MedTrainer

NOVEMBER 14, 2023

While there are many advantages of a effective corporate compliance in a healthcare facility, one particularly noteworthy result stands out: the significant reduction in risk-related costs. What Is a Corporate Compliance Program in Healthcare? Generally, it ensures adherence to laws, regulations, and ethical standards.

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MedTrainer

APRIL 18, 2024

In this blog post, we’ll explore these and how behavioral health practices are adopting technology to prepare for the future. Maintaining Compliance: Once enrolled with Medicare, behavioral health providers must maintain compliance with Medicare’s rules and regulations to continue participating in the Medicare program.

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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

JUNE 29, 2023

Designated Health Services are specific healthcare services listed in the law, including clinical laboratory services, physical therapy, occupational therapy, radiology services, durable medical equipment, and others. The purpose of Stark Law is to prevent conflicts of interest that could potentially influence healthcare decision-making.

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Provider Trust

AUGUST 16, 2023

Watch the Webinar In the healthcare industry, remaining compliant with federal and state regulations is of utmost importance. Watch the Webinar In the healthcare industry, remaining compliant with federal and state regulations is of utmost importance. In this post, we recap the key takeaways from the webinar.

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MedTrainer

FEBRUARY 27, 2024

Home health aides (HHAs) perform what is likely the most personal role in healthcare. And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. The Code of Federal Regulations ( Section 484.80 ) provides the qualification guidelines for home health aides.

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Healthcare Law Blog

JANUARY 20, 2023

Research has indicated that healthcare systems that connect patients to basic resources have observed improvements in population health metrics, fostered trust with their patient base, and experienced reduced hospitalization costs. Please refer to our prior blog for more information on CalAIM.

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AIHC

AUGUST 30, 2023

Using a telemarketing firm can help your organization, but it must be used within applicable rules regulating health care. When a healthcare practice starts talking about, “ What can we do to increase business? ”, telemarketing always seems to come up. So, what is telemarketing in healthcare ? Great idea, right?

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Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. 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.

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Provider Trust

MAY 18, 2022

Collectively referred to as vendors, these business relationships for healthcare organizations often include key suppliers such as durable medical equipment, contract employees, software and technology, janitorial services, and a plethora of other service providers. What does this mean to healthcare providers in the U.S.?

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Healthcare Law Blog

JANUARY 10, 2024

Sustainability of our healthcare system was an interesting topic at Day 2 of the 42 nd Annual J.P. Morgan Healthcare Conference. Paul Markovich, CEO of Blue Shield of California, expressed the concern that “[T]he status quo is an existential threat to our healthcare system.”

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YouCompli

MARCH 1, 2023

Effectively Manage Shared Responsibility A common challenge for compliance officers in healthcare organizations is collaborating with operational leaders to identify and mitigate risks. It’s particularly helpful for healthcare systems that operate under a decentralized organizational structure – as the vast majority do.

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YouCompli

DECEMBER 14, 2022

Sharon Parsley, JD, MBA, CHC, CHRC contributes a monthly post on compliance officer effectiveness for the YouCompli blog. Nursing represents the largest team in many healthcare organizations, so we must build strong relationships here. Sales and marketing in healthcare is, as we all know, unique. Sales and Marketing.

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Compliance Compliance Officers Nurses Overpayments 52

SQA

FEBRUARY 22, 2021

China Guidances and Regulations. Noteworthy changes consist of the down-classification of 15 device types (including optical endoscopes and medical microscopes) and revisions to the entries for 13 product categories (including additional classification adjustments). 147 of 2020 (link in Chinese).

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Healthcare Law Blog

JULY 24, 2023

Oregon and Delaware have recently joined an increasing number of states enacting comprehensive privacy legislation intended to safeguard consumer [1] personal data by tightening regulation of businesses controlling and processing personal data. [2] 6] However, healthcare entities outside of HIPAA’s purview may still be subject to the acts.

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HIPAA 52

Healthcare Law Blog

MARCH 17, 2022

Millions of people in the US suffer from heart failure each year, resulting in billions of dollars in healthcare costs. The Therapy is available only for clinical use under an FDA-approved, Category B Investigational Device Exemption (“IDE”) ( see 42 CFR 405.211(b)-(c) ). The Requestor is also the sponsor of the proposed study.

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Healthcare Law Blog

JANUARY 26, 2024

non-publicly traded entities), regardless of the degree to which they are already regulated at the state level. The CTA’s application to common corporate structures in the healthcare industry (e.g., management services agreements, equity restriction or succession agreements).

Governance 64

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Provider Trust

APRIL 26, 2023

Compliance and HR managers responsible for staffing should stay apprised of events that may have repercussions within the healthcare space. Healthcare organizations will need to ensure that their providers are properly licensed for the state in which they are working, but this can be challenging as licensing requirements vary by state.

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Hall Render

JANUARY 31, 2022

The updated surveyor guidance updates include: National Healthcare Safety Network Data Review. The Surveyor Guide makes the review of National Healthcare Safety Network (“NHSN”) data mandatory to prepare to review the staff data onsite. The sample size will not change if staff in a category do not exist.

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Healthcare Law Blog

FEBRUARY 1, 2023

This does not come as a surprise, as most startups in the healthcare technology space have been active in developing attractive strategies. The DOJ and the Federal Trade Commission (FTC) have demonstrated a keen interest in PE deals in the healthcare industry.

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Electronic Medical Records Medicare Medicare Health Outcomes 52

Innovaare Compliance

JANUARY 16, 2022

Leaders of healthcare organizations who must adhere to Medicare or Medicaid regulations face an important decision: manage member issues in a single Member Experience Platform or buy several separate case tracking systems and seamlessly integrate them. Interdepartmental communications within healthcare organizations is nothing new.

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Healthcare Law Blog

JUNE 27, 2023

10] The Letter suggests that this prohibition should be expanded to other categories of health care information, as “patients should not be policed or criminalized for the type of health care they seek.” [11] 11] The Letter cites gender-affirming services as an example. [12] 12] Clarify the “primarily for the purpose of” qualifier.

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HIPAA Health Insurance Public Health Compliance 52

AIHC

AUGUST 8, 2023

Perverse Incentives are nearly natural by-products, motivating unscrupulous individuals to game the system to make easy money or cut corners in regulations. I am a Certified Internal Healthcare Fraud Auditor (CIFHA). Analyze them for repeat offenders which appear consistently not only within categories but between categories.

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Compliance Fraud Medicaid Medicaid 52

YouCompli

JUNE 14, 2023

Proactive relationships protect patient rights Healthcare organizations often contract with third parties to handle work they are unable to perform themselves. Steps for Proactive Healthcare Compliance Officers 1. Assess and prioritize business associates by risk categories for effective monitoring.

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Healthcare Law Blog

MAY 25, 2023

4] It is important to note that although the Act expressly exempts covered entities and business associates which are governed by HIPAA, [5] the Act may still be pertinent to players within the healthcare space which are not subject to HIPAA. Small Business Administration. [4] Section 541.001(19).

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HIPAA Governance 52

SQA

FEBRUARY 15, 2023

Following the draft consultation in November 2022, the NMPA announced the issuance of the Regulations on the Supervision and Management of Enterprises Implementing the Main Responsibility of the Quality and Safety of Medical Devices , which will come into force on 01 March 2023.

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US Department of Health and Human Services FDA COVID-19 World Health 40

Health Law Advisor

JUNE 1, 2023

Therein lies the clinical problem, in that many people die of sepsis because healthcare providers didn’t or couldn’t see it soon enough to treat it effectively. 11] Healthcare lawyers, on the other hand, must start by figuring out who the categories of people are that need to be statistically evaluated.

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Healthcare Law Blog

MAY 16, 2022

CMS believes its proposals would improve Federal and State oversight of D-SNPs (and their affiliated MCOs) through greater information-sharing among government regulators. Attainment of the Maximum Out-of-Pocket Limi t (“MOOP”) (§§ 422.100 and 422.101).

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Health Law RX

JULY 18, 2023

On June 27, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its long-anticipated final rule amending the OIG’s civil monetary penalty (CMP) regulations as they relate to information blocking (CMP Final Rule or Rule). The CMP Final Rule was published in the Federal Register on July 3, 2023.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

Healthcare IT Today

NOVEMBER 14, 2023

“Wellness” has become a new mantra for healthcare organizations. Particularly pertinent to the Healthcare IT Today blog, wellness is a goal promised by many digital apps. Categories of Measures Clinicians, payers, and regulators tend to look at two different types of measures: outcomes and process indicators.

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Medicare Medicare Doctors COVID-19 104

SQA

MAY 24, 2023

As recommended by the International Health Regulations (IHR), there must be a vector-free zone at seaports, airports, and land crossing and within a perimeter of 400 meters around these entry points. Last year also saw China’s first regulation permitting online sales of prescription drugs nationwide.

FDA 40

FDA Licensing Governance Compliance 40

Hall Render

NOVEMBER 28, 2023

What CMS may have missed in this chart is that, as rates are reduced, or fail to keep pace with cost increases due to inflation, labor market pressure and other factors, agencies are falling out of the positive margin category into the negative margin category and then closing. Hospice Risk-Screening Category. Managing Employee.

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Medicare Medicare Payment Systems Medicaid 40

Health Populi

JANUARY 2, 2020

Hearables have been emerging at CES for a few years, and now vision will be a newer category to watch. (As Subsequently, ResMed joined with Dr. Oz to launch SleepScore Labs – an exhibitor at CES 2020 in the fast-growing sleep category at the Show. Forbes ran a column on CES 2020 discussing AI in hearing and vision.

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SQA

APRIL 30, 2021

Initially put in place on 30 January 2021, and with a timeframe lasting until 12 March 2021, the new regulation extends the duration of this mechanism until the end of June 2021. The new regulation also simplifies the procedure by allowing the grouping of exports to different final recipients in the same country in one single request.

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COVID-19 Vaccine COVID-19 Compliance Governance 52

SQA

DECEMBER 16, 2022

The changes will serve to strengthen the country’s medical device registration regulations upon their effective date of 01 March 2023. These guidelines were created to help medical device manufacturers integrate the requirements of the regulation into the development and manufacture of medical devices. CMDE Announcement No.

FDA 40

FDA Compliance COVID-19 Licensing 40

AIHC

FEBRUARY 16, 2024

The American Institute of Healthcare Compliance (AIHC TM ) has released a 2024 Corporate Compliance Officer training program which is not only based on the new GCPC, but goes beyond to address quality, safety, HIPAA and other high-risk areas. One of the earliest healthcare cases I know of occurred in Canada. Did this affect healthcare?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The American Institute of Healthcare Compliance (AIHC TM ) has released a 2024 Corporate Compliance Officer training program which is not only based on the new GCPC, but goes beyond to address quality, safety, HIPAA and other high-risk areas. One of the earliest healthcare cases I know of occurred in Canada. Did this affect healthcare?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52