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 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 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

HIPAA Journal

JULY 15, 2023

We have compiled these HIPAA Compliance Guidelines because HIPAA rules and regulations can be very confusing for healthcare professionals tasked with ensuring HIPAA compliance at their organization. We have slightly amended it to be more relevant to HIPAA compliance in 2023. Implement effective training programs.

HIPAA 81

HIPAA Compliance Compliance Officers Licensing 81

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

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

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.

Compliance 52

Compliance Nursing Homes Nurses Fraud 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

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

Verisys

JANUARY 2, 2024

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. The post December 2023 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Licensing Doctors Medicare 52

Innovaare Compliance

OCTOBER 6, 2022

And, in 2023, there will be more enrollees in MAPD than in original Medicare. Medicare Advantage Organizations (MAO) not only have to get ready for newcomers, they also have to implement changes in the MA program that are not waiting to become effective on January 1, 2023; some are happening or have already begun!

Medicare 52

Medicare Medicare Compliance Public Health 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

Healthcare Blog

JULY 26, 2023

Centralized management of healthcare policies solves compliance and efficiency problems for healthcare organization policymakers and employees. This process sounds straightforward until you consider the financial cost of policy creation, maintenance, and the non-compliance of staff when policies are hard to access and read.

Compliance 87

Compliance Nurses Hospitals Licensing 87

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

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. for Medicaid Fraud In March 2014, the Maryland Board of Dental Examiners received complaints against Seyed Hamid Tofigh, DDS, claiming the dentist posed a risk of harm, and suspended his license. As a result, his license was revoked in 2015.

Fraud 52

Fraud Licensing Medicaid Medicaid 52

Healthcare IT Today

JUNE 10, 2023

Unfortunately, these efforts are doomed to fail if frequently updated data such as credentialing and licensing remains in silos, noted Eric Demers at Madaket Health. Bonus Features for June 4, 2023: 51% of hospitals plan to participate in TEFCA, but only 18% of orgs have implemented email security software correctly.

FDA 98

FDA Compliance Licensing Hospitals 98

Healthcare IT Today

JANUARY 5, 2023

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. Healthcare staffing shortages will continue to negatively impact patient experience in 2023. Despite this, an organization’s flexibility and compliance with new regulations will help ensure success.

Nurses 102

Nurses Hospitals Licensing Health Outcomes 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 59

Compliance Medical Billing HIPAA Due Diligence 59

Provider Trust

MAY 15, 2023

May 15, 2023 Contact: Jane Kimbrough , (615)-306-6384 CHICAGO, IL – ProviderTrust has been selected by Modern Healthcare as one of the 2023 Best Places to Work in Healthcare. Modern Healthcare will publish a special supplement featuring a ranked list of all the winners along with the October 2, 2023, issue of MH magazine.

Licensing 52

Licensing Compliance 52

Verisys

OCTOBER 23, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Alabama : License renewals for pharmacy technicians, pharmacy interns, and facilities are open as of 9/15/2023. The renewals are due by 12/31/2023. CA BRN Fall 2023 Report: Transcripts submission (pg.

Licensing 52

Licensing Nurses Compliance Medicaid 52

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

Healthcare Law Blog

FEBRUARY 28, 2023

On February 13, 2023, the Centers for Medicare and Medicaid Services (CMS) published the revised List of Telehealth Services for Calendar Year (CY) 2023 (List). In its update, CMS clarified that all codes on the List are available through the end of CY 2023.

Medicare 52

Medicare Medicare Nurses Licensing 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. Any delay in the provider enrollment process means less revenue for the organization – and the longer the holdup, the harder the hit.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

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. But, anyone who started in the field within the past three years has only worked under the leniencies granted through the PHE.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

HIPAA Journal

APRIL 25, 2024

City of Hope National Medical Center identified suspicious activity within its network on October 13, 2023, and the forensic investigation confirmed there had been unauthorized access by a third party between September 19, 2023, and October 12, 2023.

Fraud 106

Fraud Health Insurance Licensing HIPAA 106

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Led by acting Inspector General Christi A.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Verisys

SEPTEMBER 21, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. The proposed rules explain that participating physicians and pharmacists must have an active unrestricted license and a Collaborative Agreement. September Regulatory Update – The best resource for monthly updates.

Licensing 52

Licensing Nurses FDA Compliance 52

Verisys

MAY 11, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Arizona : Legislation to join the APRN Compact has passed the Senate as of 4/26/2023 and is currently being considered in the House. All other Act 10 licenses will expire on May 10, 2023. Here is our monthly regulatory update.

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Verisys

FEBRUARY 16, 2023

US Department of Justice Press Release California: State of Emergency and Executive Waivers Ending February 2023: Covid State of Emergency is set to end on February 28, 2023. Applications postmarked on or after February 1, 2023, will be mailed back to the applicant with any payment received.

Licensing 52

Licensing Nurses Fraud Compliance 52

American Medical Compliance

APRIL 6, 2023

In January 2023, federal investigators convicted twenty-five people in Miami as part of a scheme to get counterfeit nursing school degrees and find jobs for aspiring nurses. Prosecutors stated that if they passed, they would be able to seek licenses and jobs in numerous locations. 2023, January 27). 2023, January 27).

Fraud 52

Fraud Nurses Licensing Compliance 52

Healthcare Law Blog

JULY 5, 2023

On June 30, 2023, the New York State Department of Health (DOH) issued a notice to nursing home operators and administrators announcing that it will begin conducting assessments on July 10, 2023 of nursing homes’ compliance with the State’s minimum staffing requirements. No less than 2.2 HPRD (out of the 3.5 HPRD (out of the 3.5

Nursing Homes 52

Nursing Homes Nurses Compliance Licensing 52

Provider Trust

MARCH 13, 2023

On January 25, 2023, the US Department of Justice joined with the Federal Bureau of Investigation (FBI) and the US Department of Health and Human Services Office of Inspector General (HHS-OIG) to launch a multi-state law enforcement action to apprehend individuals involved in this fraudulent nursing degree scheme. Are you in Florida?

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

Verisys

JULY 12, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Alabama : Legislation has been passed as of April 20, 2023 amending section 34-23-30 of the Code of Alabama 1975. AL HB290 Additional updates were located in the “Executive Secretary Report June 2023” email. Effective August 7, 2023.

Licensing 52

Licensing COVID-19 Medicaid Medicaid 52

Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. This final rule will be published to the Federal Register on June 5, 2023 and will be effective on August 4, 2023. All are effective July 5, 2023. June Regulatory Update – The best resource for monthly updates.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Compliancy Group

DECEMBER 22, 2023

On December 8, 2023, Healthplex, one of the largest dental administrators in New York state, settled a case with state regulators over a 2021 phishing incident. Implementing an effective HIPAA compliance program is the best way to do so. As a result of the cyberattack, 90,000 patients’ information was compromised.

HIPAA 52

HIPAA Compliance Licensing 52

MedTrainer

APRIL 18, 2024

Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. Maintaining Compliance: Once enrolled with Medicare, behavioral health providers must maintain compliance with Medicare’s rules and regulations to continue participating in the Medicare program.

Medicare 52

Medicare Medicare Licensing Compliance 52

HIT Consultant

MAY 1, 2024

According to a Kaufman Hall report , 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023. One method in which AI technologies can help organizations is with coding accuracy and compliance, so claims can be submitted along with appropriate documentation, resulting in fewer denials.

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Compliance Licensing Nurses Governance 98