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The Health Insurance Portability and Accountability Act (HIPAA) was enacted by Congress to protect sensitive patient data. HIPAA covers both privacy and security, and its breach notification rules are designed to prevent unauthorized disclosure of protected health information (PHI). Because these standards encourage the widespread use of electronic data interchange, HIPAA enables better access to health insurance, reduces fraud and abuse, and lowers the overall cost of health care.

Updates to HIPAA regulations contain numerous changes based for the most part on the Health Information Technology for Economic and Clinical Health (HITECH) Act, which governs the adoption and “meaningful use” of health information technology. Additionally, the adoption of the HIPAA Omnibus Rule by the U.S. Department of Health & Human Services (HHS) resulted in many other changes to existing privacy, security and breach notification requirements.


These HIPAA rules and regulations have changed many of the HIPAA guidelines and increased the penalties for HIPAA violations, including significantly higher fines of up to $10,000 per day for willful neglect of compliance. In fact, HIPAA enforcement actions continue to result in record-breaking fines for HIPAA covered entities and their business associates alike.

HIPAA Risk Analysis and Audits


Risk analysis is now a required fact of life for providers and other covered entities, who, along with their business associates, need to use compliant email and texting policies regarding patient communication, and regularly run HIPAA compliance audits for their electronic health records (EHRs). The HHS OIG, CMS and the RACs continue to audit for fraud, and HIPAA intersects with these important compliance requirements, especially in Zone Program Integrity Contractor (ZPIC) audits.

Get HIPAA-Compliant With Our Experts


ProfEdOnDemand’s audio conferences on HIPAA provide you with practical, easy-to-apply advice to keep up with this dizzying array of compliance requirements and take your practice, facility or organization’s HIPAA compliance to the next level.


ProfEdOnDemand offers:

  • Customized HIPAA compliance training on the latest healthcare compliance updates
  • Training straight from the veterans of the industry
  • The ability to ask questions during Q&A sessions that follow every online HIPAA training conference, allowing you to clear up any lingering confusion by getting advice directly from our HIPAA training experts
  • Helpful presentation materials and handouts, including PPT slides, to take away for future reference and continued learning
  • The flexibility to attend the live conference, request replays of previous webinars (on-demand) or buy HIPAA training DVD recordings or PDF transcripts

Healthcare Compliance


HIPAA is only one of the laws that healthcare providers and organizations must contend with today. The compliance landscape covers a multitude of issues and topics that must be accounted for on a daily basis with proper policies and procedures, audits and reviews.


The Centers for Medicare & Medicaid Services (CMS) continually updates its regulations for the Medicare and Medicaid programs, and the HHS Office of Inspector General (OIG) is always on the hunt for the next target. Even private payers are a source of compliance headaches – you need to know how to effectively handle a balance billing issue as well as a recoupment.


Your practice, facility or organization needs to know the latest developments under:

  • Emergency Medical Treatment and Labor Act (EMTALA)
  • Stark and the federal Anti-Kickback Statute, as well as safe harbors against fraud and abuse charges
  • Physician contracts and employee contracts
  • Telemedicine and telehealth developments
  • RAC audits
  • MACRA, MIPS and APMs, including MACRA training, CMS’s proposed final rule and MACRA eligibility
  • CMS guidelines
  • Population health management
  • PQRS
  • Balance billing and out-of-network provider issues
  • CMS Conditions of Participation (CoPs)
  • Incident-to billing
  • Applying for enrollment in the Medicare program using the Provider Enrollment, Chain and Ownership System (PECOS) or the paper enrollment application process via CMS 855I


ProfEdOnDemand’s stable of experts in healthcare compliance offer a wealth of knowledge, programs, case studies and materials on these topics and many more. Also, be sure to check out the ProfEdOnDemand Blog, which features regular posts and updates on HIPAA and other healthcare compliance topics.