RADV audits are important to the entire healthcare system – safeguarding the accuracy and integrity of health plan data, and the effort is part of the federal government’s effort to remove fraud, waste and abuse (FWA) in Medicare Advantage (MA) programs.

The Centers for Medicare and Medicaid Services (CMS) announced an initiative late last month to rapidly complete outstanding Risk Adjustment Data Validation (RADV) audits while expanding the parameters of new RADV audits by September 1.

Elizabeth had the opportunity to appear before a Florida State Senate committee to share a personal story pulled from her 20 years as a health information professional – emphasizing the importance of protecting patient privacy and opposing SB 1606 as written.

Elizabeth opens up about her own personal journey with autism and how it impacts patient privacy in honor of Autism Awareness Month.

Don’t have a compliance team? Not sure what steps and procedures define your processes for HIPAA unauthorized disclosures? Read on for recommendations and best practices for mitigating compliance risk.

When a patient moves between healthcare providers, their medical information and records often need to follow. But when sharing records with another facility for treatment purposes, what and how much should you disclose?

When healthcare organizations receive requests for medical records, requestors may become frustrated if they feel they haven’t received exactly what they asked for. These complaints often arise from misunderstandings of the HIPAA “minimum necessary” standard.

When handling medical record requests, it’s crucial to understand what information should be disclosed to ensure compliance with HIPAA regulations.

Email is frequently used for sharing PHI with patients and their caregivers. All healthcare organizations should develop policies and procedures to comply with HIPAA while delivering PHI via email.