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HIPAA incident management is the process of tracking, responding to, and documenting HIPAA security incidents as they are detected by automated security tools or reported by members of the workforce. Regardless of whether HIPAA incident management is fully automated, manual, or semi-manual, the process must include specific elements.
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that regulates how patient information is managed, protecting their privacy. Medical assistants are required to abide by HIPAA laws to ensure proper confidentiality when collaborating with patients. What Is HIPAA?
These are likely to continue to be reported by affected HIPAA-regulated entities over the next few weeks. In April, at least 6 HIPAA-regulated entities reported breaches with placeholder figures. Geographical Distribution of Healthcare Data Breaches HIPAA-regulated entities in 29 U.S.
Verisource Services, an employee benefits administration service provider, has determined that a previously announced data breach was far worse than initially thought and has affected up to 4 million individuals.The Houston, Texas-based company detected a hacking incident on February 28, 2024, that disrupted access to some of its systems.
The cash payment may be higher or lower depending on the number of valid claims received.Class members wishing to submit a claim for reimbursement of losses may claim up to $300 for documented unreimbursed ordinary losses, including up to 4 hours of lost time at $25 per hour. Bean of Siri & Glimstad LLP.
of all data breaches in 2024 originated from third-party compromises, up 6.5% Other threat groups that were highly active last year include RansomHub, which has grown into the most dominant ransomware group following the shutdown of the AlphV/BlackCat ransomware group and law enforcement operations disrupting the LockBit ransomware group.
While OCR usually conducts audits of HIPAA-regulated entities to assess cybersecurity and compliance with the HIPAA Rules, HHS-OIG’s 2025 Work Plan includes a series of 10 audits of U.S. Ensure developers follow secure coding practices. The audited entity was not named due to the threat of cyberattacks.
The second main cause of data breaches was phishing/smishing/BEC attacks, with 251 confirmed incidents, followed by 73 confirmed ransomware attacks. The post Data Breaches Up 10% Although Victim Count Falls Sharply appeared first on The HIPAA Journal.
The truth is that the road conventional health insurance follows in processing claims is needlessly complicated, leaving room for many unwanted errors and frustrated providers. Process a bulk submission of claims, significantly speeding up the process and improving revenue cycles. Easy, right? Not if you ask billing managers.
Ensure backups are made of the entire organization’s data infrastructure, and that backup data is encrypted, immutable, and stored securely off-site The post Feds Issue Interlock Ransomware Warning as Healthcare Attacks Spike appeared first on The HIPAA Journal.
For example, the Feinstein Institute for Medical Research settled HIPAA violations for $3.9 Traditionally, NIH (and science in general) identifies priorities by looking at historical burdens of diseases or by following the leads of existing research.
By acting as a bridge between your practice and insurance payers, a clearinghouse significantly reduces errors, speeds up payments, and frees up your valuable time to focus on what matters most: your patients. Learn how a clearinghouse supports HIPAA-compliance. Discover how to choose the right clearinghouse for your practice.
Mobile Optimization: Up to 80.69% of the world’s population owns a smartphone, and of those, 23% of mobile phone users have a health-related app on their devices. So, avoid jumping the crucial steps and try to answer the following questions: What is the current market size? Does the market demand for a new product?
The practice should comply with HIPAA regulations and every other applicable law. Monitor and Follow-Up: Conduct regular follow-up audits to track progress and measure the effectiveness of corrective actions. (Also known as chart audit or charge review.) Reach out to us at sales@hpiinc.com.
Western Montana Mental Health Center Western Montana Mental Health Center (WMMHC), a provider of community mental health services at 15 locations throughout western Montana, announced a security incident on July 17, 2025, that involved unauthorized access to the protected health information of up to 86,758 individuals.
Each step of the billing process requires people to have specialized knowledge and to be able to maintain consistent follow-through. When it comes to patient billing, staff must manage communications about balances, set up payment plans, and handle questions about coverage.
Here, we offer insight into the medical ethics to follow while working in a medical assistant career. The AAMA has both a creed and code of ethics that medical assistants should follow: The American Association of Medical Assistants Creed The creed outlines the mindset medical assistants should have as they perform their work.
While talking up strengths is important, so is acknowledging weaknesses. An interviewer will want to evaluate a candidate’s knowledge of the Health Insurance Portability and Accountability Act (HIPAA). Interviewers ask this question to make sure a candidate understands the law and that they’ll be committed to following it as they work.
Consider HIPAA as an example: violations classified as “unknown” may incur fines starting at $100 per infraction. However, repeated offenses can total up to $25,000 annually, and in cases of willful neglect that go uncorrected, penalties can reach as high as $1.5 million per year. This type of fraud can take different forms.
The lawsuit survived a motion to dismiss and, following two attempts at mediation, an agreement in principle was reached on December 18, 2024, to settle the litigation. In the following months, the details of the agreement were finalized, and the settlement has now received preliminary approval from a federal judge.
Automated systems ensure compliance by following industry standards and HIPAA regulations throughout the claims process. Ensuring adherence to HIPAA compliance and other healthcare regulations. Some studies have shown that AI-driven claims processing can reduce denial rates by up to 30% and improve first-pass claim rates by 25%.
Maintain professionalism: Follow hygiene, safety, and privacy protocols diligently. Leverage technology: Use mobile devices and lab portals to stay organized and up-to-date. These roles are increasingly in demand due to the rise of home healthcare, telemedicine, and patient-centric service models.
The plaintiffs alleged that the data breach was a direct result of the defendants’ negligence, namely the failure to implement reasonable and appropriate data security measures, follow industry-standard cybersecurity practices, and adequately train employees on cybersecurity. One of the class action lawsuits – Victoria Lempinen v.
” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice. Following health insurance policies and procedures. ” “Do I have all the correct patient information?” The result?
Addressing compliance issues, such as Stark/DHS regulations, HIPAA, and employee classification, is essential to maintain valuation. Physician groups should have an up-to-date compliance program which is actively implemented, and on which all of its staff are trained upon employment on an annual basis thereafter. HIPAA Compliance.
But what exactly is RAG in healthcare, and more importantly, how can your organization implement it successfully while maintaining HIPAA compliance and ensuring patient safety? Compliance Challenges : Many AI solutions weren’t designed with HIPAA requirements in mind, creating potential compliance risks.
Legal & Regulatory Guidelines: HIPAA, OSHA, and state-specific requirements. Stay organized & Safe: Always follow safety protocols meticulously to prevent accidents or infections. Continuing Education: Keep up-to-date with advancements and new protocols in phlebotomy.
” You’ll also be handling “ follow-up ” visits, repeat visits just to check how someone’s doing. Another important word is “HIPAA.” Some patients must get clearance from one doctor before they can see a specialist. That clearance is their referral.
The practice should comply with HIPAA regulations and every other applicable law. Monitor and Follow-Up: Conduct regular follow-up audits to track progress and measure the effectiveness of corrective actions. (Also known as chart audit or charge review.) Reach out to us at sales@hpiinc.com.
It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. They also may work with a patient to schedule any follow-up appointments. This can be done by having up-to-date documentation, such as a CPR certification.
For example, a patient with diabetes can have virtual check-ups to monitor blood sugar levels, review medication adjustments, and discuss lifestyle changes without needing to travel. Simple gestures like addressing patients by name, using empathetic language, and followingup on previous discussions can help humanize digital interactions.
Security in cloud environments has evolved to meet healthcare requirements, with major providers offering HIPAA-compliant infrastructure and advanced encryption capabilities. Patients should be able to view statements, make payments, set up payment plans, and communicate with billing staff through the portal.
Incorrect diagnoses, surgical errors, and medication mix-ups often result from delayed or unclear communication. Practice the following: Standardized protocols, such as SBAR (Situation-Background-Assessment-Recommendation) for concise team briefings. However, such platforms must be HIPAA compliant. What to do?
When searching for AI solutions to integrate into your workflow, look for products that are built with the following in mind: Behavioral health vs. generic healthcare Facility type: inpatient vs. outpatient Client type: demographics, diagnosis, solo vs. group treatment, etc. Which tasks pile up and hang over your head?
Improved Patient Engagement and Follow-Up Telehealth can improve patient engagement by making it easier for individuals to followup with their healthcare providers. For many people, traditional in-person follow-up appointments can feel burdensome, leading to missed visits and gaps in care.
This analysis identifies potential recovery opportunities and contractual compliance issues that require followup with payers. This automation frees up staff to focus more on patient care and other core activities, leading to improved service delivery. Customizability: Every healthcare practice has unique needs.
Medical practice software: the best of 2025 As a medical workflow company, our team at Mobius MD constantly follows the latest in practice management software and health IT. In fact, epocrates has delivered up-to-date research and clinical content to physicians around the globe since 1998.
Clarifying a patient’s misunderstanding of the HIPAA privacy rule Rachel V. Rose, JD, MBA June 19th 2025 Article Understanding HIPAA's Privacy Rule clarifies how incidental disclosures in health care settings are permissible, ensuring patient privacy while facilitating essential communications. Singer, M.D., Singer, M.D.,
This necessitates the acquisition of a permanent license, which frequently involves paying a hefty up-front cost. Additionally, in addition to the software requirements, hardware acquisition costs also pile up higher in case of on-premise EHRs as compared to cloud hosted EHR.
Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas. Edison said, "I have not failed 10,000 times.
This approach can free up internal resources, reduce time to market, and provide access to niche skills, especially in emerging technologies such as artificial intelligence, blockchain, and the Internet of Things. Scalability Outsourced teams can flex up or down based on project phases.
EHRs are HIPAA and HITRUST compliant to avoid disclosure of Patient Health Information (PHI) due to cyberattacks. Moreover, HIPAA compliance and Privacy Rules are to be included while exhibiting Meaningful Use. Healthcare facilities and providers can achieve MU by implementing the following steps.
Task Automation : Simplify repetitive tasks such as sending reminders, generating reports, or follow-ups with automation. Enhance the accuracy and compliance of billing systems, especially for HIPAA-compliant practice management systems. Is the data backed up on a mirrored out-of-state site?
It offers HIPAA-compliant messaging, free digital faxing, and telehealth capabilities. ” – App Store Review Popular Alternatives: TigerConnect (secure hospital team messaging), OhMD (HIPAA-compliant patient texting). Only use HIPAA-compliant apps for messaging and documentation. Follow regulations.
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