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Roger Steven's Blog (49)

HIPAA compliance for offshore vendors

In this age of outsourcing and globalization, and with it, the emerging potential phenomenon of the Internet of Things (IoT); it is quite a tempting proposition for HIPAA Business Associates or Covered Entities to think of outsourcing their processes relating to Protected Health Information (PHI). However, as is to be expected, there is risk involved in outsourcing this kind of critical information, given the critical importance of these healthcare records and in view of the fact that there…

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Added by Roger Steven on May 26, 2017 at 8:28am — No Comments

MentorHealth Webinar Calendar of Upcoming Courses

MentorHealth webinars are designed to offer professionals in the healthcare industry the knowledge they need in all the areas of the healthcare industry that enables them to excel in their professions. MentorHealth’s trainings bring experts from all the core areas of healthcare and impart learning to help professionals understand and implement all the important issues that matter to their professions. To keep updating your knowledge of regulatory compliance in the healthcare industry, all…

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Added by Roger Steven on May 23, 2017 at 9:02am — No Comments

Understanding CARC and RARC

A Claim Adjustment Reason Code (CARC) is a code used in medical billing to communicate a change or an adjustment in payment. CARCs have to be used to communicate why there was a difference between the amount paid in a claim or service line and the amount that was billed against it. CARCS are to be mentioned only if there is an adjustment of this kind. If there is no adjustment to a claim or…

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Added by Roger Steven on May 19, 2017 at 8:42am — No Comments

The Stark Law and key considerations for physician employment agreements

One of the major fallouts of the passage of the Affordable Care Act (ACA) or Obamacare is the phenomenal rise in the number of physician practice acquisitions. These are some of the reasons for this rise:

-        Because of physician practice acquisitions, healthcare providers can consolidate and integrate their business better, since acquisition brings about alignment between the business prospects of the referral networks with the hospital’s strategic goals

 

-       …

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Added by Roger Steven on May 17, 2017 at 7:18am — No Comments

MACRA and HIPAA

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal Act that determines the way in which physicians need to be paid when they treat patients who come to them under Medicare. It substantially alters and replaces the earlier Act in this regard, namely the Balanced Budget…

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Added by Roger Steven on May 15, 2017 at 8:00am — No Comments

Thorough understanding of the CERT program is necessary to fix error rates

The Comprehensive Error Rate Testing (CERT) is a program used by the Centers for Medicare & Medicaid Services (CMS) for calculating the rate or extent of improper payments of Medicare Fee-for-Service (FFS). The method used by the CMS under CERT is to pick up a stratified random sample of some 40,000 claims that are statistically valid and calculate and audit it to determine if the payments were made in accordance with the rules relevant to items such as coding, Medicare coverage, and…

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Added by Roger Steven on May 10, 2017 at 8:45am — No Comments

Overcoming the pain of HIPAA enforcement

In many years that it has been in existence, one of the noticeable changes that HIPAA has undergone is in its attitude. The earlier phase of advice and counseling has now given way to hardboiled and unforgiving enforcement. The Office of Civil Rights (OCR) no longer uses the cajoling and persuasive method. It wants to impose super harsh penalties on healthcare organizations which violate its rules.

For starters, healthcare organizations have to reckon with new, ominously higher fines,…

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Added by Roger Steven on May 10, 2017 at 8:43am — No Comments

The Electronic Health Record Standards of 2010

In July 2010, the Obama administration chalked out new Electronic Health Record Standards. These Electronic Health Record Standards were a major improvisation on the standards that…

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Added by Roger Steven on January 4, 2017 at 7:00am — No Comments

Being Prepared for a HIPAA Audit

A HIPAA audit is very important for service providing organizations, because the penalties for violations can bring their business down. It is important to understand the nuances of a HIPAA audit if one has to be successful.

A HIPAA audit is, for many service providing organizations, a make or break situation. This is because HIPAA audits are considered stringent. Violations can attract huge penalties, which is why getting it right the first time is extremely…

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Added by Roger Steven on December 9, 2016 at 4:20am — No Comments

Editing skill for scientific writers

For many professionals, writing skills are learned while they are on the job. In many cases, they would go by a preferred style or other documents or style guides that help to put a certain style in place. Editing, however, is rarely taught. Worse, the perception most people have of editing is that it is revising or rewriting a work. But the truth is different. Editing gives shape to a document. It helps to perfect and sculpt it. The big question most editors face…

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Added by Roger Steven on November 29, 2016 at 6:10am — No Comments

Regulating Nanotechnology in food

Nanotechnology, a part of Quantum Physics (QP), is growing fast and has myriad uses. Nanotechnology is all about size and self-assembly. While QP deals with subatomic particles and waves; Nano relates to the atomic and molecular level. Atomic behavior and properties get dramatically changed at the Nano level. Of note are properties such as color change due to refraction of light. Gold, packaging and chemistry are some of the well-known areas into which…

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Added by Roger Steven on November 25, 2016 at 4:50am — No Comments

Carrying out a HIPAA and HITECH risk analysis



The importance of conducting a risk analysis updating it can be gauged from the fact that failure to conduct a written risk analysis qualifies as “willful neglect”, which carries the highest Civil Money Penalty (“CMP”). This cannot be waived by the DHHS unlike violations that happen due to a reasonable cause.

Since risk analysis is a required implementation specification under the Security Rule, failure to do one amounts to willful neglect. If the civil…

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Added by Roger Steven on November 15, 2016 at 5:23am — No Comments

Understanding the New Laws and Qualifications of the Specialty Board Certification

A common qualifying measure of physician ability is the medical specialty board certification. Because the requirements of the board are increasing; the laws that restrict such use are on the rise.

A webinar from MentorHealth, a leading provider of professional trainings for the healthcare…

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Added by Roger Steven on November 11, 2016 at 6:13am — No Comments

Understanding the myths and realities of HIPAA and BYOD

What can be and cannot be done with the use of personal devices under HIPAA is something practices and businesses that need to be compliant with the provisions of HIPAA need to be thoroughly aware of.

With changes expected in 2016 relating to personal devices as well as emailing and texting; staying…

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Added by Roger Steven on November 10, 2016 at 5:05am — No Comments

Key Legal Considerations when Structuring Physician Employment Agreements



Compliance with the Stark Law has become more than just a compliance issue. It is an Enterprise Risk Management issue, as the substantial awards and settlements in recent enforcement actions indicate. Managing their compliance and…

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Added by Roger Steven on November 9, 2016 at 7:27am — No Comments

An understanding of the EC 1223/2009

The European Co smetics Products Regulation (EC) 1223/2009 (CPR), which became fully operational from July 2013, is a game changer in many ways, as it is considered a most contemporary regulatory framework concerning state-of-the-art of cosmetic science and product technology.

It…

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Added by Roger Steven on November 8, 2016 at 4:57am — No Comments

Staying compliant with HIPAA’s fundraising requirements

Rules implementing The Health Insurance and Portability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act of 2003 (HITECH) underwent changes as a result of amendments brought about by the US Department of Health and…

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Added by Roger Steven on November 7, 2016 at 4:33am — No Comments

Understanding the HIPAA’s requirements for safeguarding PHI

For an organization that needs to show HIPAA compliance; having the proper policies and procedures in place is as important as ensuring that it is providing the appropriate patient rights and controls on its uses and disclosures of Protected Health…

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Added by Roger Steven on November 4, 2016 at 6:28am — No Comments

The OCR’s Phase 2 Audit Program

The Office for Civil Rights (OCR) newly released the Phase 2 Audit Program. The audit process has started with the release of the rules and protocols. The need for a clear understanding of this new audit program by all Covered Entities (CE) and Business Associates (BA), or for that matter…

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Added by Roger Steven on November 3, 2016 at 5:58am — No Comments

Understanding how to implement the OSHA’s new rule on silica dust

Exposure to silica dust is a serious health hazard for those in construction workers and related jobs. This can result in life long disease or even death due to lung cancer. The Occupational Safety and Health Administration (OSHA) has a new regulation that deals…

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Added by Roger Steven on November 2, 2016 at 5:49am — No Comments

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