MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

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MedTrainer

DECEMBER 7, 2023

To sail smoothly through the complex rules and requirements, you need a deep knowledge of the most essential aspects of healthcare compliance in Maine. A successful compliance program involves adaptability, comprehensive planning, and insight into key compliance factors, including credentialing requirements.

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MedTrainer

DECEMBER 7, 2023

Healthcare compliance in New Mexico mirrors the state’s diverse culture, with unique regulations that differ from other states, such as credentialing documentation requirements for managed care organizations. New Mexico’s parity law requires insurers to cover telemedicine services to the same extent as in-person services.

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MedTrainer

NOVEMBER 28, 2023

Healthcare providers, organizations, and compliance officers in Michigan State need to be aware of their state-specific laws and regulations in order to navigate compliance successfully. This article serves as a quick-reference guide for maintaining healthcare compliance in Michigan State.

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MedTrainer

DECEMBER 7, 2023

All healthcare organizations, along with their providers and compliance officers, must understand the requirements of each regulatory state agency that provides oversight. Robust, flexible, and reliable compliance programs must be developed to maintain compliance in Hawaii.

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Electronic Health Reporter

APRIL 8, 2020

This article is copyrighted strictly for Electronic Health Reporter. There are several regulatory compliance requirements that healthcare organizations must follow. The article Regulatory Compliance For Healthcare Organizations appeared first on electronichealthreporter.com. Illegal copying is prohibited.

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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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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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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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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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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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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.

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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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Compliancy Group

DECEMBER 8, 2023

Compliance is a critical aspect of the healthcare industry. However, there are several high-risk areas where compliance issues can arise, potentially leading to legal troubles and compromised patient safety. Billing and Coding Practices Billing and coding errors are another area where compliance issues can arise.

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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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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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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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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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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.

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Compliance Licensing Public Health Governance 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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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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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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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

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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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

AIHC

AUGUST 30, 2023

This article is educational only, and does not provide consulting or legal advice. What compliance issues need to be considered when drafting a marketing strategy? Let’s take a closer look at potential compliance risks. For example, if you’re an Internist, what better way to promote articles on diabetes.

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Compliance Fraud Medicare Medicare 52

Innovaare Compliance

DECEMBER 11, 2023

The Contract Year (CY) 2024 Readiness Compliance Checklist for Medicare Advantage Organizations, Prescription Drug Plan Sponsors, 1876 Cost Plans, and Medicare-Medicaid Plans released by the Centers for Medicare & Medicaid Services (CMS) on October 13, 2023, is an excellent place to start. the disabled.

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MRO Compliance

SEPTEMBER 19, 2023

The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article  Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records.

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Healthcare IT Today

JANUARY 2, 2024

The following is a guest article by Marlena Herrera, Director at Protegrity Healthcare organizations are becoming more lucrative targets for hackers, as their data is rich with extremely sensitive information and is often susceptible to vulnerabilities. Healthcare’s most valuable data is their patient or policyholder data.

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Compliance US Department of Health and Human Services HIPAA Health Insurance 68

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

MRO Compliance

JULY 12, 2023

Accurate, properly documented, interoperable patient data is required to achieve CMS’s goal for 100 percent of Medicare (and the majority of Medicaid) beneficiaries to be enrolled in some type of accountable, or value-based, care arrangement by 2030. View Full Article

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Compliancy Group

FEBRUARY 7, 2024

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. For healthcare organizations, understanding UPIC audits and preparing for them is essential to compliance. What is the Purpose of UPIC Audits?

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YouCompli

FEBRUARY 22, 2023

Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. Compliance programs can create value for the organization by being the proactive force to mitigate these risks.

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Compliance US Department of Health and Human Services Overpayments Overpayment 52

Hall Render

JULY 28, 2023

Background In a previous article , we reported on the Center for Medicare & Medicaid Services (“CMS”) implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in PECOS.

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Medicare Medicare Compliance COVID-19 40

AIHC

FEBRUARY 7, 2024

This article provides a basic overview of Artificial Intelligence, Telehealth, Asynchronous Services and HIPAA privacy concerns. Please utilize resources provided within this article for more information. Medicaid policies on this issue vary from state to state. This information is not intended as legal or consulting advice.

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Bill of Health

MAY 22, 2023

A full posting of abstracts/summaries of these articles may be found on our  website. Trends in Spending and Claims for P2Y12 Inhibitors by Medicare and Medicaid From 2015 to 2020. Lessons from Canada’s Notice of Compliance with Conditions Policy for the Life-Cycle Regulation of Drugs. J Am Heart Assoc. Epub 2023 Apr 12].

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