MedTrainer

DECEMBER 4, 2023

This article gives a clear and detailed look at the important things you need to know about following healthcare laws in Kentucky, especially for those who provide healthcare and manage compliance. Medicaid Telehealth Regulations In Kentucky, Medicaid telehealth regulations are crucial for healthcare providers and compliance professionals.

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MedTrainer

NOVEMBER 28, 2023

This article serves as a quick-reference guide for maintaining healthcare compliance in Michigan State. Since its inception in 1919, the MHA advocates for its member hospitals and health systems in legislative and regulatory matters, focusing on important issues such as quality of care, affordability, and accessibility.

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Health Populi

FEBRUARY 15, 2022

While his friend did not win his race, William Weld did win the governor’s post and Abner joined State government under Weld. He ended up working in Massachusetts State government for about 15 years. Abner would talk about Medicaid, and the VC community didn’t understand what Medicaid was having little to no exposure to the payor.

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Medicaid Medicaid Telemedicine Governance 113

MedTrainer

NOVEMBER 30, 2023

Minnesota, distinct from other states, carries a unique landscape of regulations and standards that govern its healthcare compliance. This article provides a quick overview of important healthcare compliance standards you need to know, specific to the state of Minnesota.

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MedTrainer

NOVEMBER 29, 2023

This article reveals the must-knows for confidently achieving compliance in Massachusetts. The Massachusetts Health & Hospital Association (MHA) is a prominent organization representing hospitals and health systems across Massachusetts, advocating for policies and practices that support healthcare delivery and patient care.

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MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the West Virginia Department of Health and Human Resources (DHHR) and the Bureau for Medical Services (BMS) , oversee and enforce these regulations. This article explores key elements you need to know to achieve compliance in West Virginia.

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MedTrainer

DECEMBER 7, 2023

For example, the Office of Health Care Assurance (OHCA) is one governing body that healthcare professionals need to understand in order to manage organizational licensure and healthcare compliance in Hawaii effectively. This article offers a summary of essential aspects of healthcare compliance specific to Hawaii.

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Compliance Compliance Officers Licensing Medicaid 52

MedTrainer

DECEMBER 4, 2023

Use the resources in this article to guide you through the complexities of Nebraska’s healthcare compliance regulations, so you don’t find yourself behind the game. These agencies help maintain the integrity and quality of healthcare services in Nebraska , protecting the public and promoting patient safety.

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Compliance Licensing Nursing Homes Nurses 52

MedTrainer

DECEMBER 7, 2023

This article delves into the crucial components necessary for maintaining compliance in New Hampshire. The New Hampshire Medicaid (Medical Assistance) program within DHHS provides medical assistance to eligible low-income residents, offering a range of healthcare services to support their health and well-being.

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Compliance Licensing Public Health Medicaid 52

MedTrainer

DECEMBER 4, 2023

For those involved in healthcare provision and compliance management, this article details useful tips and resources for some of the most crucial compliance concepts in Mississippi. These agencies help maintain the integrity and quality of healthcare services in Mississippi , protecting the public and promoting patient safety.

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Compliance Telemedicine Licensing Public Health 52

MedTrainer

DECEMBER 4, 2023

Additionally, the state’s approach to Medicaid expansion involves unique waivers, impacting eligibility criteria and cost-sharing provisions. In this article, you’ll learn more about creating a comprehensive approach to ensure compliance in North Dakota’s unique regulatory environment.

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Healthcare IT Today

MARCH 24, 2023

The following is a guest article by Diana Zuskov, MPH, Associate Vice President of Healthcare Strategy at LexisNexis® Risk Solutions. Prioritizing data that has been purpose-built and clinically validated ensures that we’re tracking data that truly predicts and impacts health outcomes, not just correlation.

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Health Outcomes Public Health Medicaid Medicaid 94

MedTrainer

NOVEMBER 29, 2023

For healthcare compliance programs in Indiana to be successful, organizations must have methods in place for tracking and applying regulatory standards, while ensuring all staff are up to date with changes by governing bodies. This article provides an overview of the important aspects to healthcare compliance specific to Indiana State.

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Healthcare IT Today

OCTOBER 18, 2022

The following is a guest article by Jay Nakashima, Executive Director at eHealth Exchange. For the health IT community, 2022 has been a big year. . While all QHINs will be subject to a common set of baseline requirements, the QHIN Technical Framework allows for variations in governance and operation.

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Electronic Medical Records Governance Public Health Medicaid 62

MedTrainer

DECEMBER 7, 2023

Avoid feeling lost in a sea of rules — use this article as a compass for building a sturdy compliance program as steadfast as the coastline. These agencies help maintain the integrity and quality of healthcare services in Maine , protecting the public and promoting patient safety.

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Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

NOVEMBER 20, 2023

This article offers a comprehensive guide to essential aspects of healthcare compliance pertinent to Texas. Texas Health and Human Services comprises hundreds of programs that work with federally qualified health clinics (FQHCs), medical associations, community partners, and local governments to help the public find the health care they need.

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Compliance Licensing Public Health Governance 52

Medisys Compliance

MARCH 19, 2024

Ultimately, accurate billing not only ensures fair compensation for services rendered but also underpins the sustained provision of life-saving MAT interventions, embodying the pivotal role of billing proficiency in advancing public health initiatives. Looking to streamline your billing process?

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Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

MedTrainer

NOVEMBER 14, 2023

In Virginia, healthcare compliance may differ in Medicaid policies, telehealth regulations, scope of practice for healthcare professionals, certificate of need (CON) laws, and specific state mandates related to healthcare reporting and licensing.

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Compliance Licensing Governance Hospitals 52

Hall Render

FEBRUARY 27, 2023

Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 The government initiated 296 FCA cases on its own last year without input of a relator, which is the highest volume of DOJ initiated cases since the 1986 FCA amendments.

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Nursing Homes Fraud Medicaid Medicaid 40

MedTrainer

OCTOBER 29, 2023

This article provides an overview of key factors you’ll want to know about healthcare compliance in California. The California Hospital Association (CHA) provides leadership and advocacy for hospitals and health systems, promoting access to quality healthcare for all Californians.

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Compliance COVID-19 HIPAA Governance 52

AIHC

OCTOBER 20, 2023

Part 1 in a Series of Leadership Articles on Value-Based Care Written by Joanne Byron, LPN, BS, CCA, CIFHA, CHA, COCAS, CORCM, CHCO, OHCC, CMDP, ICDCT-CM/PCS ​ Edited by Julie Rickman , MBA, CHC, CHPC, CHCO ​ This article is the first in a series sponsored by the American Institute of Healthcare Compliance (AIHC) Volunteer Education Committee.

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Health Outcomes Medicare Medicare Governance 59

MedTrainer

NOVEMBER 5, 2023

This article provides an overview of key factors you’ll want to know about healthcare compliance in Washington. These agencies help maintain the integrity and quality of healthcare services in Colorado, protecting the public and promoting patient safety. Learn more about credentialing in Colorado.

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Compliance Licensing Informed Consent Public Health 52

Health Populi

AUGUST 24, 2018

” The authors recommend that public health leaders and policy makers address the obesity trend when designing “policies and interventions to improve the public’s health.” In the United States, however, there’s been under-investment in these social determinants that closely tie to health.

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Public Health Doctors Medicaid Medicaid 72

Healthcare IT Today

NOVEMBER 9, 2022

Specifically, what if the Center for Medicare & Medicaid Services (CMS) rescinds the emergency orders it has put in place during the COVID-19 pandemic? This article focuses on revenue, because I and other writers frequently cover impacts of televisits on access and care plans. The premise of this article embraces an irony.

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COVID-19 Doctors Telemedicine Medicare 100

MedTrainer

NOVEMBER 29, 2023

This article serves as a comprehensive primer, highlighting the key elements of healthcare compliance that are specific to Tennessee. TennCare is Tennessee’s managed Medicaid agency. These agencies help maintain the integrity and quality of healthcare services in Tennessee , protecting the public and promoting patient safety.

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Compliance Licensing HIPAA Medicaid 52

MedTrainer

NOVEMBER 30, 2023

This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of. These agencies help maintain the integrity and quality of healthcare services in Missouri , protecting the public and promoting patient safety.

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Compliance Compliance Officers Hospitals Public Health 52

AIHC

SEPTEMBER 5, 2023

This article is not intended as legal or consulting advice. If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic.

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COVID-19 Telemedicine Compliance Informed Consent 59

Hall Render

FEBRUARY 4, 2022

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. That figure does not include even more funds recovered for state Medicaid programs. Health Care Fraud Actions. Practical Takeaways.

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Fraud Governance Medicare Medicare 40

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S. OCR can impose civil money penalties up to $1.5

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HIPAA Compliance Governance Health Insurance 59

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S. OCR can impose civil money penalties up to $1.5

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HIPAA Compliance Governance Health Insurance 52

OSHA Law Blog

JANUARY 7, 2022

The common theme on which Justice after Justice questioned the parties was not whether vaccinations are helpful in the fight against COVID-19 or whether mandates are lawful generally, but who gets to decide these public health questions?

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COVID-19 Governance Medicaid Medicaid 40

Hall Render

JANUARY 14, 2022

In a January 13 statement , CMS clarified that the decision would not change the compliance deadlines for health care employers in the 25 states, territories and the District of Columbia, where the CMS IFR was already in effect. The Court’s order stays enforcement of OSHA’s ETS pending final disposition in the lower courts.

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COVID-19 Vaccine COVID-19 Compliance Medicare 40

Healthcare IT Today

JANUARY 6, 2023

An end to the Public Health Emergency (PHE) is likely to be announced and end mid-January followed by a grace period of approximately 5 months. And with the Public Health Emergency (PHE) set to expire in January, stakeholders are urgently calling upon Congress to pass the Advancing Telehealth Beyond COVID-19 Act of 2021.

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US Department of Health and Human Services Doctors Telemedicine Public Health 104

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. Click Here for Cross-State Licensing information.

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HIPAA Compliance COVID-19 Compliance Officers 52

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment.

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Medicare Medicare Payment Systems Governance 52

Total Medical Compliance Resources

APRIL 14, 2023

FACT SHEET: Biden-Harris Administration Makes Progress in the Whole-of-Government Response to Long COVID U.S. Diagnosis code education: The Centers for Medicare and Medicaid developed educational materials for providers so they can use the new ICD-10 code for Long COVID. It also lays out a path for future inquiry.

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Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 59

Hall Render

MAY 2, 2023

As the COVID-19 pandemic took its toll, the year 2020 ushered in declarations of a National Emergency (“NE”) and a Public Health Emergency (“PHE”). 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. In addition, H.J.

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Public Health COVID-19 COVID-19 Vaccine ACA 40