Posted and filed under Compliance, Healthcare.

Medical Record Retrievals: Why Outsource?

Medical records can be requested for several reasons, with the most common being a) for litigation purposes, and b) for medical record reviews. These highly coveted bundles of documentation are the focal point of many insurance related trials, and of course, documentation reviews sanctioned by the Centers for Medicare and Medicaid Services (CMS) and various…

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Posted and filed under Compliance, Healthcare.

OCR Cracking Down on HIPAA Violations

The Health Insurance Portability and Accountability Act (HIPAA) has a primary goal of protecting the confidentiality and security of healthcare in formation, and has established standards for electronic data interchange (EDI). HIPAA is celebrating its twenty-first anniversary this year, after its enactment on August 21, 1996. HIPAA was groundbreaking at the time, with standards in…

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Posted and filed under Business, Compliance.

The Consequences of HIPAA Violations

 The below tiered civil penalty structure was established from the American Recovery and Reinvestment Act of 2009. The Secretary of HHS still has discretion in determining the penalty amount based on the nature and extent of the violation as well as the nature and extent of harm resulting from the violation.  The Secretary is prohibited…

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