MRO Compliance

MAY 31, 2023

Audit Manager Return on Investment Over the past few years, the number of government and commercial audits has skyrocketed, and hospitals are struggling to keep up with the influx of requests for documentation, denials, and downstream appeals. Download White Paper

Governance 130

Governance Compliance Hospitals 130

MedTrainer

APRIL 11, 2024

There is one way to describe the relationship between HR professionals and compliance officers: It’s complicated. As you see these roles work together, you might wonder about the difference between a compliance officer and human resources in healthcare. Ultimately, both roles foster a healthy, law-abiding, and efficient workplace.

Compliance Officers 52

Compliance Officers Compliance Medicaid Medicaid 52

Dot Compliance

MAY 3, 2024

In the pharmaceutical industry, the importance of regulatory compliance extends beyond fulfilling legal obligations. Compliance can be streamlined with the help of an electronic quality management system (eQMS) that incorporates regulatory standards into every operational aspect of a pharmaceutical organization.

Pharmaceutical Industry 52

Pharmaceutical Industry Compliance Regulatory Compliance FDA 52

MedTrainer

APRIL 12, 2024

Surgical procedures, regulations, medications, and insurance change at the drop of a hat, with compliance teams required to keep pace. This means prioritizing healthcare compliance courses to stay within the more than 600 regulatory requirements. There are no makeup tests in healthcare compliance.

Compliance 52

Compliance ADA HIPAA Licensing 52

MedTrainer

JANUARY 31, 2024

For the organization itself, compliance programs are the guardians that can help potentially prevent medical errors and regulatory violations, and mitigate other compliance risks. So, how do compliance programs protect healthcare? What is Healthcare Compliance?

Compliance 52

Compliance Compliance Officers Governance Fraud 52

MedTrainer

APRIL 22, 2024

Several federal agencies highly recommend having a healthcare compliance committee — the key is to make the committee helpful, not just a regulatory checkbox. Compliance committees vary based on the size of the organization, the care setting, and the committee’s charter. What is a Healthcare Compliance Committee?

Compliance 52

Compliance Compliance Officers Governance Medicaid 52

MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

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Regulatory Compliance Compliance Compliance Officers HIPAA 52

MedTrainer

DECEMBER 15, 2022

You and your team work tirelessly to keep your organization in compliance. This is your opportunity to demonstrate the impact to your governing body. Plus download this free checklist to be sure you include the information required by regulatory agencies to keep the governing body informed and proactive. Executive Team.

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Governance Compliance 40

MedTrainer

JANUARY 26, 2024

The best way to maintain these standards is by providing healthcare compliance training for all staff members. Even when training is not required, it may still be very beneficial for your staff and overall organizational compliance. What topics should be covered in healthcare compliance training?

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Compliance Informed Consent Fraud HIPAA 52

MedTrainer

MARCH 28, 2024

Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. Who in the Organization Is Responsible for Healthcare Compliance?

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

JANUARY 26, 2024

That means there’s a direct relationship between compliance and a healthcare organization’s revenue. To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance?

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JANUARY 12, 2024

Healthcare compliance is serious business for regulators. In this blog post, we’ll outline who regulates healthcare compliance, how rules are enforced, and why organizations need a robust compliance platform to stay in the good graces of regulators. What is Healthcare Compliance? Who Regulates Healthcare Compliance?

Compliance 52

Compliance Fraud Medicaid Medicaid 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

MedTrainer

DECEMBER 4, 2023

Managing healthcare compliance in Mississippi effectively means adapting to the state’s specific regulations, and having the right systems in place to stay on track. To successfully oversee healthcare compliance in Mississippi, organizations need to develop efficient methods for tracking regulatory updates.

Compliance 52

Compliance Telemedicine Licensing Public Health 52

HIPAA Journal

JULY 7, 2022

Here we explain what ADPPA compliance will entail. Greater privacy and security requirements apply to sensitive covered data, which includes government-issued identifiers, health information, financial information, biometric data, genetic information, precise geolocation information, and a range of other sensitive data types.

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Compliance Governance HIPAA 102

YouCompli

MARCH 1, 2023

Effectively Manage Shared Responsibility A common challenge for compliance officers in healthcare organizations is collaborating with operational leaders to identify and mitigate risks. Often, operational leaders are unaware of their roles and responsibilities in their organizations’ compliance programs. Compliance is the second line.

Compliance 52

Compliance Compliance Officers Governance Hospitals 52

Health Care Performance

JUNE 29, 2022

The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. In addition to the surveyor guidance, CMS has posted training on the new compliance guidance for surveyors, and the updated. CMS will begin reviewing nursing home Compliance and Ethics programs via survey on.

Compliance 52

Compliance Nursing Homes Nurses Compliance Officers 52

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. For a second violation, OMIG may increase the penalty to $10,000 per month.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

MedTrainer

FEBRUARY 19, 2024

Twenty-eight years later, the importance of HIPAA compliance in healthcare has not waned. In this blog, we’ll highlight HIPAA’s influence on healthcare, how to maintain compliance, and ways compliance software can support the ongoing need to follow this important rule. Learn more about OCR inspection preparation.

HIPAA 52

HIPAA Compliance Health Insurance Governance 52

Innovaare Compliance

MARCH 18, 2024

With patient data and provider reimbursements at risk, the incident underscores the urgency for healthcare organizations to partner with technology solutions that prioritize cybersecurity and regulatory compliance. At Inovaare, we have reinforced our commitment to safeguarding sensitive healthcare data by achieving HITRUST r2 certification.

Regulatory Compliance 52

Regulatory Compliance Compliance Governance 52

Innovaare Compliance

MARCH 18, 2024

With patient data and provider reimbursements at risk, the incident underscores the urgency for healthcare organizations to partner with technology solutions that prioritize cybersecurity and regulatory compliance. At Inovaare, we have reinforced our commitment to safeguarding sensitive healthcare data by achieving HITRUST r2 certification.

Regulatory Compliance 52

Regulatory Compliance Compliance Governance 52

Healthcare It News

NOVEMBER 5, 2021

The aim is to tackle the challenges within the healthcare industry, where staff often work in silos as a result of strict compliance regulations, patient privacy concerns and technology restrictions. “5G promises to do far more than provide faster data rates and much better download speeds than 4G. WHY IT MATTERS. ON THE RECORD.

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Doctors Compliance Hospitals Governance 266

Dot Compliance

MAY 10, 2024

The top three barriers to incorporating generative AI in drug discovery include bias and ethical concerns, regulatory compliance concerns, and data accuracy. These challenges show the need for considering ethical frameworks, effective compliance strategies, and incorporating data management into the integration of generative AI.

Regulatory Compliance 52

Regulatory Compliance Compliance Governance 52

YouCompli

FEBRUARY 28, 2024

As it relates to resolving a compliance matter, knowing how to interact with others in the organization can be the difference between getting push-back and securing buy-in. This can be especially true when the communication comes from the compliance department, and it relates to getting others to follow a regulation or internal policy.

Compliance 52

Compliance Governance Hospitals 52

MedTrainer

MARCH 12, 2024

To underline the significance and complexity of this system, we will explore what are reportable events in healthcare, the regulatory requirements that govern them, the types of reportable events, and the importance of proper reporting. Technology can make it much easier for employees to maintain compliance.

Compliance 52

Compliance Malpractice Governance Public Health 52

HIT Consultant

NOVEMBER 22, 2021

The rule requires that all healthcare payer organizations participating in a CMS program allow members to download and share their data using API’s (Application Programming Interface). Compliance Challenges. In this light, the most significant cost of delayed compliance is a lost strategic growth opportunity.

Compliance 52

Compliance Medicaid Medicaid Medicare 52

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

US Department of Health and Human Services 85

US Department of Health and Human Services HIPAA Compliance Medicaid 85

Compliancy Group

FEBRUARY 8, 2024

Conducting an OSHA risk assessment increases safety and ensures regulatory compliance. You can also download our free guide to OSHA medical compliance. Medical OSHA Compliance Streamline your compliance with software. Contact us today for guidance on conducting your OSHA hazard identification and risk assessment.

Compliance 52

Compliance Regulatory Compliance Governance 52

MedTrainer

FEBRUARY 27, 2024

And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. It is arguably more important — and harder — to maintain a standard level of compliance when staff are working in client homes, rather than in a central facility. What is the Role of Home Health Aides?

Compliance 52

Compliance HIPAA Fraud Licensing 52

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. This is done to ensure compliance with regulations, identify areas for improvement, and assess program effectiveness.

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Fraud Compliance Medicaid Medicaid 98

MedTrainer

FEBRUARY 28, 2024

Start with a document creation tool, such as Microsoft Word, and a draft policy is emailed back and forth between team members, then to the governing board. The governing board needs to approve the final policy, which is either done in person at a board meeting or by using expensive electronic signature software.

Compliance 52

Compliance Governance Compliance Officers 52

Dot Compliance

NOVEMBER 2, 2022

Government Accountability Office (GAO) highlighted “long-standing challenges” that have contributed to the inspection backlog outside of the pandemic, including a shortage of personnel who specialize in foreign inspections, and a reliance on translation services provided by the establishment being inspected.

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FDA COVID-19 Compliance Governance 52

MedTrainer

MAY 10, 2024

Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Download Now That’s the process of credentialing one mental health provider with one payer. It can also be a prerequisite for enrolling with an insurance network or Medicare for the first time. Effective Jan.

Licensing 52

Licensing ACA Medicare Medicare 52

YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. Routine occurrences – and a potential compliance issue if it looks like financial kickbacks are involved. In addition, there are files of downloadable data. A physician prescribes a new medication.

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

Verisys

DECEMBER 5, 2023

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? Meets compliance standards: Both processes verify a provider has met compliance standards. Whether it’s government regulation or healthcare facility requirements is a matter. Maintaining compliance helps protect against fraud, waste, and abuse.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MRO Compliance

FEBRUARY 15, 2023

Every HIM professional should download this roughly 40-page guide and use it as their mantra. This is particularly true if the API is not governed by HIPAA. The FTC is supposed to have governance in this arena, but they’ve never been given full authority to enforce penalties. sold, used in marketing efforts, etc.),

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