Medisys Compliance

DECEMBER 20, 2022

On a similar note, it goes without saying that patient satisfaction will be impacted by the medical billing services. The following are some of the frequently asked questions regarding patient medical billing services. We are here to answer your questions and assist you in determining what is best for your practice.

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing Patient Satisfaction 98

Verisys

MAY 13, 2024

– The best resource for monthly healthcare regulatory compliance updates. Physician assistants who have at least 8000 hours of clinical practice are no longer required to practice with a supervision agreement. This bill removes sections on classifications of medical first responders.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

MRO Compliance

NOVEMBER 17, 2021

Alongside the increase in audits comes the challenge and cost of managing the associated increase in medical record exchange. The challenge is knowing where your risks lie, where you have opportunity for improvement, and engaging clinicians to follow best practices. Best Practices to Retaining Revenue .

COVID-19 130

COVID-19 Compliance Medicare Medicare 130

AIHC

JUNE 6, 2023

The ideal characteristic of artificial intelligence is its ability to rationalize and take actions that have the best chance of achieving a specific goal. Can AI Streamline Medical Coding & Billing Functions? It also encompasses sub-fields of machine learning and deep learning. Can ChatGPT Replace a Physician?

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

AIHC

JUNE 6, 2023

The ideal characteristic of artificial intelligence is its ability to rationalize and take actions that have the best chance of achieving a specific goal. Can AI Streamline Medical Coding & Billing Functions? It also encompasses sub-fields of machine learning and deep learning. Can ChatGPT Replace a Physician?

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

MedTrainer

MARCH 8, 2024

This blog post will explore why compliance training is vital for an industry where mistakes or non-compliance can seriously affect patients, staff, and the organization. Healthcare professionals should frequently learn, re-train, and refresh their knowledge of new concepts and best practices.

Compliance 52

Compliance Fraud Governance HIPAA 52

YouCompli

AUGUST 9, 2023

There are three key components of a “reframe, regroup, and refocus” strategy in practice. It’s standard now to offer those materials at a fifth or sixth grade reading level, using everyday terms and not medical jargon. It’s an important way that compliance professionals can reinforce the delivery of seamless patient care. 

Compliance 52

Compliance COVID-19 ACA Fraud 52

YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. A physician prescribes a new medication. A medical practice increases the volume of laboratory tests at an outside laboratory. Is it really the best medical device?

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

Verisys

JUNE 8, 2023

These non-compliant situations mean: (a) greater risk to patient safety, (b) exposure to liability for negligent hiring, (c) probability of State and Federal civil monetary penalties, (d) restricted practice through sanctions, and (e) loss of patient population or customer relationships through reputational damage. Fraud Data Gap The U.S.

Compliance 52

Compliance Fraud Licensing Medicare 52

MedTrainer

JUNE 6, 2021

Properly coded clinical reports are one of the cornerstones of an effective healthcare practice, and that’s why it’s often one of the most substantial parts of compliance training for institutions. This is where a physician query can come in handy, even if many medical professionals get uncomfortable dealing with them.

Compliance 40

Compliance 40

MedTrainer

JULY 13, 2023

Common Uses of AI in Healthcare AI has enabled the integration of big data to identify disease risk, changes in physical/cognitive conditions, and provide decision support for healthcare providers, clinical team members, billing specialists, and leadership. For example, when a human incorrectly codes an item, it happens one time.

Compliance 52

Compliance Compliance Officers FDA Governance 52

MedTrainer

NOVEMBER 28, 2023

Under the state’s Department of Health and Human Resources , Michigan Medicaid works with healthcare providers enrolled with Medicaid programs, provides information about billing, and conducts reporting for Medicaid programs. The state regulates medical marijuana dispensaries for safety and quality.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

Healthcare Law Blog

FEBRUARY 9, 2024

2] Specifically, Sherman alleged that ChristianaCare violated the FCA and DE FCA by providing “in-kind” services to physician groups that were captured in the bundled billing codes submitted to federal health care programs by the groups themselves.

Hospitals 52

Hospitals Compliance Officers Compliance Overpayments 52

Verisys

DECEMBER 9, 2022

The best resource for monthly updates. . This bill would require that those 30 hours of approved courses of continuing pharmacy education include at least one hour of participation in a cultural competency course, as defined. The bill would make the bill’s provisions operative on January 1, 2024.

Licensing 52

Licensing COVID-19 Public Health Nurses 52

Healthcare Law Blog

SEPTEMBER 22, 2022

Specifically, when a plan or issuer downcodes the billed claim, the Final Rule requires that the plan or issuer automatically provide additional information about the QPA with an initial payment or notice of denial. These interim final rules were challenged in court and subsequently vacated. IDR Factors for OON Disputes.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

OCTOBER 4, 2023

Think of it as giving healthcare workers a clear roadmap to make sure they’re always on the right side of the law and best practices. For example, even if not required, you may want every employee to participate in a specific diversity course or a training related to your organization’s medical record retention policy.

Compliance 52

Compliance Regulatory Compliance ADA Informed Consent 52

MedTrainer

JUNE 29, 2023

Adhering to healthcare regulations is the best way to reduce risk, improve safety, boost patient and provider satisfaction, and enhance service quality. By enforcing these regulations, governments and regulatory bodies aim to prevent medical errors, improve patient outcomes, and maintain trust in the healthcare system.

Fraud 52

Fraud HIPAA Compliance Governance 52

MedTrainer

DECEMBER 4, 2023

The Mississippi State Board of Medical Licensure (MSBMI) is responsible for regulating and licensing medical professionals in Mississippi, ensuring high standards of practice and safeguarding public health. It is also best practice to include the standard you are meeting for additional clarity.

Compliance 52

Compliance Telemedicine Licensing Public Health 52

YouCompli

APRIL 5, 2023

The seven elements in the OIG’s effective compliance program are also useful as we consider how to best deliver quality patient care post-PHE. Each element is an opportunity for compliance officers to position their organization to provide the best patient care.

Compliance Officers 52

Compliance Officers COVID-19 Compliance COVID-19 Vaccine 52

Healthcare Law Blog

MAY 31, 2022

Among other laws, this might include state biometric privacy laws, state “comprehensive laws” ( California , and forthcoming in Colorado , Connecticut , Virginia and Utah ), and considerations under unfair and deceptive practice laws at the state and federal level. Medical Device Regulations. 1, 2021). [2]

FDA 90

FDA HIPAA Medicare Medicare 90

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. Medically Unnecessary Services. Practical Takeaways. Preventing, detecting and responding to compliance issues is key.

Fraud 40

Fraud Governance Medicare Medicare 40

YouCompli

DECEMBER 19, 2023

Relevant Individual (page 36) : The OIG wisely introduces this new term and includes employees, contractors, patients, customers, agency staff, medical staff, subcontractors, agents, and other key individuals as relevant. If possible, they should not be involved with billing, coding, or submission of claims.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

YouCompli

NOVEMBER 29, 2023

Relevant Individual (page 36) : The OIG wisely introduces this new term and includes employees, contractors, patients, customers, agency staff, medical staff, subcontractors, agents, and other key individuals as relevant. If possible, they should not be involved with billing, coding, or submission of claims.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

YouCompli

AUGUST 16, 2023

This is a situational example that occurs daily in the life of a practicing physician and has a HIPAA concept embedded in the scenario. The best way to do that is to roll up your sleeves and dig into the logistics of their operations. the wrong procedure code was billed). How would they view this particular topic?

Compliance 52

Compliance HIPAA Medicare Medicare 52

Health Populi

JUNE 26, 2018

I’m blogging live while attending HXD 2018 in Cambridge, MA, the health/care design conference convened by Mad*Pow, 26th and 27th June 2018. Take (or create) an oath (like the Designer’s Oath), a code of ethics for doing right by people. Join the community to share best practices, dilemmas, and learnings.

Medical Billing 75

Medical Billing Public Health Hospitals 75

Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

YouCompli

JUNE 14, 2023

A designated record set includes medical records, billing records, payment and claims records, health plan enrollment records, case management records, as well as other records used, in whole or in part, by or for a covered entity to make decisions about individuals.

Compliance 52

Compliance Compliance Officers HIPAA Health Insurance 52

HIT Consultant

AUGUST 2, 2022

Exacerbated by pandemic-induced burnout, resignations, and even terminations 1 , chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. The Technology Factor.

Hospitals 97

Hospitals Compliance COVID-19 HIPAA 97

Drug & Device Law

JULY 31, 2023

We have blogged several times about the somewhat esoteric issue of whether intangible items – chiefly computer software, website algorithms, and other electronic information – is treated as a “product” for purposes of imposing strict liability on their creators. Proprietary computer source code was not a stolen “good” as required by the NSPA.

Governance 52

Governance Payment Systems Hospitals Licensing 52