by an unauthorized individual at various times between Sep. The post Email Accounts Compromised at UW Health and Medical Home Network appeared first on HIPAA Journal.

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Medication HIPAA Hospital Billing 117

Northwest Career College

APRIL 19, 2024

As we delve into the realm of the top medical billing software of 2024, you will discover a new set of tools that can empower you, as a medical billing and coding practitioner, to handle your billing responsibilities with increased confidence and efficiency. What is Medical Billing Software?

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Billing Medication Documentation HIPAA 40

The HIPAA Journal

APRIL 26, 2024

A bipartisan coalition of 22 state attorneys general sent a letter to UnitedHealth Group CEO Andrew Witty to express their concern about the response to the February 21, 2024, ransomware attack on Change Healthcare and the continuing problems faced by providers, pharmacies, and patients.

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HIPAA Documentation Billing Medication 113

The HIPAA Journal

NOVEMBER 6, 2024

Suspicious activity was detected on August 26, 2024, and steps were immediately taken to contain the incident. The forensic investigation confirmed that an unauthorized third party had access to its internal network between July 9, 2024, and September 4, 2024.

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Insurance HIPAA Medication Certification 87

The HIPAA Journal

MARCH 25, 2025

ALN Medical Management, Colorado ALN Medical Management, a Littleton, Colorado-based revenue cycle management and billing services provider, now part of Health Prime International, has recently disclosed a data breach that was identified a year ago in March 2024.

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Insurance HIPAA Billing Medication 89

The HIPAA Journal

NOVEMBER 7, 2024

The security breach was detected on or around August 27, 2024, and the forensic investigation confirmed unauthorized access to its network between August 26, 2024, and August 27, 2024. The post Presbyterian Healthcare Services & ORM Fertility Patients Affected by Data Breaches appeared first on The HIPAA Journal.

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HIPAA Insurance Billing Medication 72

Health Prime

JANUARY 24, 2024

The year 2024 is no exception. In 2024, we anticipate further evolution of telemedicine, with increased integration into routine care practices. The future of telemedicine will look brighter than ever in 2024. In 2024, medical providers will increasingly be rewarded based on patient outcomes and the quality of care.

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Billing Communication Medication Appointments 52

The HIPAA Journal

MARCH 20, 2025

Earlier this month, a bipartisan pair of senators reintroduced the Genomic Data Protection Act, which aims to regulate the genetic data collected by direct-to-consumer (DTC) genetic testing companies, which are not bound by the HIPAA Rules. Cassidy, Ranking Member of the U.S. In the white paper, Sen.

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HIPAA Tests Billing Medication 52

The Healthcare Blog

JULY 9, 2024

We have numerous intermediaries like PBMs, billing services, revenue cycle management vendors, and all sorts of digital health solutions. ACA standardized some elements of health plans, as did HIPAA before that ( certain transactions ). There are layers upon layers upon layers, each adding its costs and complications.

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Insurance HIPAA Billing Medication 113

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. Your EHR software can help with HIPAA compliance.

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Billing Patient Centered Care Follow-Up HIPAA 52

The HIPAA Journal

MARCH 6, 2025

Sandhills used a vendor (Netgain Technologies) for electronic storage of its scheduling, billing, and reporting systems. The District Courts decision was vacated in March 2024, and the case was remanded for further proceedings. The vendor notified Sandhills on January 8, 2021, about a ransomware attack on November 15, 2020.

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HIPAA Billing Appointments Scheduling 52

Healthcare Law Insights blog

APRIL 28, 2023

Providers are relieved to see the changes that have been made permanent and extended through 2024, but many providers are also left wanting more flexibility. Billing requirements vary state by state. Reimbursement A. Medicare 1. Commercial Coverage for telehealth will continue to vary by private insurance plan after the end of the PHE.

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HIPAA Insurance Scheduling Medication 52

Valant

JANUARY 30, 2024

Adhering to regulations—HIPAA is the most widely known—is one way to help ensure that confidentiality. Reimbursement policies govern how services are billed and reimbursed by payers such as Medicare, Medicaid, and private insurance companies. A practice’s billing will need to align with all legal and regulatory requirements.

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Billing Documentation Follow-Up Best Practices 52

Valant

MARCH 14, 2024

Regulatory Compliance Any behavioral health practice must adhere to strict regulatory requirements, such as HIPAA and MIPS reporting, to ensure patient privacy and data security. In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations.

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Billing Communication Patient Care Scheduling 52

Arkenea

AUGUST 16, 2024

billion in 2024 and is anticipated to reach $10.06 percent during 2024 to 2029 forecasted period. The USA is projected to generate maximum revenue in 2024 ($2,061 million). Additionally, integration of fitness apps with wearables and social sharing features is expected to bolster the market growth in 2024 and beyond.

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Follow-Up Tests Customer Service Scheduling 40

Arkenea

AUGUST 15, 2024

billion in 2024 and is anticipated to reach $10.06 percent during 2024 to 2029 forecasted period. The USA is projected to generate maximum revenue in 2024 ($2,061 million). Additionally, integration of fitness apps with wearables and social sharing features is expected to bolster the market growth in 2024 and beyond.

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Follow-Up Tests Customer Service Scheduling 40

Arkenea

DECEMBER 15, 2024

percent in 2024 , and is anticipated to hit 5.15 billion in 2024. million in 2024. Grocery Shopping List For a healthy diet everyone needs a strict grocery shopping list, so this feature fits the bill perfectly. HIPAA Compliance: This is one of the essential aspects of any healthcare app that involves patient information.

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Tests Follow-Up HIPAA Customer Service 52

MedAssistantEDU.org

SEPTEMBER 16, 2021

They must maintain privacy by following the HIPAA compliance guidelines. As per BLS, employment opportunities will increase by 24% by the end of 2024 in the healthcare sector. Confidentiality- Medical profession comes with a lot of personal data that should be kept confidential.

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Medical Assistant Certification Tests Customer Service 40

The HIPAA Journal

MARCH 29, 2024

March 25, 2024: Clarification Sought from OCR About Change Healthcare Ransomware Breach Notifications The American Hospital Association (AHA) has written to the Department of Health and Human Services seeking clarification about data breach notifications, should it turn out that protected health information has been compromised.

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HIPAA Unit Organization and Environment Follow-Up Business Associate 97

ACMA Blog

OCTOBER 8, 2024

Reactive case management occurs when prior authorization for treatment is denied, affecting timeliness of patient treatment (Braxton, 2024)(DeMarzo & Ayoub, 2021). In a highly-informative webinar with ACMA, Shandro highlighted key takeaways from his experiences with risk management in biotechnology companies (Soliman & Shandro, 2024).

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Documentation Medication Billing Follow-Up 52

Mobius MD

JANUARY 10, 2024

The Cure for ‘Documentitis’ Documentitis | noun 1: Inflammation caused by burdensome documentation requirements imposed by EMRs, billing systems, etc. Arthur Clarke’s Third Law Conveyor AI is an iOS app from Mobius MD set to be released in January 2024. Say goodbye to after-hours EHR time.

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Documentation Medication EHR / EMR HIPAA 52

Health Populi

DECEMBER 22, 2022

The CFPB will also continue to monitor medical debt, and for good reason: this Kaiser Health News research program has been highlighting providers’ lawsuits suing patients for unpaid bills, such as this column asking, “Will your hospital sue you?”.

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Insurance Medication Patient Experience HIPAA 62

Valant

APRIL 21, 2025

For example, staff members who handle billing need insurance information, but not detailed clinical notes. Practices should define role-based access levels, granting providers full clinical access while limiting administrative staff to only scheduling and billing permissions.

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HIPAA Patient Records Best Practices Documentation 66

The HIPAA Journal

MARCH 13, 2025

This can result in an unauthorized disclosure of health data that is prohibited under HIPAA, and more seriously, can put patient safety at risk. 2024, Black Book Research found that repeated medical care due to duplicate health records costs an average of $1,950 per patient (inpatient stay) and over $1,750 per ED visit.

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HIPAA Patient Safety Billing Insurance 61

The HIPAA Journal

DECEMBER 14, 2022

It has been several years since new HIPAA regulations have been signed into law, but HIPAA changes in 2022 are expected. The last update to the HIPAA Rules was the HIPAA Omnibus Rule in 2013, which introduced new requirements mandated by the Health Information Technology for Economic and Clinical Health (HITECH) Act.

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HIPAA Business Associate Appointments Best Practices 126