Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The DOJ Announcement stresses the importance of investing in strong compliance programs for both the buyers and sellers in business transactions.

Compliance 52

Compliance Due Diligence Fraud Governance 52

McBrayer Law Blog

FEBRUARY 23, 2022

Just as the pandemic may finally be easing, federal focus on use of COVID-19 resources promises to increase healthcare providers’ stress. More > Tags: Audit , Centers for Medicare & Medicaid Services , CMS , COVID-19 , Healthcare Compliance Issues , Medicaid , Medicare , regulatory compliance.

Compliance 97

Compliance COVID-19 Regulatory Compliance Medicaid 97

Verisys

MAY 3, 2023

7 Core Elements of Healthcare Compliance Plan and How to Measure Them Healthcare compliance regulations are complex and ever-changing, but are an essential part of any healthcare organization’s effort to provide safe, high-quality care for patients. What is an effective healthcare compliance program?

Compliance 52

Compliance Compliance Officers ADA Governance 52

YouCompli

JANUARY 2, 2024

The updated General Compliance Program Guidance (GCPG) from the Office of the Inspector General (OIG) is an extremely helpful reference with an easy-to-understand user’s guide. Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a relevant and meaningful way.

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 52

Hall Render

NOVEMBER 10, 2023

Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders. Key Highlights of the GCPG Much of what is covered in the GCPG is not new to the health care compliance industry.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

AIHC

AUGUST 30, 2023

What compliance issues need to be considered when drafting a marketing strategy? Typically, the health care provider does not have internal resources for this type of project and will hire a professional telemarketing firm. Let’s take a closer look at potential compliance risks. So, what is telemarketing in healthcare ?

Compliance 52

Compliance Fraud Medicare Medicare 52

YouCompli

JULY 20, 2022

Anstine is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog. This post looks at engaging the compliance committee. Within the business of healthcare, we talk a lot about a culture of compliance.

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Compliance Compliance Officers Fraud Nurses 52

MedTrainer

OCTOBER 4, 2023

Corporate compliance training helps healthcare organizations balance the need to provide top-notch care with adhering to a plethora of regulations. What Is Corporate Compliance Training? What Is the Difference Between Corporate Compliance Training and Regulatory Compliance Training?

Compliance 52

Compliance Regulatory Compliance ADA Informed Consent 52

MedTrainer

OCTOBER 4, 2023

In today’s demanding healthcare landscape, the balance between compliance and efficiency is delicate. To keep healthcare organizations on track, compliance management platforms have emerged as the go-to solution, enabling compliance while maximizing operational efficiency. What Is a Compliance Management Platform?

Compliance 52

Compliance Licensing Compliance Officers 52

MedTrainer

JUNE 28, 2023

To ensure the safety of PHI, healthcare organizations have a responsibility to keep it safeguarded through HIPAA compliance management and by following the Health Insurance Portability and Accountability Act (HIPAA). What Is HIPAA Compliance? Achieving and maintaining HIPAA compliance management takes ongoing effort and dedication.

HIPAA 52

HIPAA Compliance Compliance Officers Health Insurance 52

YouCompli

FEBRUARY 15, 2023

Five tips for creating cultural change and showing how healthcare Compliance adds value. Whether it’s “where good ideas go to die” or “the department of no,” compliance officers have likely heard negative descriptions of their department. In compliance, the law and regulations are the basis for everything we do.

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 52

MedTrainer

AUGUST 16, 2023

You’re considering a compliance learning management system (LMS) because you don’t have time to waste. Download this guide to calculate the amount of money you’re spending on your “free” compliance training program. Download this guide to calculate the amount of money you’re spending on your “free” compliance training program.

Compliance 52

Compliance Regulatory Compliance HIPAA Compliance Officers 52

YouCompli

MAY 31, 2023

Four approaches to remain calm during stressful times Jay Anstine is a compliance professional and consultant in Colorado. He writes on compliance culture for the YouCompli blog. This post looks at the power of staying calm during stressful times in order to maintain support for your compliance program. Nothing good.

Compliance 52

Compliance Compliance Officers Governance Hospitals 52

MedTrainer

AUGUST 25, 2023

While YouTube has become a go-to resource for tutorials, entertainment, and educational content — all of which are indeed free — finding healthcare compliance training you can trust isn’t easy. Let’s review 15 reasons why you shouldn’t use YouTube for healthcare compliance trainings, along with your best alternative option.

Compliance 52

Compliance HIPAA ADA Medicaid 52

YouCompli

NOVEMBER 30, 2022

The same tool nurses use to communicate about health emergencies – can help you secure investment in your compliance department. . Healthcare compliance professionals who want to make a case for investing in a healthcare regulatory change management solution like YouCompli are using the SBAR framework: Concisely explain the situation.

Regulatory Compliance 52

Regulatory Compliance US Department of Health and Human Services Compliance Compliance Officers 52

Dot Compliance

JANUARY 30, 2024

In this blog post, we will explore the benefits of using AI-integrated QMS for complaint management. This proactive approach helps medical device companies minimize the likelihood of recurrent issues, ensuring compliance with regulatory standards and safeguarding patient safety.

Medical Device Industry 52

Medical Device Industry Compliance Regulatory Compliance 52

MedTrainer

MAY 4, 2023

That includes many compliance professionals. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. Download this free toolkit for resources to update your disaster preparedness plan. Hard to believe, huh?

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

Compliancy Group

JANUARY 17, 2024

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Regulatory Compliance Regulations Compliance 52

MedTrainer

APRIL 20, 2023

One way to stand out and elevate your career is as a Certified Compliance and Ethics Professional (CCEP). CCEP certification demonstrates your dedication to ethical practices and compliance within the healthcare industry. Why Become a CCEP? This leads to better decision-making and a more robust work environment for everyone involved.

Compliance 40

Compliance Medicare Medicare Governance 40

AIHC

MAY 24, 2022

Once your suspicions have been reported to the Compliance Officer, were you asked to partake in evidence gathering during the investigation? I also recommend reading When Healthcare White-Collar Crimes Turn Red , an AIHC blog article from 2021. Have you ever uncovered erroneous or potentially fraudulent evidence?

Compliance 52

Compliance Fraud Compliance Officers HIPAA 52

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. chief executive officer, chief financial officer, general counsel, director of health information management, director of human resources, physician practice office manager, etc.) at a provider that furnishes items or services payable by Federal health care programs. Case Study: S.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Redox

JANUARY 24, 2024

Two and a half years ago I wrote my first blog at Redox. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F , or what many have called the “Interop 3” rule. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F , or what many have called the “Interop 3” rule.

HIPAA 59

HIPAA Compliance Payment Systems 59

YouCompli

SEPTEMBER 15, 2022

Sharon Parsley, JD, MBA, CHC, CHRC, writes a monthly series on compliance officer effectiveness for the YouCompli blog. Over the course of my career in compliance, I have been involved in hundreds of investigations. No doubt we all know the basic steps involved in investigating a known or suspected compliance issue.

Compliance 52

Compliance Compliance Officers Hospitals 52

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Medicare/Medicaid Compliance Reviews.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Med Law Blog

APRIL 9, 2024

In the wake of these recent cybersecurity events, safeguarding patient information has become paramount, prompting heightened scrutiny of HIPAA compliance. As any provider knows, HIPAA compliance can become complicated and confusing. These rules apply to all covered entities and their business associates.

HIPAA 40

HIPAA Compliance Health Insurance Doctors 40

YouCompli

SEPTEMBER 13, 2023

Mitigating fraud, waste, and abuse (FWA) is taking on a new urgency for healthcare compliance professionals. Integrating this strategy into your compliance culture can help your organization avoid penalties and deliver compliant patient care. For staff, compliance officers should support annual online FWA compliance training.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Fraud 52

Healthcare Law Blog

APRIL 17, 2023

By providing data on enforcement actions and insight into areas of noncompliance, the reports assist HIPAA entities to mitigate risk, prioritize compliance efforts, and promote industry accountability.

HIPAA 52

HIPAA Compliance 52

Healthcare Law Blog

JANUARY 26, 2024

For additional information on a particular topic, links to helpful resources have been provided in the footnotes. Tax exempt entities, such as charitable organizations organized under IRS Code 501(c)(3), as well as any entities wholly owned by one or more exempt entities are excluded as well. What is an “Ownership Interest? [8]

Governance 64

Governance Compliance Licensing 64

Hall Render

JULY 18, 2022

The 2019 Proposed Rule aimed to increase the ability of health care professionals to apportion resources to improve resident care by eliminating or reducing requirements that could impede quality care or divert resources away from providing high-quality care. Compliance and Ethics Program (§483.85). Extra Time.

Nurses 40

Nurses COVID-19 Compliance Medicare 40

Innovaare Compliance

JUNE 28, 2022

For an overview of the protocol changes for CY 2022, please visit our blog- CY 2022 CMS Program Audit Protocol Changes . Compliance Standard and Method of Evaluation are outlined in the protocol. . The additional 3-day allowance to deliver the written notification after providing oral notice does not apply.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

MedTrainer

APRIL 13, 2023

Whether anticipated or spontaneous, healthcare inspections by governing agencies can be one of the most nerve-racking experiences for healthcare and compliance professionals. There is a lot of information to compile to ensure you can provide proof of compliance. Surviving an OSHA inspection is serious business.

Compliance 93

Compliance Licensing Governance 93

Total HIPAA

DECEMBER 8, 2020

Here at Total HIPAA, we pride ourselves on providing helpful resources for all businesses striving for HIPAA compliance. Our weekly blog is one of the many services we offer. In this combo podcast and blog post, Jason Karn, Total HIPAA’s Chief Compliance Officer, interviewed Erik Kangas, founder and CEO of LuxSci.

HIPAA 40

HIPAA COVID-19 Ransomware Compliance 40

YouCompli

APRIL 5, 2023

How Compliance Can Leverage the OIG’s 7 Elements and HHS Roadmap With the end of the COVID-19 Public Health Emergency (PHE) coming in May, many healthcare compliance leaders are in the process of slowly returning their organizations to normal. Let’s revisit the seven elements and how they can help you shape the patient experience.

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Compliance Officers COVID-19 Compliance COVID-19 Vaccine 52

Healthcare Compliance Blog

MAY 5, 2022

The settlements also require important training and compliance requirements to ensure resident safety and proper response to medical emergencies. The agreement also requires a three-year compliance program to ensure facility staff are trained on preventative skin care, as well as self-audits and certifications of compliance.

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Nursing Homes Nurses Compliance Hospitals 59

MedTrainer

JUNE 29, 2023

Here’s a closer look at ERM as a concept and what it looks like in practice, as part of a comprehensive approach to healthcare compliance. Traditional risk management typically focuses on managing risks within specific functional areas or departments of an organization, such as finance, operations, or human resources.

Compliance 52

Compliance Governance Compliance Officers 52

Healthcare Law Blog

FEBRUARY 28, 2023

Other Considerations As the termination of the PHE commences, providers should closely review the evolving scope of telehealth coverage to ensure compliance with applicable CMS rules. Our team will continue to monitor telehealth developments and provide updates as they arise.

Medicare 52

Medicare Medicare Nurses Licensing 52

Medisys Compliance

AUGUST 24, 2022

One of the most crucial elements of oncology billing that a practitioner depends on is accurate documentation that shows the time and resources used in finding the proper procedure codes. In this blog, we explore possible pricing, coding, and documentation problems where a lack of knowledge could negatively affect overall revenue.

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Medical Billing Medical Billing Services Doctors Medical Billing Outsourcing 98