AIHC

AUGUST 30, 2023

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 ? What compliance issues need to be considered when drafting a marketing strategy? We couldn’t talk about websites without mentioning “Blogs”.

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Compliance Fraud Medicare Medicare 52

Healthcare Law Blog

MARCH 20, 2023

For example, a recent study published by the Journal of the American Medical Association (JAMA) associated one or more outpatient behavioral health treatments with lower healthcare costs for certain patients. [5] 6] Increase provider reimbursement strategies. 6] Increase provider reimbursement strategies. 12, 2022).

Medicaid 52

Medicaid Medicaid Licensing ACA 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

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

Health Populi

MAY 29, 2020

In the coronavirus-self-care moment, DIY hair color has been a winning category in fast-moving-consumer-goods (FMCG) at retail. That is the Question” in a CDC blog in 2017, well before the coronavirus raised its crowns in 2019. And let’s not leave other hair out of the discussion: let’s talk about facial hair.

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COVID-19 Public Health Doctors Hospitals 83

Provider Trust

AUGUST 16, 2023

Watch the Webinar In the healthcare industry, remaining compliant with federal and state regulations is of utmost importance. Despite such mandates, OIG investigations over the past five years have found that vendors are accountable for much of the healthcare ecosystem’s fraud, waste, and abuse. With approximately 18.3%

Fraud 52

Fraud Compliance Licensing Compliance Officers 52

Provider Trust

JUNE 1, 2022

Organizations across the healthcare continuum have experienced several workforce trends that are creating gaps in license monitoring and verifications. In this post, we’ll explore three current challenges impacting the healthcare license and credential verification process.

Licensing 52

Licensing Nurses COVID-19 Compliance 52

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.”

Medicare 52

Medicare Medicare Hospitals 52

Med Com Blog

NOVEMBER 30, 2021

physicians routinely are seeing their higher-cost claims down coded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. E/M coding represents the largest category of codes submitted by most providers and monitoring for compliance with billing remains an ongoing effort for Anthem.

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Compliance 40

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.

US Department of Health and Human Services 52

US Department of Health and Human Services Informed Consent Medicare Medicare 52

AIHC

AUGUST 8, 2023

I am a Certified Internal Healthcare Fraud Auditor (CIFHA). Analyze them for repeat offenders which appear consistently not only within categories but between categories. Failure Mode and Effects Analysis (FMEA) is an approach offered in the AIHC Certified Healthcare Auditor course. And do not order : ASK. Brainstorm.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

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.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare Health Outcomes 52

SQA

FEBRUARY 22, 2021

The principal focus of the Plan is to introduce a management model that is more agile, dynamic, adaptable, and transparent, with the aim of better aligning the execution of strategy at all levels of the organization. China Guidances and Regulations. NMPA Adjusts Classification Catalog and Down-Classifies Some Medical Devices, 19 January 2021.

COVID-19 52

COVID-19 Compliance Licensing Governance 52

SQA

FEBRUARY 15, 2023

While it is unclear when and if the proposed amendments will become effective, the previous corrigenda of the MDR have demonstrated that adoption can be swift, which in this case is necessary to ensure that patients and healthcare systems have continuous access to all categories of medical devices.

US Department of Health and Human Services 40

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

Healthcare Law Blog

JANUARY 11, 2023

Morgan Healthcare Conference, you would know that all three are waiting to see what the upcoming final rule on Medicare Advantage risk adjustment data validation (known as RADV) audits will mean for the industry when it drops in February. What do Centene, CVS Health-Aetna and Humana all have in common? The Winds of Change.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

SQA

APRIL 30, 2021

Given the rise of healthcare demand, Member States’ healthcare systems are facing challenges regarding the availability and affordability of medicinal products. Updates include consolidating basic and good practices categories, adding clarification on terminology for users, and updating examples.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Compliance Governance 52

SQA

DECEMBER 16, 2022

The CMDE published additional documents (link in Chinese) that outline the recommended paths for clinical evaluation of certain devices under select sub-categories of the Medical Device Classification Catalog. CMDE Announcement No. 04 Orthopedic Surgical Instruments. 07 Medical Diagnostic and Monitoring Equipment. 09 Physiotherapy Equipment.

FDA 40

FDA Compliance COVID-19 Licensing 40

Healthcare Law Blog

NOVEMBER 13, 2023

As part of its Behavioral Health Strategy , CMS aims to improve access and quality of mental health care and services, such as substance use disorder prevention and treatment services. Please refer to our January 5, 2023 , November 4, 2022 and May 16, 2022 blog posts for more information.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

SQA

OCTOBER 18, 2022

Medicines and Healthcare Products Regulatory Agency (MHRA) . Strategies for evaluating and validating virus retention by virus filtration, including defining the worst-case test parameters, are also discussed. Q2 – Are there steps to lower the reporting category of a supplement?

US Department of Health and Human Services 40

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

SQA

FEBRUARY 26, 2024

The products had been improperly regularized in ANVISA as cosmetics since they are indicated for injectable use, a form that is not authorized for this category of product. The purpose of the note is to clarify that products for invasive aesthetic treatments cannot be regularized in the category of cosmetics.

FDA 52

FDA Compliance COVID-19 Public Health 52

Healthcare Law Blog

JANUARY 5, 2023

Please refer to our blog posts of November 4, 2022 , October 31, 2022 , and May 16, 2022. In January 2021, CMS finalized a provision permitting R&I programs to offer a gift card “that can be redeemed only at specific retailers or retail chains or for a specific category of items or services.” MA and Part D Marketing.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Jane Sarashon

DECEMBER 20, 2023

At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. As medical bills rise, overall health declines we learned from the 2023 PayMedix report, Healthcare Payments and Financial Disparities Study.

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Prescription Drug Pricing Medical Billing Health Insurance Public Health 67