Verisys

FEBRUARY 8, 2024

– The best resource for monthly healthcare regulatory compliance updates. Arizona BON License Renewals California : As of September 23, 2023, all California boards within the DCA must remove and replace the name and gender of a qualified licensee whose name or gender has officially been changed, on all licenses and related records.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

American Medical Compliance

JUNE 11, 2023

As governments and organizations allocate substantial resources to address the pandemic’s impact, unscrupulous individuals and entities have taken advantage of the situation. Many government agencies around the country respond to the rise in COVID-Related Misconduct. Reference Reuters (27 March 2023).

Governance 52

Governance COVID-19 Fraud Compliance 52

Compliance Now

DECEMBER 20, 2022

By: Megan Diehl, Manager, Compliance Consulting, MZQ Consulting. With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. The Affordable Care Act’s Employer Mandate.

Compliance 100

Compliance COVID-19 ACA Governance 100

Compliance Now

DECEMBER 20, 2022

By: Megan Diehl, Manager, Compliance Consulting, MZQ Consulting. With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. The Affordable Care Act’s Employer Mandate.

Compliance 100

Compliance COVID-19 ACA Governance 100

Bill of Health

NOVEMBER 7, 2023

One of us (LG) was involved in the drafting of the Siracusa Principles, which have become the chief international instrument governing permissible human rights limitations during national emergencies. WHO Member States are similarly negotiating “implementation” or “compliance” mechanisms under a revised IHR.

COVID-19 284

COVID-19 Public Health World Health Governance 284

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

NOVEMBER 14, 2023

While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. Compliance officers, human resource leaders, credentialing teams, and administrators are all asking themselves these critical questions. What Is a Government Shutdown?

Governance 52

Governance Medicaid Medicaid Medicare 52

MedTrainer

NOVEMBER 29, 2023

A unique set of rules and standards can pose a unique set of challenges for overseeing healthcare compliance in Indiana. Just as in other states, Indiana health professionals and groups must have a firm grasp of state-specific regulations in order to effectively manage their healthcare compliance.

Compliance 52

Compliance Licensing Governance Public Health 52

MedTrainer

NOVEMBER 14, 2023

Healthcare compliance regulations can vary significantly from one state to another, so managing healthcare compliance in Virginia may be different compared to other states. Regulations Unique to Virginia To meet the standards of healthcare compliance in Virginia, there are a few additional regulations.

Compliance 52

Compliance Licensing Governance Hospitals 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

FEBRUARY 12, 2024

government collected $2.2B How are healthcare organizations ensuring compliance and minimizing exposure risks to false claims? How are healthcare organizations ensuring compliance and minimizing exposure risks to false claims?

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Managing healthcare compliance in Texas is nuanced and challenging. For successful compliance management in Texas, healthcare organizations need to develop a strong system for tracking and interpreting regulatory changes, and promptly adapt to these modifications.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 20, 2023

Similar to other states, maintaining healthcare compliance in Florida State involves meeting state-specific regulations and requirements. This post offers an overview of must-know compliance requirements for Florida. Eligible patients include Florida residents with specific qualifying conditions.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Compliancy Group

DECEMBER 14, 2023

New York has already set aside $500 million for compliance efforts that hospitals across the state can apply to receive a share of. This trend continues in 2023, where hacking accounts for 77% of the large breaches reported to OCR. Over 89 million individuals have been affected by large breaches in 2023.

Compliance 52

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

Healthcare IT Today

MARCH 15, 2023

Outlined below are the implications of the five biggest trends in information management for 2023. Most managed to scamper through the last 2 years of pandemic-induced chaos with a patchwork of quick fixes, which will simply not survive the back-to-business volumes in 2023.

Compliance 84

Compliance Governance Compliance Officers Records Management 84

MedTrainer

NOVEMBER 27, 2023

As is the case with every state, there are distinctive challenges in the management of healthcare compliance in North Carolina, shaped by its own unique regulations. Keep scrolling for a summary of the crucial elements of healthcare compliance relevant to North Carolina.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 30, 2023

Healthcare compliance in Missouri is uniquely challenging due to state-specific regulations, such as the surgical smoke plume evacuation system requirement. This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of.

Compliance 52

Compliance Compliance Officers Hospitals Public Health 52

MedTrainer

NOVEMBER 5, 2023

Colorado, like other states in the United States, has its own set of regulations and requirements that make managing healthcare compliance in Colorado tricky. To effectively manage compliance, healthcare organizations must establish a robust system for monitoring and interpreting these changes and swiftly implement necessary adjustments.

Compliance 52

Compliance Licensing Informed Consent Public Health 52

Health Law Advisor

AUGUST 25, 2023

It is axiomatic that New York State requires every Medicaid provider to have an “effective” compliance program. These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. New York Social Services Law § 363-d.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

MRO Compliance

FEBRUARY 15, 2023

HIMSS TV 2023 Forecast: Balancing Patient Privacy and Data Sharing I recently had the pleasure of speaking with Andrea Fox, senior editor of Healthcare IT News, a HIMSS TV publication, to discuss the future of balancing patient privacy and data sharing. This is particularly true if the API is not governed by HIPAA.

HIPAA 130

HIPAA Governance 130

MedTrainer

DECEMBER 7, 2023

Ensuring healthcare compliance in New Hampshire involves maintaining both federal and state guidelines, while providing quality patient care. New Hampshire healthcare organizations must develop dynamic compliance programs to keep up with evolving regulations. Two significant changes were made in 2023.

Compliance 52

Compliance Licensing Public Health Medicaid 52

MedTrainer

SEPTEMBER 8, 2023

Maintaining compliance with healthcare regulations and standards isn’t just a legal requirement; it’s a crucial element in upholding patient safety, data security, and the overall integrity of healthcare practices. Hear more on compliance essentials from a panel of expert healthcare surveyors. Why Is Healthcare Compliance Important?

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

C&M Health Law

DECEMBER 18, 2023

Department of Health and Human Services (HHS) published the General Compliance Program Guidance (GCPG) on November 6, 2023. The GCPG provides updated descriptions of the seven elements of an effective compliance program that health care entities have long relied upon. The Office of the Inspector General (OIG) of the U.S.

Compliance 52

Compliance Compliance Officers Governance Overpayments 52

Healthcare Law Blog

OCTOBER 2, 2023

The government buys billions of dollars in healthcare-related goods and services every year, and no government procurement is perfect. If the answer is “yes”—or even “maybe”—healthcare companies may file a bid protest at the Government Accountability Office (“GAO”) or the U.S. B-421325, 2023 CPD ¶ 74 (Mar.

Governance 52

Governance Department of Veterans Affairs Medicaid Medicaid 52

Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The DOJ Announcement stresses the importance of investing in strong compliance programs for both the buyers and sellers in business transactions.

Compliance 52

Compliance Due Diligence Fraud Governance 52

HIT Consultant

JANUARY 3, 2023

The Challenges to Meeting Compliance Regulations. Among all of the challenges healthcare security programs face, one of the biggest is the fast-changing regulatory compliance environment combined with the lack of visibility and consistency in cybersecurity training. Compliance with regulations is nothing new for the industry.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

Healthcare IT Today

JANUARY 2, 2023

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We are going to see an increased demand for privacy-preserving technology in 2023, and therefore more investment in the space. during 2023. Chandra Kalle, VP of Security & Compliance at LeanTaaS. to version 2.0

Ransomware 126

Ransomware Fraud Compliance Telemedicine 126

AIHC

JUNE 6, 2023

OpenAI’s ChatGPT 2023 & the National Institutes of Health AI is developing at lightning speed. The government’s National Institutes of Health (NIH) published an article in February 2023 entitled “ Opportunities and risks of ChatGPT in medicine, science, and academic publishing: a modern Promethean dilemma. ”

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Verisys

MAY 3, 2023

7 Core Elements of Healthcare Compliance Plan and How to Measure Them Healthcare compliance regulations are complex and ever-changing, but are an essential part of any healthcare organization’s effort to provide safe, high-quality care for patients. What is an effective healthcare compliance program?

Compliance 52

Compliance Compliance Officers ADA Governance 52

YouCompli

MARCH 22, 2023

For example, the government regularly asserts Medicare claims must be “reasonable and necessary for the diagnosis or treatment of an illness or injury.” The government argued that before ordering definitive UDT, a provider first needs to review the results of the presumptive test. Some were never tested at all.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Healthcare It News

JANUARY 31, 2024

WHY IT MATTERS In the new report, Deloitte researchers said 70% of the executives surveyed were highly focused on data availability, quality, compliance, security and privacy during implementation, but they "may miss the imperative." GenAI governance is key to building both consumer and employee trust, the Deloitte researchers said.

Governance 271

Governance Compliance 271

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. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

Bill of Health

MAY 22, 2023

The selections feature topics ranging from an analysis of government and industry investments for recently approved drugs, to a discussion of court decisions on mifepristone, and an examination of the added therapeutic benefit associated with the top-selling brand-name drugs in Medicare. 2023 Apr 7;4(4):e230511. 2023 Apr 26.

Pharmaceutical Industry 157

Pharmaceutical Industry Medicare Medicare Medicaid 157

Healthcare IT Today

OCTOBER 21, 2023

Experts agreed that health data utilities are in their early stages but will start to see additional value when they engage with government agencies in their communities and enable data sharing across state lines. We asked this question to the Healthcare T Today community at the recent Civitas Conference.

Compliance 102

Compliance HIPAA Governance 102

AIHC

JUNE 6, 2023

OpenAI’s ChatGPT 2023 & the National Institutes of Health AI is developing at lightning speed. The government’s National Institutes of Health (NIH) published an article in February 2023 entitled “ Opportunities and risks of ChatGPT in medicine, science, and academic publishing: a modern Promethean dilemma. ”

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Hall Render

NOVEMBER 10, 2023

On November 6, 2023, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders.

Compliance 40

Compliance Compliance Officers Fraud Governance 40