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?

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Compliancy Group

JANUARY 3, 2024

This article discusses the issues related to medical billing compliance policy and the steps for providers to maintain financial integrity and adherence to all requirements. Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices. Are the claims accurate and complete?

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MedTrainer

AUGUST 31, 2023

Yet, navigating the intricacies of healthcare compliance can be daunting. It’s why we’ve compiled a series of the most common healthcare compliance FAQs and their answers. Any healthcare professional curious about compliance practices will find these answers helpful, insightful, and empowering. What Is Healthcare Compliance?

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Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

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MedTrainer

JUNE 28, 2023

The primary goal of a Certified Fraud Examiner in healthcare is to safeguard the integrity of healthcare systems and protect patients, insurance providers, and government programs from financial losses due to fraudulent activities. Compliance Program Enhancement. Proactive Fraud Prevention. Collaborate with Leadership.

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MedTrainer

MAY 10, 2024

This process is vital for enhancing the accessibility and affordability of mental health services, aligning with the comprehensive healthcare coverage expansions under the Affordable Care Act ( ACA ). Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Effective Jan.

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Compliance Now

JUNE 27, 2022

In a 2020 decision, the Supreme Court ruled that an Arkansas state law regulating pharmacy benefit managers was not preempted by ERISA because it did not govern “a central matter of plan administration or interfere with nationally uniform plan administration.” failure to comply with the ACA, COBRA, HIPAA, etc.). Other Considerations.

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Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. On the other hand, a wrong choice can lead to delayed payments, billing mistakes, and even regulatory non-compliance issues.

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MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

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Verisys

MARCH 24, 2022

We’ll explore what the OFAC Sanctions List means for healthcare organizations, how maintaining compliance with OFAC rules reduces reputational, financial, and patient risk, and the steps individual providers and entities can take to be removed from the OFAC list. Additionally, they failed to self-disclose this violation to the government.

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MedTrainer

JANUARY 26, 2024

What compliance regulation most directly affects the operations of a healthcare provider? HIPAA compliance is a fundamental aspect of healthcare operations in the United States, playing a pivotal role in safeguarding patient privacy and data security. Impacts every employee. Impacts technology used.

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MedTrainer

AUGUST 2, 2023

Auditing helps healthcare organizations maintain accurate and appropriate documentation, optimize revenue, minimize compliance risks, and improve overall operational efficiency. The Importance of Medical Auditing From a compliance standpoint, medical auditing serves several important purposes within healthcare organizations.

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HIPAA Journal

SEPTEMBER 16, 2022

Fontes Rainer will lead the department’s enforcement of federal civil rights and HIPAA compliance and will direct the department’s policy and strategic initiatives. Department of Health and Human Services Director Xavier Becerra has formally sworn in Melanie Fontes Rainer as the new Director of the HHS’ Office for Civil Rights (OCR).

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Hall Render

MAY 2, 2023

Employers should be aware of the changes coming and evaluate whether any changes to their plans are warranted to align plan administration and compliance with the pre-NE regime. The HFWA also requires employers to provide up to 80 hours of paid supplemental sick leave when a PHE is declared by either the state or federal government.

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Hall Render

AUGUST 19, 2022

PruittHealth CEO: Nursing Home Operators Can’t Break Into Small Markets Without Government Support. Some Rural Hospitals Are in Such Bad Shape, Local Governments Are Practically Giving Them Away. Hospitals, patient group dispute Virginia price transparency compliance. ACA health plan costs to drop sharply in Virginia.

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Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in Financing for Medical Office Building in Utica, New York Jacobi hospital saw 20% of its nurses quit in 2022.

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Healthcare Law Blog

MAY 17, 2022

The proposed rule found a statutory basis for this independent from ACA Section 1557, citing ACA Section 1311(c)(1)(A) regarding QHP issuer certification requirements and ACA Section 1321(a) regarding authority to establish and operate exchanges and the offering of QHPs through such exchanges.

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Hall Render

JANUARY 27, 2023

West Springs Hospital found in ‘full compliance’ after state audit Parkview Health System finalizes merger agreement with UCHealth COVID, flu and RSV hospitalizations keep falling in Colorado Post-pandemic telehealth visits remain high in Colorado ‘This is a great community,’ Centura-St. But will consumers actually benefit?

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HIT Consultant

OCTOBER 10, 2023

Section 1557, known as the “Health Care Rights Law,” is the main nondiscrimination provision of the Affordable Care Act (ACA). For healthcare providers, compliance with these regulations is not only a legal obligation but also critical to addressing health disparities and improving patient outcomes. Carla Fogaren R.N.,

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Kaiser Health News

DECEMBER 6, 2023

It’s likely one of the last major ACA policy efforts of President Joe Biden’s first term — and, if he loses reelection, could represent his final touches on the landmark health program created when he was vice president. So expect some controversy.

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