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OIG Self-Disclosure Protocol

Why Self-Disclosure Is Important The OIG has long emphasized the importance of dealing with Federal healthcare programs with integrity. All healthcare industry members have a legal and ethical duty to do so. This duty includes an obligation to detect and prevent fraudulent and abusive activities, including implementing specific procedures and mechanisms to investigate and resolve instances of potential fraud involving the Federal health careClick here to learn moreOIG Self-Disclosure Protocol

How to File a Complaint with Medicare

Medicare receives over 100,000 complaints annually. You’re not alone if you’re dissatisfied with any aspect of the federal healthcare program. You might be wondering how to express your concerns. Frequently Asked Questions What is a grievance with Medicare? A Medicare grievance is a patient’s dissatisfaction with any aspect of a health care provider’s service or even the health care plan itself. It can beClick here to learn moreHow to File a Complaint with Medicare

HIPAA Administrative Simplification Overview

More than twenty years ago, Congress passed the Health Insurance Portability and Accountability Act of 1996 (HIPAA). One of HIPAA’s five provisions—Administrative Simplification—mandated that the Department of Health and Human Services (HHS) adopt standards to streamline communications between health care providers and health plans. Administrative simplification requirements govern how providers, health plans, and clearinghouses handle electronic and administrative transactions and set privacy and securityClick here to learn moreHIPAA Administrative Simplification Overview

HIPAA Privacy and Security Rules

The Privacy Rule 45 CFR Part 164 Subpart E sets the standards for using and disclosing protected health information (PHI). In contrast, the Security Rule 45 CFR Part 164 Subpart C explicitly sets the Security Standards for the Protection of Electronic Protected Health Information (ePHI). Electronic vs. oral and paper It is important to note that the Privacy Rule applies to all forms ofClick here to learn moreHIPAA Privacy and Security Rules

Free HIPAA Knowledge Quiz

This HIPAA Knowledge Questionnaire is Free and does not require an Email. You can take it as often as you like. This questionnaire will test your general knowledge of HIPAA laws, containing eighty True/False and Multiple-choice questions covering the Security Rule, Privacy Rule, workplace behavior, cybersecurity, and breach notifications. The correct answer for each question that was answered incorrectly is shown to help youClick here to learn moreFree HIPAA Knowledge Quiz