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

Provider Trust

FEBRUARY 3, 2023

In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. According to a January 2023 Washington Post article , nurses across California, Oregon, Michigan, and Minnesota have also threatened to protest or have already gone on employment strike. Do you have a compliance checklist?

Compliance 52

Compliance Fraud Nurses Telemedicine 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 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 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

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. Dentist Ordered to Pay $8.5M Dentist Ordered to Pay $8.5M

Fraud 52

Fraud Licensing Medicaid 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

Innovaare Compliance

OCTOBER 6, 2022

According to the Centers for Medicare & Medicaid Services (CMS), enrollment in MAPD keeps rising. And, in 2023, there will be more enrollees in MAPD than in original Medicare. Another highly anticipated change to begin on January 1, 2023 pursuant to the IRA is the $35 cap per month on out-of-pocket costs to Medicare beneficiaries.

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

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

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

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

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. This training program would teach providers how to submit claims for reimbursement from Medicaid.

Licensing 52

Licensing Nurses Medicaid 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. 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

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

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

Verisys

AUGUST 14, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. The listening sessions will be held on Tuesday, September 12, 2023, and Wednesday, September 13, 2023, from 9 a.m. August Regulatory Update – The best resource for monthly updates. Here is our monthly regulatory update.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Telemedicine Medicare 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. Here is our monthly regulatory update.

COVID-19 Vaccine 52

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

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. He is scheduled to be sentenced on April 18, 2023, and faces a maximum penalty of 10 years in prison on each count.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

AIHC

MARCH 12, 2024

Please read other AI articles published by the American Institute of Healthcare Compliance regarding how AI can advance quality of care, how AI is regulated, use of AI and HIPAA privacy/security, to name a few topics. appeared first on American Institute of Healthcare Compliance. This PPT addresses: What is artificial intelligence?

Ransomware 59

Ransomware Governance Compliance HIPAA 59

Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts (§ 422.107).

Medicare 52

Medicare Medicare Medicaid Medicaid 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

AIHC

MARCH 12, 2024

Please read other AI articles published by the American Institute of Healthcare Compliance regarding how AI can advance quality of care, how AI is regulated, use of AI and HIPAA privacy/security, to name a few topics. appeared first on American Institute of Healthcare Compliance. This PPT addresses: What is artificial intelligence?

Ransomware 52

Ransomware Governance Compliance HIPAA 52

Compliancy Group

SEPTEMBER 27, 2023

On September 25, 2023, Nuance Communications became the latest casualty of a vulnerability in Progress Software’s MOVEit Transfer software. Upon discovering the breach on May 31, 2023, Nuance wasted no time. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.” Please Wait.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

Verisys

MARCH 17, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. This bill establishes license length, eligibility, qualifications, permitted duties and supervision requirements. March Regulatory Update – The best resource for monthly updates. Here is our monthly regulatory update.

COVID-19 52

COVID-19 Nurses Licensing Public Health 52

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Hall Render

DECEMBER 12, 2023

On November 16, 2023, the Centers for Medicare & Medicaid Services (“CMS”) published proposed changes to the Medicare provider enrollment requirements in the Calendar Year 2024 Physician Fee Schedule final rule (“Final Rule”).

Medicare 40

Medicare Medicare Licensing Malpractice 40

Healthcare IT Today

MARCH 27, 2023

Their API-driven platform can be aligned to meet brand needs and securely houses patient PII with its built in HIPAA compliance software. Originally announced March 15th, 2023 Clinicians can manage appointments, write prescriptions, chart notes and handle booking and payments all in one place.

Health Outcomes 89

Health Outcomes Licensing Medicaid Medicaid 89

MedTrainer

NOVEMBER 14, 2023

Compliance officers, human resource leaders, credentialing teams, and administrators are all asking themselves these critical questions. While payments could take longer, so might Medicare/Medicaid enrollments for organizations, providers, and patients. But what does this mean for your healthcare business? Rely on Pre-Set Reminders.

Governance 52

Governance Medicaid Medicaid Medicare 52

Health Care Law Brief

JANUARY 19, 2022

The new law requires PBMs to register with the State Department of Financial Services (DFS) by April 1, 2022 and thereafter to be licensed by January 1, 2023. Failure to obtain a license by 2023 could result in a cease and desist order from DFS and financial penalties. Disclosure requirements. 1] [link].

Prescription Drug Pricing 52

Prescription Drug Pricing Licensing Compliance Medicaid 52

Healthcare Law Blog

JANUARY 26, 2023

On January 5, 2023, the U.S. Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

ACA 105

ACA Medicaid Medicaid Compliance 105

Healthcare Law Today

JANUARY 2, 2023

On Wednesday, December 21, 2022, The Joint Commission announced that, effective January 1, 2023, it is eliminating 168 (or 14%) of its accreditation standards across its accreditation programs, and revising 14 more. The review also took into account the opinions of experts within the field.

Hospitals 52

Hospitals Licensing Health Outcomes Medicaid 52

Compliancy Group

MARCH 8, 2023

How do people end up on the Medicaid Exclusion List, what are the consequences of being on the list, and can you ever get off the list? Mandatory Exclusions result from criminal activities directly related to the federal Medicare or Medicaid program, or related state programs, including: Patient abuse or neglect.

Medicare 52

Medicare Medicare Fraud HIPAA 52

HIPAA Journal

JULY 24, 2023

Healthcare providers participating in federal healthcare programs are advised to regularly check the HHS OIG Exclusions List to avoid penalties for non-compliance with §1128 of the Social Security Act. This article answers the following: What is the HHS Office of Inspector General? What is the HHS OIG Exclusions List?

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIPAA Journal

JUNE 26, 2023

For example, the Secretary can waive the requirements for out-of-state healthcare professionals to be licensed before being allowed to practice, or exercise discretion when investigating violations of the physician self-referral law (§1877 of the Social Security Act).

HIPAA 68

HIPAA COVID-19 COVID-19 Vaccine Public Health 68