AIHC

JUNE 6, 2023

AI Use in Healthcare Research & Quality As posted in the American Institute of Healthcare Compliance (AIHC) June monthly newsletter, the Agency for Healthcare Research & Quality (AHRQ) grantee is testing AI for use to improve breast cancer screening accuracy and efficiency. Beware of new companies offering such services.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Provider Trust

MAY 17, 2022

So what does that mean for your healthcare organization’s compliance program? Is your organization properly vetting and monitoring compliance of your entire vendor network? Which regulations govern vendor compliance? Vendor Z provides contract janitorial services.

Compliance 52

Compliance Medicare Medicare Due Diligence 52

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. However, healthcare receives federal funding, and thus OFAC is an additional sanction list that you should add to your vendor compliance plan/program. Case Study: S. Bay Mental Health Centers (and the associated PE firm) U.S. Martino-Fleming v.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

YouCompli

NOVEMBER 15, 2023

Because they pose risks to patient privacy and security, it is important for compliance pros to understand them and, of course, comply with applicable federal laws. With the OCR and FTC focusing on these issues, compliance professionals should as well so they can best support their organization and their patients.

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Due Diligence 52

Verisys

JULY 20, 2023

3: Allowing a physician to treat patients before credentialing is completed Courts have held hospitals liable when a physician falsifies credentials, and the hospital fails to do its due diligence in verifying them. Therefore, due diligence requires background checks to identify current and historical adverse actions.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 52

Hall Render

JANUARY 11, 2023

For example, reimbursement under Medicare and Medicaid for certain telemedicine services was significantly increased due to the COVID-19 pandemic. Hall Render blog posts and articles are intended for informational purposes only. Your primary Hall Render contact.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Healthcare Law Blog

APRIL 3, 2023

Has the PE firm evaluated the operational and financial practices of its portfolio companies to ensure compliance with unique healthcare requirements? Is the PE firm using the same strategies to turn around healthcare companies that it uses to turn around other types of companies? The case ultimately settled, with the PE firm paying $1.5

Due Diligence 52

Due Diligence Governance Fraud Compliance 52

YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. Routine occurrences – and a potential compliance issue if it looks like financial kickbacks are involved. Tips for Healthcare Compliance Officers: Understand Vendor Benefits Familiarize yourself with the benefits provided by vendors.

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

YouCompli

JUNE 1, 2022

CJ Wolf, MD provides enforcement action summaries for the YouCompli blog. Before the COVID pandemic, many openings were due to retiring nurses coming to the end of a long career. It was also reported that the Iowa board would not comment for the story due to privacy restrictions. The United States has a nursing shortage.

Licensing 52

Licensing Nurses Due Diligence Compliance Officers 52

MedTrainer

SEPTEMBER 20, 2023

Negligent credentialing occurs when healthcare facilities grant privileges to medical professionals to practice within their facility without first conducting due diligence in assessing their qualifications, competence, and ethical standing. What Is Negligent Credentialing?

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

Healthcare Law Blog

FEBRUARY 2, 2023

healthcare compliance and reimbursement), and sometimes tax and employee benefits. From a buyer’s perspective, the LOI should reserve for additional items that may be discovered through diligence. These may include representations regarding regulated industries (e.g., Define purchase price adjustments.

Due Diligence 52

Due Diligence Fraud Compliance 52

MedTrainer

AUGUST 2, 2023

Check to make sure they’re compliant with state regulations where you provide service, and that the credentialing for those providers reflects compliance. Network Analysis Performed To avoid duplicate profiles with payers, a credentialing service should conduct due diligence in running a network analysis.

Due Diligence 52

Due Diligence Malpractice Licensing Compliance 52

Healthcare Law Blog

MAY 2, 2023

Changes to Contract Year Definition CMS is required to conduct a comprehensive annual review of PACE organizations’ operations during the first three contract years of operating a PACE program (known as the “trial period”) to assure compliance with all significant requirements.

Due Diligence 52

Due Diligence Medicaid Medicaid Compliance 52

MRO Compliance

MAY 18, 2022

This committee should oversee the organization’s patient privacy compliance program and conduct quarterly risk analyses and assessments. Organizations should provide formal training at least once a year to ensure compliance with applicable federal and state laws. 4) Test the effectiveness of your compliance program.

US Department of Health and Human Services 130

US Department of Health and Human Services Due Diligence Compliance COVID-19 130

MedTrainer

AUGUST 2, 2023

Good credentialing management opens the door to a wide range of benefits at both the facility and organization levels: Compliance With Regulatory Standards. Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

Verisys

JULY 13, 2023

How to Tackle Pharma’s 3 Biggest Compliance Risks Head-On with Verisys How often have you started at a new organization and heard these phrases? “ Some companies make decisions based on compliance standards and optics, while others may be more lax. Clinical trial compliance can offer unique challenges for pharmaceutical companies.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52

MedTrainer

AUGUST 2, 2023

After that, the credentialing process is periodically reviewed and renewed to ensure ongoing compliance with standards and regulations. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust. Why Is Provider Credentialing Important?

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Verisys

NOVEMBER 30, 2023

Therefore, due diligence requires background checks to identify both current and historical adverse actions be performed. Verisys’ credentialing services help organizations maintain compliance and mitigate risk. Hospital and health systems will be held accountable for a physician’s omission. Mistake No. Contact us to learn more.

Malpractice 52

Malpractice Licensing Due Diligence Hospitals 52