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Privacy Policy and Copyright Notice
First Healthcare Compliance, a Division of Panacea Healthcare Solutions, LLC (“FHC,” “we,” “us,” or “our”) is committed to respecting your privacy. This Privacy Policy provides information about how we collect, use and transfer personal information about any user or visitor (“you” or “your”) of the FHC websites, and the related applications, products, services, social media […]
Have You Reviewed the OIG 2015 Workplan?
The 2015 Workplan of the Office of the Inspector General highlights important areas for providers including medical necessity of services billed, payment review, exclusions, and incentive payments. Determination of the medical necessity of services billed is a primary focus of the Workplan. As stated in the Social Security Act, Medicare will not pay for items […]
Do You Meet the Security Rule Requirements for a Covered Entity?
Covered entities should be aware of differences between the Privacy and Security Rule requirements regarding protected health information. One major distinction is that the HIPAA Security Rule only applies to electronic protected health information (e-PHI). A covered entity is responsible for maintaining confidentiality, integrity and availability of all e-PHI. Under the HIPAA Security Rule, covered […]
Do You Meet the Privacy Rule Requirements for a Covered Entity?
Covered entities have several requirements under the Privacy Rule. The purpose of the rule is to protect and secure individually identifiable patient information and the covered provider has the ultimate responsibility for HIPAA compliance. Compliance with the Privacy Rule was required on April 14, 2003. According to the OCR’s HIPAA Audit Program Protocol for covered […]
What The Medicare Claims Data Could Mean To Your Practice
The recently released information on physicians’ billing practices with Medicare has sparked some interesting discussion on the data analysis. In 2012, 880,000 healthcare providers billed Medicare for $77B. A rheumatologist listed as a “Medicare Top Biller” describes the potential for the public to misconstrue the data without knowing all of the factors involved in billing […]
HIPAA Compliance or Else
The U.S. Dept of Health & Human Services, Office of Civil Rights (OCR), enforces HIPAA and HITECH security regulations. Below are three examples of incidents and fines reported to Congress in 2012. The common denominator is that none of the three practices demonstrated that they had procedures in place to minimize the risk of exposing […]
Top 10 Reasons to Have a Compliance Program
10 I want to know about a violation of law in my practice before the government and the world know about it. In a world with information readily available at the press of a button, the government and patients have access to lots of data. Knowing your high risk areas allows you to put controls […]
