Compliagent.com

HIPAA/Privacy and Data Security Compliance — Compliagent

WebIf your organization is facing enforcement actions or litigation, we will work with you and your legal counsel as an expert witness. To learn more about HIPAA and HITRUST, please visit the U.S. Department of Health and Human Services. COMPLIAGENT | Tel: (310) 996-8950 | Fax: (310) 996-8955 | info@compliagent.com.

Actived: 3 days ago

URL: http://www.compliagent.com/hipaa-compliance

The Four Ps of Healthcare Data Security — Compliagent

WebPHI – Protected Health Information. PII – Personally Identifiable Information. PCI – Payment Card Industry data. Proprietary Information – other information that is considered to be sensitive and confidential to patients and/or the specific healthcare organization. With a recent rise in hacking incidents affecting healthcare

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Recent HIPAA Violations: 5 Largest HIPAA Breach Fines Since 2009

WebSince 2009, more than 32 million people have had their PHI violated in HIPAA privacy and security breaches. In response to the violations, The Office for Civil Rights (OCR), as the HIPAA enforcement arm of the Department of Health and Human Services, imposed more than $26 million in fines against he

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Knowing the Difference Between HIPAA Compliance and EHR …

WebA lot of healthcare entities mistakenly think that if they are covered for EHR HIPAA compliance, then that coverage extends to all of HIPAA’s regulations as well. But, as experts have shown in recent years, HIPAA compliance and EHR compliance are two completely different umbrellas, even if you may b

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The False Claims Act and Whistleblowers — Compliagent

WebThe False Claims Act (FCA), 31 U.S.C. § 3729 et seq., provides liability for triple damages and a penalty ranging from $5,500 to $11,000 per claim for anyone who knowingly submits or causes the submission of a false …

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Nursing Staff Compliance — Compliagent

WebA Facility should also ensure that it has proper tracking mechanisms in place to determine when licenses are nearing expiration, or have expired, so that the nursing staff is always in compliance. Meeting the 3.2 Nursing Hours Per Patient Day (NHPPD) Standard. The state of California requires that SNFs employ sufficient staff to provide a

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Physicians Play Key Role in Reducing Hospital Readmissions

WebPhysicians play a vital role in continuing efforts to reduce avoidable hospital readmissions which is within a broader goal set by the Centers of Medicare and Medicaid Services (CMS) to deliver more coordinated, high quality care for patients.

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Benefits of Outsourced Compliance — Compliagent

WebThe Centers for Medicare & Medicaid Services (CMS) has advised healthcare organizations, large and small, that outsourced compliance programs offer many key advantages, such as: Full-support of third-party knowledge, education, training, and guidance. The business case for outsourcing a compliance program really comes down to three simple

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How Medicare's Reimbursement System Changed Nursing Home …

WebPatients getting ultra-high therapy, at least 720 minutes a week, generate nursing homes’ biggest payments from the federally funded Medicare program. 

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Bonnie Yarger — Compliagent

WebCLINICAL COMPLIANCE CONSULTANT. Bonnie Yarger is an RN with a BSN and Masters in Education. Her 25+ years of extensive experience in healthcare, with a specialization in long-term care, encompasses most critical areas of this industry. Bonnie has served as a Corporate Nurse Consultant working with the implementation of the Electronic Health

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Bloomberg BNA Releases New Health Care Fraud Report

WebBloomberg BNA released its Health Care Fraud Report detailing the healthcare industry's most recent enforcement actions on fraud, waste, and abuse. 

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Resident Transfer and Discharge — Compliagent

WebA transfer or discharge is considered involuntary when it is initiated by the skilled nursing facility (SNF), even if the resident agrees with the facility's decision. The Nursing Home Reform Act limits a facility’s ability conduct an involuntary discharge to ensure that facilities do not coerce or influence residents to consent to a move.

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Guidelines to Discharge Planning — Compliagent

WebThe Interdisciplinary Team (“IDT”) will begin the discharge planning process for a resident upon admission to the facility. The anticipated discharge needs, barriers to discharge, and the ability of the resident and/or family to manage these needs will be assessed by the IDT. Reassessment of these needs will occur throughout the resident

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Quality Assurance and Performance Improvement (QAPI)

WebPerformance Improvement (PI) is a proactive and continuous study of processes with the intent to prevent or decrease the likelihood of problems by identifying areas of opportunity and testing new approaches to fix underlying causes of problems. QAPI, in combination, merges two approaches to quality of care that both aim to improve …

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Long Term Care Ombudsman: Access to Records — Compliagent

WebThe Long Term Care Ombudsman Program, administered through the California Department of Aging, was established through the Older Californians Act [1] in response to the federal Older Americans Act. [2] The purpose of the Ombudsman program is to identify, investigate, and resolve complaints that may adversely affect the health, …

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Semiannual Report to Congress — Compliagent

WebThe Inspector General is required to report semiannually to the head of the Department of Health and Human Services (HHS) and to Congress on the activities of the office during the 6-month periods ending March 31st and September 30th. The semiannual reports are intended to keep the Secretary of HHS

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Top 5 Affordable Care Act Concerns for Small Businesses

WebChristina Merhar, Senior Editor for Zane Benefits, reported that according to a 2014 survey by the National Small Business Associate, small businesses (50 full-time employees or less) spend an average of 13 hours, or $1275, a month in order to keep up with Affordable Care Act (ACA) compliance.

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Psychologists Charged in $25 Million Nursing Home Fraud Case

WebEmily Mongan at McKnight's Long-Term Care News reported that psychologists Beverly Stubblefield, PhD, and John Teal, PhD, have been charged in a nursing home fraud scheme for billing for psychological tests that were medically unnecessary or never provided. Between 2009 and 2015, their psychological services …

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OIG Report: Adverse Events in SNFs — Compliagent

WebIn February 2014, the OIG determined that an estimated 22 percent of Medicare beneficiaries experienced adverse events during their SNF stays resulting in prolonged SNF stay periods or hospitalizations, permanent harm, …

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CDPH: Post Survey Satisfaction Evaluation Now Available Through

WebOn November 16, 2015, the California Department of Public Health (CDPH) announced that the current hard copy of the Post Survey Satisfaction Evaluation Form (LC-Q1) will be replaced with an electronic evaluation via SurveyMonkey. The sixteen question SurveyMonkey is an evaluation designed to help facilities share information in order to …

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DOJ: Skilled Nursing Facility Company Agrees to Pay More Than $3

WebFrom the United States Department of Justice: Regent Management Services L.P. has agreed to pay approximately $3.199 million to settle allegations that it received kickbacks from various ambulance companies in exchange for rights to Regent’s more lucrative Medicare and Medicaid transport referrals, announced U.S. Attorney Kenneth …

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Operation Guardians: Long Term Care Justice and Advocacy

WebA medical doctor specializing in geriatric medicine. For their investigations, the Operation Guardians team generally uses the guidelines and survey tools developed by the Centers for Medicare and Medicaid Services, an agency of the United States Department of Health and Human Services. The team typically spends six hours …

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