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

MARCH 22, 2024

Today’s healthcare workers expect more from a compliance training program. For the administrators, compliance officers, and HR professionals tasked with crafting such programs, the challenge is finding a balance between what is legally required and what is practical for their already stretched staff.

Compliance 52

Compliance Compliance Officers 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.

Compliance 52

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

MedTrainer

MARCH 30, 2024

Enrollment delays cost nearly a third of organizations polled in a 2023 MedTrainer survey money, and 26% believe credentialing delays increase compliance risks that can significantly drain coffers. Download our Credentialing Reality Worksheet to find out! How much are enrollment delays costing your organization?

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

Medval Compliance Blog

FEBRUARY 8, 2022

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that it will be hosting a Workers’ Compensation Medicare Set-Aside (WCMSA) webinar next Thursday, February 17, 2022 at 1:00 pm ET. The post CMS to Host Workers’ Compensation Medicare Set-Aside Webinar appeared first on Medval.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

MAY 16, 2024

Download the Ultimate List of Training Requirements for Ambulatory Surgery Centers to see a full list of federal and accreditation training requirements for ASC staff broken down by role, with the applicable standard, CMS violation category, and frequency. Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

MedTrainer

MAY 4, 2023

That includes many compliance professionals. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. Download this free toolkit for resources to update your disaster preparedness plan. Hard to believe, huh?

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Medicare/Medicaid Compliance Reviews.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

MAY 10, 2024

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

Licensing 52

Licensing ACA Medicare Medicare 52

AIHC

FEBRUARY 7, 2024

Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet. Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

HIT Consultant

NOVEMBER 22, 2021

July 1, 2021 was the enforcement date for the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule. 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 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 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

AIHC

FEBRUARY 7, 2024

Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet. Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

YouCompli

MAY 11, 2022

It reflects remarks CJ made at HCCA’s 2022 Compliance Institute. For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). Compliance officers should watch for: Follow the money.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 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

Provider Trust

FEBRUARY 16, 2023

Amwell also found that the Medicare Opt Out list data was largely outdated, which led to delayed findings. The Approach Amwell added Medicare Opt Out and OFAC monitoring to its instance of the ProviderTrust Passport platform to keep up with the surge of providers that were onboarded during the COVID-19 pandemic.

COVID-19 52

COVID-19 Medicare Medicare Compliance 52

Innovaare Compliance

FEBRUARY 7, 2022

Health plans (collectively, “plan sponsors”) that contract with the Centers for Medicare & Medicaid Services (CMS) to provide health services to eligible Medicare beneficiaries are responsible for legal, contractual, and fiduciary obligations whether performed by the plan or those to whom the company delegates those obligations.

Compliance 52

Compliance Medicare Medicare Medicaid 52

Medval Compliance Blog

MARCH 18, 2022

The Centers for Medicare & Medicaid Services (CMS) will be hosting an overview of the new “Go Paperless” feature available in the Medicare Secondary Payer Recovery Portal (MSPRP) on Thursday, April 13 at 1:00 pm ET. The webinar will feature opening remarks and a presentation, followed by a question and answer session.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Natalia Mazina

JULY 20, 2022

Our firm has prepared policies and procedures (and patient notices) that comply with the above requirements, available for download here. As to Medicare, part D beneficiaries can be enrolled into auto-refill programs but under certain circumstances, such as notice, opt-in and opt-out options, refunds for unwanted medications, etc.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Look for these 10 attributes in a credentialing specialist.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Healthcare Law Blog

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 As individuals continue to live longer beyond retirement and the U.S.

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

HIPAA Journal

FEBRUARY 9, 2024

The challenge of OSHA compliance for hospitals is working out which OSHA regulations are applicable. For example, annual emergency action plan training is a condition of participation in Medicare. Related Content OSHA and HIPAA compliance How does OSHA Enforce its Standards? General Requirements 1910.25 Stairways 1910.35

Hospitals 45

Hospitals Compliance HIPAA Medicare 45

Innovaare Compliance

JUNE 28, 2022

The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of CMS program audits in February 2022. Download 2022 ODAG Audit Universe Changes . Compliance Standard and Method of Evaluation are outlined in the protocol. . What to Look for During a CMS Program Audit . Contact us today! .

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 113

HIPAA Hospitals Medicare Medicare 113

MedTrainer

NOVEMBER 17, 2023

Download Now What Does a Credentialing Expert Do in Healthcare? Credentialers also manage payer enrollment, ensuring a provider’s organization can be reimbursed by insurance companies and government agencies (Medicare and Medicaid) for care patients receive. Look for these 10 attributes in a credentialing specialist.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Medisys Compliance

APRIL 14, 2022

The Advance Beneficiary Notice of Noncoverage (ABN) i.e., form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

MedTrainer

APRIL 7, 2021

If you’ve spent any amount of time working in healthcare, you probably understand how labor-intensive it can be to regularly update the medical compliance certification of a health system’s entire staff. To find out more about how MedTrainer helped CHC of Western Kentucky, download the entire case study here.

Compliance 40

Compliance Medicare Medicare Governance 40

Innovaare Compliance

SEPTEMBER 24, 2020

Medicare Appeals Best Practices. How can health plans improve their Medicare appeals processes? For many health plans serving the Medicare population, they will have to automate more and more of their processes to capitalize on the growing demand for services. Download A&G eBook. According to the U.S. Appeal Meetings.

US Department of Health and Human Services 40

US Department of Health and Human Services Medicare Medicare Compliance 40

YouCompli

APRIL 12, 2022

YouCompli is the only compliance solution that not only monitors all of the regulatory changes but also transforms them into a change management solution specifically for healthcare. Our healthcare compliance experts monitor all state and federal regulatory sources to identify and interpret every regulatory change for your service lines.

Compliance 40

Compliance Medicaid Medicaid Medicare 40

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Provider Trust

JULY 26, 2022

This resulted in the practice submitting at least $147,000 in fraudulent claims for reimbursement to Medicare and numerous private insurance companies. Therefore, effective compliance practice includes not only an initial license verification but routine license monitoring to ensure a practitioner’s license remains in good standing.

Licensing 52

Licensing Fraud Compliance Nurses 52

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Verisys

DECEMBER 5, 2023

The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those 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. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52