Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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Medicaid Medicaid Licensing Medical Billing Outsourcing 52

MedTrainer

DECEMBER 4, 2023

Managing healthcare compliance in Mississippi effectively means adapting to the state’s specific regulations, and having the right systems in place to stay on track. To successfully oversee healthcare compliance in Mississippi, organizations need to develop efficient methods for tracking regulatory updates.

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Compliance Telemedicine Licensing Public Health 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

Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

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Medicaid Medicaid Medical Billing Outsourcing Licensing 52

MedTrainer

NOVEMBER 29, 2023

The landscape of healthcare compliance in Tennessee is marked by distinct rules and regulations that must be adhered to by organizations across the state. This article serves as a comprehensive primer, highlighting the key elements of healthcare compliance that are specific to Tennessee.

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Compliance Licensing HIPAA Medicaid 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.

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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.

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Compliance Licensing Governance Public Health 52

MedTrainer

NOVEMBER 30, 2023

Minnesota, distinct from other states, carries a unique landscape of regulations and standards that govern its healthcare compliance. Navigating and managing compliance in Minnesota can certainly be a challenge for providers and facilities. Juggling top-notch patient services and the state’s compliance requirements is no easy task.

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Compliance Licensing Public Health Governance 52

MedTrainer

DECEMBER 4, 2023

Effective management of healthcare compliance in Nebraska involves careful planning and adaptability. As the state’s healthcare regulations are updated, it’s vital for organizations to maintain efficient compliance programs. Healthcare compliance means remaining current with the state’s unique regulatory requirements.

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Compliance Licensing Nursing Homes Nurses 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.

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Compliance Licensing Informed Consent Public Health 52

MedTrainer

DECEMBER 4, 2023

Healthcare compliance in North Dakota differs in several ways from other states, primarily influenced by the state’s rural character and unique healthcare priorities. Additionally, the state’s approach to Medicaid expansion involves unique waivers, impacting eligibility criteria and cost-sharing provisions.

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Compliance Licensing Health Outcomes Medicaid 52

MedTrainer

DECEMBER 7, 2023

Effective management of healthcare compliance in West Virginia requires consistent adherence to both federal and state agency standards. To steer clear of legal or financial repercussions as a result of non-compliance, it’s crucial for organizations in West Virginia to establish robust compliance programs.

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Compliance 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?

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Compliance HIPAA Medicaid Medicaid 52

MedTrainer

OCTOBER 29, 2023

California has the most rules of any state, so it’s no surprise that there is additional complexity when it comes to managing healthcare compliance in California. To effectively manage compliance, healthcare organizations must establish a robust system for monitoring and interpreting these changes and swiftly implement necessary adjustments.

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Compliance COVID-19 HIPAA Governance 52

YouCompli

DECEMBER 19, 2023

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). Exclusions (page 26) : OIG recommends that any entity participating in the federal Medicaid program should check the state Medicaid program exclusion list for each applicable state.

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Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

NOVEMBER 29, 2023

Nestled among Massachusetts’ historic landmarks and vibrant communities, lies a challenging yet critical aspect for healthcare professionals: navigating the intricate maze of healthcare compliance regulations. This article reveals the must-knows for confidently achieving compliance in Massachusetts.

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Compliance Public Health Health Insurance Hospitals 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.

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Compliance Compliance Officers Hospitals Public Health 52

YouCompli

NOVEMBER 29, 2023

“As previous OIG compliance guidance(s) are retired to ‘archival’ status, we all should recognize that the original guidance may have been the most important document ever written for healthcare compliance professionals.” — Roy Snell In 1998, the Office of Inspector General (OIG) issued its first General Compliance Program Guidance (GCPG).

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Compliance Compliance Officers 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. This article will focus on the federal changes, but make sure to check with all states where your providers are licensed to stay up-to-date.

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Public Health Compliance COVID-19 COVID-19 Vaccine 52

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. appeared first on American Institute of Healthcare Compliance.

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Ransomware Governance Compliance HIPAA 59

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. appeared first on American Institute of Healthcare Compliance.

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Ransomware Governance Compliance HIPAA 52

YouCompli

APRIL 27, 2022

As more healthcare professionals obtain licensure under compacts, compliance officers need to be aware of interstate licensure requirements – and their effects on patient care. The Nurse Licensure Compact (NLC) is an interstate agreement allowing nurses to practice in multiple states with one multistate license issued from their home state.

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Compliance Officers Licensing Compliance Nurses 52

Health Law RX

FEBRUARY 21, 2024

The Centers for Medicare & Medicaid Services (CMS) has revised certain payment policies under the Medicare physician fee schedule, and updated provider and supplier enrollment regulations. Summary of Major Updates The below outlined changes are described in more detail in this article.

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Medicare Medicare Licensing Compliance 52

Medisys Compliance

NOVEMBER 8, 2023

This article will serve as a comprehensive guide to mental health telehealth billing, addressing the key aspects, regulations, and best practices for mental health providers. The provider must adhere to the telehealth regulations and guidelines established by their respective state’s licensing board.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

YouCompli

JUNE 29, 2022

With it, compliance officers have guided their healthcare organizations in complying with changing documentation, coding, and confidentiality requirements. As virtual care requirements for telehealth evolve, we explore how compliance officers can support patient care and help their organizations stay up to date.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

Hall Render

JANUARY 18, 2022

Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursing home staff numbers will be added to the January 2022 CMS Care Compare website.

Nurses 40

Nurses Nursing Homes Compliance Licensing 40

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. This article is not intended as legal or consulting advice. This is also called “store-and-forward telemedicine.”

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COVID-19 Telemedicine Compliance Informed Consent 59

Medisys Compliance

JULY 10, 2023

This article aims to provide a comprehensive guide to modifiers for mental health billing, exploring their definitions, purposes, and relevant keywords. AJ Modifier – Licensed Clinical Social Worker (LCSW) The AJ modifier is used to identify services provided by a Licensed Clinical Social Worker (LCSW). What are Modifiers?

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Medical Billing Outsourcing Licensing Doctors Medicare 52

Healthcare Law Blog

JANUARY 26, 2023

In this article we provide a brief summary of the Proposed Rule, while also examining the statutory amendments and previous rulemakings that create its foundation. Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

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ACA Medicaid Medicaid Compliance 105

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”).

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Medicare Medicare Licensing Malpractice 40

YouCompli

DECEMBER 7, 2022

The OIG must exclude individuals or entities who have been convicted of the following types of crimes: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP, or other state healthcare programs. Don’t miss enforcement action articles from CJ Wolf.

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Fraud US Department of Health and Human Services Compliance Medicaid 52

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era.

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HIPAA Compliance COVID-19 Compliance Officers 52

Healthcare IT Today

JANUARY 20, 2024

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… How AWS Helps Clinicians Work at the Top of Their Licenses. Welcome to our Healthcare IT Today Weekly Roundup. 2024 Health IT Predictions : Cautionary Views of Healthcare AI.

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Licensing Medicaid Medicaid Hospitals 100

Hall Render

NOVEMBER 15, 2023

Billing for Advanced Practice Professionals (“APPs”) has been a challenging area for providers and practitioners because of different and changing Medicare, Medicaid and state law requirements. However, the bundling of payment for these services raises compliance concerns for providers who use APPs.

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Medicare Medicare Medicaid Medicaid 40

Hall Render

DECEMBER 18, 2023

While privately-owned entities and their shareholders have historically enjoyed a degree of confidentiality regarding their internal affairs, the CTA subjects many entities, including health care providers, to new reporting requirements and exposure to significant financial penalties for non-compliance. passport or state driver’s license.

Governance 40

Governance Compliance Licensing Medicaid 40

Verisys

DECEMBER 23, 2021

This article will explore the plans, processes, and pitfalls to prepare for and help healthcare organizations navigate the provider enrollment process. Medicare, Medicaid, and TRICARE: How Enrollment Standards Differ. While credentialing is a part of enrollment, it is only a piece of the process to qualify for reimbursement.

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Medicare Medicare Medicaid Medicaid 52

Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. Hope this article has answered the question ‘what is provider credentialing in healthcare?’

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Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52