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The History of Healthcare Compliance

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance efforts shifted toward protecting patient information.

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What's ahead for health IT policy and legislation in 2023 

Healthcare IT News - Telehealth

In 2023, HIMSS will not only be working to prop up telehealth further with really strong data on how these services help patients to achieve broader reform, but will also work at the state level with licensing boards to discuss how telemedicine can reach more patients. Creating standards synergy for 'Interoperability 3.0'

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Why Is Healthcare Compliance Important?

MedTrainer

Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. Loss of Licenses: Healthcare providers may lose their professional licenses, hindering their ability to practice.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Clinical & Administrative Departments Adheres to regulations and guidelines within their specific licensing boards and department policies and procedures.

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Medical Credentialing in Washington State

MedTrainer

ProviderSource is the single source for provider credentialing and privileging information, as established in 2009 by state law. ProviderOne: ProviderOne system is the system used by the Washington State Health Care Authority to enroll providers and pay claims for Apple Health (Washington’s Medicaid). Primary Source Verification.

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Health Provider News

Hall Render

New California rule aims to limit health care cost increases to 3% annually UC San Diego Health operations deal with California hospital slows to crawl Kaiser reports data breach affecting 13.4M in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St.

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CMS Names Its First Ten Negotiated Part D Drugs: Inflation Reduction Act Updates

Health Law Advisor

On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA).