Verisma
Compliance & Regulatory
Resources
Compliance & Regulatory Roundtable
Join us June 11, 2025 for a special interactive discussion on current regulatory topics. Seats are limited, so register today!
Regulatory Brief: Proposed Rule to Support Reproductive Health Privacy (April 2023)
Following the Supreme Court decision in Dobbs, President Biden directed that the Department of Health and Human Services (HHS) and the Federal Trade Commission review existing laws and regulations for opportunities to further bolster reproductive healthcare. This regulatory brief explains the April 2023 NPRM that was released as part of this initiative.
HIPAA vs. HITECH vs. Cures Act: A Fragmented Regulatory Landscape
The healthcare privacy landscape in the U.S. is fragmented, lacking a universal law and relying on a patchwork of federal and state regulations overseen by multiple agencies. This whitepaper sheds light on federal privacy laws, patient access regulations, and how the existing patchwork fails to offer comprehensive patient privacy protections.
5 Common “Tells” of a Fraudulent Request
Fraudulent requests are a growing concern with far-reaching risks, from compromising sensitive patient data to violating privacy regulations and facing potential legal consequences. We compiled a list of “red flags” for the HI community as a reference to identify and stop these attacks.
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In the News
May 22, 2025
CMS Expands Audits to Crack Down on Medicare Advantage Overpayments
Healthcare Dive | The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding team by about 2,000 coders. Beginning immediately, the CMS will review all eligible MA contracts each payment year in newly initiated audits. The agency plans to complete outstanding older reviews by early 2026.
May 14, 2025
CMS Seeks Input on Digital Tools to Enhance Health Care
Becker’s Health IT | CMS is seeking public input on the use of digital technologies to improve health care through June 16. The request for information aims to boost the development of digital health management tools, enhance interoperability, reduce barriers to health information exchange and cut administrative burdens.
May 7, 2025
FDA Names Inaugural Chief AI Officer
Becker’s Health IT | The FDA appointed Jeremy Walsh as its first chief artificial intelligence officer, marking a step in tech modernization at the agency. The appointment follows an April 3 directive from the Office of Management and Budget that stated each federal agency must appoint a chief AI officer within 60 days.
May 1, 2025
US Consumer Watchdog Asks Court to Scrap Medical Debt Regulation
Reuters | The U.S. Consumer Financial Protection Bureau has joined with industry groups in asking a federal court to scrap a Biden-era regulation barring consumer credit reports from including medical debt, according to court papers. In a motion submitted on Wednesday in a Texas federal court, the CFPB joined two industry groups representing banks, credit unions and credit bureaus in asking a judge to strike down the rule, saying the CFPB had exceeded its legal authority and violated laws governing the crafting of regulations.
April 21, 2025
Dr. Oz Sworn in as CMS Administrator
Healthcare Dive | Dr. Mehmet Oz was sworn in as CMS administrator, cementing his role as head of the agency that provides insurance coverage to millions of Americans. During a ceremony at the Oval Office, Oz said he wanted to “save” the nation’s public health programs and focus on reducing chronic disease, “modernizing” Medicare and Medicaid, and targeting fraud, waste and abuse in government insurance offerings.
Need a roadmap to maintain compliance?
Regulatory Links
HIPAA – HHS Offices for Civil Rights (OCR) and the National Coordinator for Health Information Technology (ONC)
Individuals’ Right under HIPAA to Access their Health Information 45 CFR 164.524
Patient Access to Health Records
Information Related to Mental and Behavioral Health, including Opioid Overdose
Frequently asked HIPAA questions
Elizabeth McElhiney, MHA, CHPS, CPHIMS,
CDH-L, CRIS, CC
Elizabeth collaborates with clients to implement evidence-based best practices and oversees Verisma’s thought leadership initiatives. She has worked in health information (HI) and release of information (ROI) for 15+ years, covering all areas of the industry from customer service to compliance. Elizabeth is also the regulatory chair at the Association of Health Information Outsourcing Services (AHIOS). She earned a masters of health administration (MHA) with a specialization in health informatics from Capella University, and a bachelor of arts (BA) in political science from Illinois Wesleyan University.