MedTrainer

JANUARY 31, 2024

Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program? It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. However, it wasn’t until the mid-20th century that healthcare compliance regulations and programs began.

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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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Medisys Compliance

NOVEMBER 6, 2023

Introduction Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.

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Compliancy Group

FEBRUARY 12, 2024

Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices. Compliancy Group’s healthcare compliance tracking software enables organizations to implement policies, procedures, and training to prevent fraud.

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Healthcare IT Today

OCTOBER 19, 2023

Compliance: Are service delivery systems and interpreters HIPAA compliant? Languages: Do you have reliable access to interpreters with rare language combinations and specialized skill sets? Reporting: Can you access and monitor usage of your language services?

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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. With so many billing companies to choose from, it can be challenging to identify the right fit for your practice’s unique needs.

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MedTrainer

JUNE 28, 2023

Benefits of the CFE in Healthcare Compliance Working with a CFE gives providers access to specialized skills, knowledge, and resources for effectively managing fraud risks. They can also help strengthen compliance programs and protect against financial losses due to fraudulent activities. Compliance Program Enhancement.

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Compliance Now

JUNE 27, 2022

If such a plan only provided for travel benefits, it would raise its own set of compliance issues (e.g., failure to comply with the ACA, COBRA, HIPAA, etc.). Any employer program providing medical care is by definition a group health plan. Other Considerations.

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MedTrainer

JANUARY 26, 2024

What compliance regulation most directly affects the operations of a healthcare provider? At the top of the list is the Health Insurance Portability and Accountability Act (HIPAA). What is HIPAA? HIPAA is primarily concerned with protecting the privacy and security of patients’ protected health information (PHI).

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YouCompli

JANUARY 19, 2022

How are healthcare providers and compliance professionals balancing employee privacy with communications to colleagues and patients? The HIPAA Privacy Rule requires providers to strictly maintain the privacy and security of patient information and medical records. It’s also a critical compliance issue.

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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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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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Healthcare Law Blog

DECEMBER 15, 2022

Include functionality to determine requirements for any other data, forms, or medical record documentation required by the payer for the items or services for which the provider is seeking prior authorization and while maintaining compliance with the mandatory HIPAA transaction standards.

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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. The post Melanie Fontes-Rainer Appointed Director of the HHS’ Office for Civil Rights appeared first on HIPAA Journal.

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Hall Render

MAY 2, 2023

Will no longer require/allow the extension of specific deadlines in connection with health and welfare plans, including: Time for plan sponsors to provide COBRA notices to plan participants; Time for participants to elect COBRA and pay COBRA premiums; and Time for participants to request a HIPAA special enrollment.

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