HCA-460-RS Legislation and Enforcement Matrix

HCA-460-RS-Legislation and Enforcement Matrix NameCourse InstructorDate Legislation and Enforcement Matrix Enforcement Agency Legislation Name/ Date Enacted Brief Overview of Regulation/Legislation (Regulatory and Legislative Expectations) (5.5) Penalties of Legislation U.S. Department of Health & Human Services (HHS ) Office for Civil Rights (OCR) enforces the Privacy and Security Standards of HIPAA Health Insurance Portability and Accountability Act (HIPAA) (1996) HIPAA protects the safety and security provides continuous health insurance coverage to protect individuals who lose or change their job, there is also administrative simplification, reducing the cost of healthcare where there is health insurance reform. The penalty for violating the administrative simplification provision is 100 per violation Penalties for noncompliance depend on negligence and go up to $ 50,000 per violation When the HIPAA is violated under false pretences the fine is up to $100, 000 and may include 5 year jail terms. US Federal Government False Claims Act (1863)   The Act criminalizes filing false records or claims regarding any of the health care program deal. The Act is useful with fraud and waste in procurement In case of civil violations, penalty payment thrice what the government paid for a claim and additional $ 10,00 for each false claim For those filing fraudulent claims the penalty is between $ 5,000 and $ 10,000 per claim , but there are also inflationary adjustments U.S. Department of Health & Human Services (HHS ) Office for Civil Rights (OCR) enforces the Privacy and Security Standards of HIPAA The Health Information Technology for Economic and Clinical Health (HITECH) Act (1999) HITECH was adopted to expand the adoption and implementation of electronic health records (EHRs) and supporting te...