YouCompli

AUGUST 2, 2023

As compliance officers, we talk a lot about the factors that directly influence a culture of compliance in our organizations. But we don’t spend nearly as much time on elements that affect compliance culture more indirectly.  non-medical factors that influence patients’ health outcomes) can influence compliance rates.

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Compliance Compliance Officers Health Outcomes Hospitals 52

YouCompli

JUNE 20, 2023

Three Ways to Create and Maintain a Healthy Compliance Culture Jay Anstine is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog.   The Compliance department can’t own culture. I think I’ve said that a few times on this blog!

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Compliance Compliance Officers Patient Satisfaction Hospitals 52

YouCompli

SEPTEMBER 20, 2023

Now, you may be asking, “So what does this have to do with healthcare compliance?” For that reason, if you want to improve the culture of compliance and get those leaders’ buy-in, then make sure you’re providing and delivering great customer service when consulting them. the 2005 OIG Compliance Program Guidance).

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Compliance Compliance Officers Hospitals Governance 52

YouCompli

MAY 31, 2023

Four approaches to remain calm during stressful times Jay Anstine is a compliance professional and consultant in Colorado. He writes on compliance culture for the YouCompli blog. This post looks at the power of staying calm during stressful times in order to maintain support for your compliance program. No, not regulations.

Compliance 52

Compliance Compliance Officers Governance Hospitals 52

Verisys

DECEMBER 22, 2021

Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008. The post Ensuring Provider Directory Compliance With H.R.

Compliance 52

Compliance Regulatory Compliance Healthcare information Technology Health Insurance 52

Healthcare IT Today

JUNE 29, 2023

Each ASC is responsible for ensuring that they are in compliance with the numerous statutes and regulations that are in place at both the state and federal levels. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. ASCs must also meet Medicare’s Conditions for Coverage.

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Compliance Medicare Medicare Medical Billing 52

Total HIPAA

JANUARY 18, 2023

Each year, we publish Microsoft’s End of Support list because using up-to-date software is essential for HIPAA compliance. If you’re using software that Microsoft no longer supports, you will not meet the requirements for HIPAA compliance. Windows Server 2008, Extended Security Update Year 3. Windows 8.1. Windows Embedded 8.1

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HIPAA Compliance 52

HIPAA Journal

JANUARY 12, 2024

The key provisions of the HIPAA Omnibus Rule were: Make business associates of covered entities directly liable for HIPAA compliance. The addition of standards to account for the passage of the GINA Act 2008. The addition of standards to account for the passage of the GINA Act 2008. appeared first on HIPAA Journal.

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HIPAA Compliance Health Insurance Medicaid 78

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

Innovaare Compliance

JANUARY 3, 2022

Expanded scope of Healthcare compliance oversight by CMS. Special applications can lift the burden of Healthcare Organization’s compliance monitoring. Inovaare has been providing healthcare organizations with quality services that help them comply with Medicare regulations since 2008. Contact Us.

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Compliance Medicare Medicare Medicaid 40

Hall Render

FEBRUARY 1, 2024

Regulations implementing the Federal Conscience Statutes date back to 2008 and were narrowed substantially by a 2011 revision (the “2011 Conscience Rule”). The 2019 Conscience Rule also prohibited retaliation against those asserting a right of conscience.

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Compliance Medicaid Medicaid 74

Healthcare Compliance Blog

APRIL 29, 2022

Court documents show that between 2008 and 2016 the former owner defrauded the Texas Medicaid program by billing for items and services that had not been provided to the clients of the day care centers. Discussion Points: Review your policies and procedures for operating an effective compliance and ethics program.

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Fraud Compliance Governance Medicaid 59

HIT Consultant

OCTOBER 18, 2023

Even though compliance across the entire general public is admittedly difficult to sustain, enforcement of preventive best practices in our healthcare systems should be achievable. In 2008, a team at Brigham and Women’s Hospital found that bringing cleaning compliance from 44% to 71% was linked to a 49% reduction in MRSA.

Hospitals 103

Hospitals Compliance COVID-19 Public Health 103

HIPAA Journal

OCTOBER 21, 2022

Despite the benefits, the cost of implementing NPIs was forecast ( in 2008 ) to be between $1.5 Consequently, when data breaches occurred due to a lack of compliance by Business Associates, there was no accountability. Only one penalty was issued in each of 2008 and 2009, 2 in 2010, 3 in 2011, and 6 in 2012. billion and $11.5

HIPAA 95

HIPAA Compliance Medicare Medicare 95

Compliancy Group

AUGUST 5, 2022

This draft update is intended to integrate with and expand upon a previous NIST Cybersecurity Guidelines revision released in 2008. . Let’s Simplify Compliance Do you need help meeting HIPAA Security Rule requirements? × HIPAA Compliance Simplified. NIST Cybersecurity Framework for Healthcare – What it is.

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HIPAA Compliance Health Insurance 98

American Medical Compliance

AUGUST 8, 2022

In 2008, a research study stated that if unvaccinated populations were to become exposed to monkeypox, then an epidemic could occur. American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. The post Monkeypox Outbreak Facts appeared first on American Medical Compliance.

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Compliance World Health Public Health Doctors 52

Innovaare Compliance

JUNE 21, 2023

Part B spending in the latter setting nearly doubled from 23 percent in 2008 to 41 percent in 2021, while the share of spending in physicians’ offices declined from 63 percent to 53 percent. According to the Department of Health and Human Services (HHS), the major drivers of Medicare Part B drug spending from 2008-2021 have been: a).

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Total HIPAA

JANUARY 13, 2020

Every year, we publish Microsoft’s End of Support list because using up-to-date programming is key for HIPAA compliance. If you’re using software that Microsoft no longer supports, you will not meet the requirements for HIPAA compliance. Hyper-V Server 2008. Hyper-V Server 2008 R2. Windows Server 2008 R2.

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HIPAA Compliance 40

American Medical Compliance

FEBRUARY 23, 2023

To preserve the confidentiality and security of protected health information, they must also maintain HIPAA compliance. They do so by investigating complaints of breaches, conducting compliance reviews, and educating healthcare communities on the regulations and their civil rights within them.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIPAA Journal

JULY 18, 2022

The Department of Health and Human Services’ Office for Civil Rights has sent a warning to healthcare providers about the importance of compliance with the HIPAA Right of Access with the announcement that a further 11 financial penalties for HIPAA-covered entities that have failed to provide patients with timely access to their medical records.

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HIPAA Medical Billing Compliance Nurses 115

Dot Compliance

AUGUST 25, 2022

It requires focused organizational effort, careful planning, and a complete comprehension of the tasks necessary for compliance. The ISO 9001:2008 standard is aligned with the ISO 13485:2016 standard. The senior management of a company is responsible for providing the tools required to guarantee ISO 13485 compliance.

Compliance 52

Compliance Regulatory Compliance 52

Innovaare Compliance

FEBRUARY 14, 2022

Healthcare organizations establish Compliance Departments with the primary purpose of providing compliance oversight for the organization. Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

C&M Health Law

OCTOBER 18, 2023

HHS is proposing to amend the regulation to clarify the obligations imposed on programs and activities that receive FFA, and to improve consistency with the Americans with Disabilities Act of 1990 (the “ADA”), the ADA Amendments Act of 2008 (the “ADAAA”), amendments to the Rehabilitation Act, and significant case law.

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ADA COVID-19 Medicare Medicare 98

HIPAA Journal

FEBRUARY 17, 2023

HIPAA Journal is conducting interviews with healthcare professionals, compliance professionals, and industry service providers to find out more about how their experiences with HIPAA, their successes, and the challenges they have and continue to face with HIPAA compliance. When did you first get involved with HIPAA compliance?

HIPAA 52

HIPAA Compliance Licensing Hospitals 52

C&M Health Law

AUGUST 3, 2023

Earlier MHPAEA guidance stated that “similar or dissimilar outcomes between [mental health and substance use disorder (“MH/SUD”)] benefits and medical/surgical [(“M/S”)] benefits … are NOT determinative of compliance,” but noted that disparate outcomes could be a “warning sign” of “potential operational parity noncompliance.”

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Compliance 52

YouCompli

AUGUST 16, 2023

As compliance officers, we are continually placed in a position to influence the actions of others. We conduct investigations, advise leadership, educate staff, and more, and it all plays a significant role in shaping our compliance culture. Always approach a compliance message with consideration of the audience’s point-of-view.

Compliance 52

Compliance HIPAA Medicare Medicare 52

Innovaare Compliance

JANUARY 16, 2022

A compliance-driven platform include compliance reporting right out of the box. 6) Higher Compliance Adherence. The importance of managing regulatory due dates is a key driver in compliance adherence. Inovaare has been delivering a compliance-driven Member Experience Platform to Healthcare Organizations since 2008.

Compliance 40

Compliance Medicaid Medicaid Medicare 40

Health Law Advisor

FEBRUARY 3, 2022

According to DOJ’s statistics, the government paid out $238 million to relators in FY 2021, the lowest number since FY 2008. Total awards to relators also fell in FY 2021 to the lowest number in over a decade. INCREASE IN RECOVERIES FROM DECLINED QUI TAM CASES. 1] DOJ’s FY 2021 is for the period of October 1, 2020 to September 30, 2021.

Fraud 52

Fraud COVID-19 Governance Medicare 52

Verisys

DECEMBER 1, 2023

As a CVO that has achieved this certification, Verisys can give partner organizations peace of mind that it is meeting the rigorous compliance standards set forth by NCQA. Verisys has been NCQA and URAC accredited since 2008.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare Law Blog

DECEMBER 12, 2022

Although it is likely the PHE will be extended again, providers should focus on compliance as it will eventually reach an end. The Ryan Haight Act of 2008 generally requires a prescribing practitioner to have conducted at least one in-person medical evaluation of a patient prior to prescribing controlled substances via telehealth.

COVID-19 52

COVID-19 Fraud Telemedicine Public Health 52

AIHC

NOVEMBER 29, 2023

It’s important for compliance and historical trend analysis. Data Security and Compliance: Metrics related to data security and compliance assess the protection of sensitive data and adherence to regulatory requirements, like GDPR or HIPAA.

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Medicare Medicare Medicaid Medicaid 59

Healthcare Compliance Blog

APRIL 5, 2022

The alleged conduct violates the Americans with Disabilities Act of 1990 (ADA), as amended by the Americans with Disabilities Amendments Act of 2008 (ADAA), which makes it unlawful to discriminate against, fail to hire, and fail to accommodate qualified individuals with disabilities.

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ADA COVID-19 59

HIT Consultant

OCTOBER 10, 2022

In addition to applications that enable more rapid scaling of hospital capacity and the deployment of more devices to generate better data, healthcare applications include wirelessly powered medical devices that don’t limit patient mobility within a hospital room or at home, which can result in better compliance rates.

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Medical Device Industry COVID-19 Hospitals Public Health 98

AIHC

NOVEMBER 29, 2023

It's important for compliance and historical trend analysis. Data Security and Compliance: Metrics related to data security and compliance assess the protection of sensitive data and adherence to regulatory requirements, like GDPR or HIPAA.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Innovaare Compliance

MARCH 1, 2022

Since 2008 Inovaare has provided healthcare organizations with cost-effective quality services to help them comply with Medicare regulations and improve their operations, thereby saving costs. Time is right for you to find out if you have incurred any amounts of improper payments for Part C and/or Part D.

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Medicare Medicare Overpayments Overpayment 52

Health Law Advisor

FEBRUARY 10, 2023

Lowest Total Recoveries Since 2008 Record-Shattering Number of New Cases Filed Health Care and Life Sciences Cases Continue to Dominate On February 7, 2023, the U.S. Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics for fiscal year (FY) 2022, which ended on September 30, 2022. [1] 1] [link]. [2]

Fraud 52

Fraud COVID-19 Governance Medicaid 52

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. As part of this VBC mode l, hospitals and health systems must store, track, and analyze a large amount of quality-related data for compliance and reimbursement purposes. Tom Zaubler, MD, Chief Medical Officer of NeuroFlow.

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Medicare Medicare Telemedicine Medicaid 98