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The direct-to-consumer genetic testing company 23andMe has announced it has entered Chapter 11 bankruptcy and has asked the US Bankruptcy Court for the Eastern District of Missouri to facilitate a sale to maximize the value of its business. 23andMe provides saliva-based DNA test kits to help customers identify and track their ancestry.
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?
Among the individuals charged were 29 defendants for their roles in transnational criminal organizations that submitted more than $12 billion in claims to health insurance programs in the United States. The post DOJ Announces Largest Ever Health Care Fraud Takedown appeared first on The HIPAA Journal.
The data potentially obtained by the threat actor included names, demographic information, dates of birth, Social Security numbers, drivers license numbers, medical information, financial information, health insurance information, usernames and passwords, and for some individuals, passport numbers.
The HIPAA Journal has not downloaded any of the leaked data, so cannot confirm the accuracy of the groups’ claims. The group claims to have published a huge variety of documents, including EMRs, test results, patient histories, and billing information. Generally, it does serve as confirmation of a cyberattack.
Beta testing is an essential part of developing your healthcare SaaS product and helps you receive valuable feedback from users. Match With The HIPAA Compliance Checklist HIPAA compliance is critical when using any electronic medium to exchange patients’ confidential health care information.
With the expansion of digital healthcare information systems, security and regulatory compliance—such as HIPAA (Health Insurance Portability and Accountability Act) —have become not only best practices but also legal requirements. We are HIPAA-compliant. They invest in the latest technology and infrastructure.
Surmodics, Minnesota Surmodics, an Eden Prairie, MN-based provider of catheters, medical device coatings, and chemical components for in vitro diagnostic tests and microarrays, has disclosed a security incident to the United States Securities and Exchange Commission (SEC).
You’ll use these words daily, from scheduling patients to handling phone calls and working with insurance. Another important word is “HIPAA.” Insurance and Billing You often talk to patients about their insurance when working at the front desk.
Lake Washington Vascular was unable to determine exactly what information was viewed or extracted from its systems and said the information likely compromised included names, dates of birth, addresses, diagnostic test results, medical histories, diagnosis and treatment information, payer identification numbers, and government-issued identifiers.
They may also communicate with other healthcare facilities to make sure appropriate patient tests are completed and that the results are reviewed. They may also communicate with other healthcare facilities to make sure appropriate patient tests are completed and that the results are reviewed.
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.
These sophisticated platforms must navigate an increasingly complex landscape of insurance policies, regulatory requirements, and technological demands while maintaining the highest standards of data security and patient privacy. Advanced systems include claim scrubbing capabilities that identify and correct common errors before submission.
Later, in September, the Mental Health Parity and Addiction Equity Act (MHPAEA) was amended to prohibit health plans and insurers from limiting access to mental health or SUD benefits in ways that differ from physical health benefits. As referrals to services increase, so too does the burden of navigating evolving regulatory expectations.
mobile phlebotomy jobs involve traveling to patients’ homes, workplaces, or othre community settings to draw blood samples for laboratory testing. Secure a driver’s license and transportation: Ensure your vehicle is reliable and insured. What Are Mobile Phlebotomy Jobs?
It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. Common administrative duties include: Answering phone calls: Throughout the day, patients call healthcare facilities about appointments, health inquiries, insurance issues, or payments.
Clear communication protocols reduce the time spent coordinating decisions and repeating tests. Poor communication between shifts or departments can result in duplicate tests or delayed therapy, which frustrates patients. However, such platforms must be HIPAA compliant. radiologists and oncologists agree on imaging results).
Conditions that require in-depth physical examinations or diagnostic tests may still necessitate an in-person visit, which can reduce the overall convenience of telehealth for certain patients. Healthcare providers are required to comply with regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the U.S.,
Examples from my practice If we tell a patient that we will return a call to them in two days with a report of a lab test and the results are not available, it is essential to inform the patient of the situation and provide them with an alternative date for when someone will call with the results. 60: Strategic planning with Stephen A.
Rather than building and maintaining a large inhouse team, businesses partner with specialized vendors to handle design, development, testing, and deployment. Quality assurance: Manual and automated testing, security audits, compliance checks. Conduct unit, integration, system, and user acceptance testing.
Improved Patient Engagement Platforms such as patient portals and mobile apps enable patients to actively participate in their healthcare by providing access to test results, appointment schedules, and health records. This transparency fosters trust and empowers patients to make informed decisions about their health.
It also consists information about demographics, medical insurance, and data acquired from wearable health devices. EHRs are HIPAA and HITRUST compliant to avoid disclosure of Patient Health Information (PHI) due to cyberattacks. Certified EHR are those that meet the standards defined by the certification and testing body.
Billing and Claims Management : Ensure smooth processes for medical billing , insurance claims, and payment collection. Enhance the accuracy and compliance of billing systems, especially for HIPAA-compliant practice management systems. Watch for options offering free trials or demos so you can test them before committing.
After learning that the insurance company (trying to play doctor) recommends a generic drug that is less effective and has more adverse effects because it does not carry the more expensive drug on its formulary, this gives the doctor cause for concern for their patient. When moving forward, you should: Have an open mind.
EMTALA requires hospitals that receive Medicare payments to provide a medical screening examination to any patient presenting at an emergency department who requests an examination, regardless of their insurance status, ability to pay, national origin, race, creed, or color. The patient presented at the ED with a suspected ectopic pregnancy.
Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. Claims records are not the same as clinical records, and they typically don’t include test results and diagnostic information.
HIPAA violation cases are compliance investigations that result from a data breach being notified to the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) or a privacy complaint being submitted to OCR via the complaints portal. There are many different types of HIPAA violation cases.
For certain users, limited demographic information may also have been disclosed and, potentially, lab test names or lab test resources viewed on the website but no lab test results. The post Patient Data Compromised in Palomar Health Medical Group Cyberattack appeared first on The HIPAA Journal.
.” Health Populi’s Hot Points: HIPAA, the Health Insurance Portability and Accountability Act, was signed into law in 1996 by President Bill Clinton. This week, Ken Mandl and Eric Perakslis co-wrote an essay in The New England Journal of Medicine on HIPAA and the “leak of ‘deidentified’ EHR data.”
The HIPAA transactions and code sets rules have the objective of replacing non-standard descriptions of healthcare activities with standard formats for each type of activity in order to streamline administrative processes, lower operating costs, and improve the quality of data. diagnoses, procedures, and drugs). Health Care Claims Status.
diagnosis/condition, treatment, test results, medications), and/or health plan information. County Department of Health Services Email Accounts appeared first on HIPAA Journal. The post Phishers Gain Access to 23 L.A.
The types of data involved varied from individual to individual and may have included names, addresses, dates of birth, Social Security numbers, health insurance information, and/or health information. Pinnacle said it is implementing enhanced security measures to prevent similar incidents in the future.
HIPAA compliance is a crucial aspect of any medical billing software. Understanding the importance of HIPAA compliance and implementing the necessary protocols helps healthcare providers avoid legal and financial repercussions. Within HIPAA, many rules dictate privacy, security, and confidentiality.
HIPAA (Health Insurance Portability and Accountability Act) rules and regulations ensure that ePHI (Protected Health Information) is safe and secure from potential hackers. To comply with HIPAA regulations, CE and BA must adhere to certain requirements, and audit trail is one of them. Capture login, logout, and access to ePHI.
According to the team’s analysis, Amazon is not yet active in AR/VR, med-tech/biotech, or insurance (but see more on that below via Mike McSherry’s observations). Longer-term, Mike could envision Amazon expanding into health insurance.
HIPAA regulates that therapy notes be stored separately from progress notes. This covers information such as diagnosis, symptoms, medical history, test results, treatment plan, progress at appointments, prescription medications, etc. They can also protect you if questions arise about quality of care.
In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Telehealth Capabilities HIPAA-compliant telehealth capabilities allow you to treat patients remotely in individual or group therapy sessions. Communication with patients is a key part of this.
The types of data involved varied from individual to individual and included names, addresses, dates of birth, driver’s license numbers, Social Security numbers, medical treatment/diagnosis information, and health insurance information.
These attacks can cause significant disruption to testing services, resulting in diagnosis and treatment delays. In May 2025, Marlboro-Chesterfield Pathology in North Carolina and Molecular Testing Labs (CareNexa) in Washington reported hacking incidents and data breaches, the latter via one of its business associates.
The HIPAA Journal first reported a potential data breach in August 2024, after the RansomHub ransomware group added NeuroSav to its dark web data leak site. The post Georgia & Missouri Healthcare Providers Notify Patients About 2024 Hacking Incidents appeared first on The HIPAA Journal.
Data breaches have recently been announced by Bradford Health Services in Alabama, Doctors Hospital at Renaissance in Texas, and Molecular Testing Labs in Washington. Data compromised in the incident included names, addresses, and information related to medical tests.
These concerns fall into the buckets of health insurance coverage, or lack thereof; insurance denials; affordability for the breakthrough therapies; and, potential risks of future denials for insurance based on the patient’s personalized genomic or other health data.
A file review was initiated and concluded on June 27, 2025, confirming that names, addresses, birth dates, medical information, health insurance information, and other personal information had been exposed. The post Data Breaches Announced by Two Dermatology Practices appeared first on The HIPAA Journal.
Software testing and quality assurance have grown in critical importance for companies. Now as the name implies, quality insurance is all about maintaining “high quality” on a constant basis. This content is copyrighted strictly for Electronic Health Reporter. By Vikash Kumar, marketing manager, Tatvasoft.
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