YouCompli

NOVEMBER 1, 2023

Unfortunately, with a title like “compliance officer,” we have some image issues to overcome if we want our healthcare leaders to see us more like a business partner and less like an obstacle. Let’s imagine someone is conducting an audit involving the review of medical-necessity documentation for physical therapy services.

Compliance 52

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

YouCompli

FEBRUARY 22, 2023

Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment. The government alleged these increased charges resulted in the greater number of outlier payments.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Healthcare Compliance Blog

MAY 19, 2022

Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The If the patient was going to receive ICR for longer than 30 days, a physician must complete and sign updates to the ITP every 30 days thereafter.?

US Department of Health and Human Services 59

US Department of Health and Human Services Hospitals Medicare Medicare 59

YouCompli

OCTOBER 5, 2023

Berger, there are six key psychological drivers for word-of-mouth communication among humans: Social Currency Triggers Emotion Public Practical Value Stories As compliance officers, we play a significant factor in influencing others and shaping our organizations’ culture of compliance. I recently stumbled across a book by Jonah Berger, Ph.D.,

Compliance 52

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

YouCompli

DECEMBER 7, 2022

Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

MedTrainer

OCTOBER 16, 2023

Dive with us as we explore the complexities and necessities of compliance in the healthcare sector. Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Department of Health and Human Services (HHS).

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

YouCompli

AUGUST 22, 2023

Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs. In contrast, Medicare Advantage is provided through a private health plan and typically covers everything in one monthly premium.

Medicare 52

Medicare Medicare US Department of Health and Human Services Compliance 52

YouCompli

SEPTEMBER 13, 2023

Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. For example, they can describe how to read a billing statement and identify services or supplies that were not provided.

US Department of Health and Human Services 52

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

Healthcare Law Blog

MARCH 17, 2022

On Thursday, March 16, the Office of the Inspector General for the Department of Health and Human Services (“OIG”) issued OIG Advisory Opinion (“AO”) No. Millions of people in the US suffer from heart failure each year, resulting in billions of dollars in healthcare costs.

US Department of Health and Human Services 52

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

YouCompli

NOVEMBER 18, 2023

Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. Discriminative Listening According to betterup.com , discriminative listening is a skill all humans are born with. Soldier on with your scripted remarks?

Compliance Officers 52

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

YouCompli

NOVEMBER 16, 2022

Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood and not even really heard. Discriminative Listening: .

US Department of Health and Human Services 52

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

Provider Trust

MARCH 13, 2023

Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

Fraud 52

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

Provider Trust

MARCH 21, 2023

US Department of Health and Human Services (HHS) Office of Inspector General Christi A. Fraud is an unfortunate part of the healthcare space that affects every payer — from government programs to private insurance companies and everything in between. Medicare Advantage will be no exception.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

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

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Exeed Regulatory Compliance

MARCH 5, 2020

It rapidly caused a widespread epidemic in China and has spread to over 50 countries outside of China with more than 90,000 confirmed cases and 3000 deaths at the time of this blog article. Secretary of the Department of Health and Human Services (HHS) has declared a public health emergency.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Public Health COVID-19 52

SQA

OCTOBER 18, 2022

Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.

US Department of Health and Human Services 40

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

SQA

FEBRUARY 15, 2023

Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.

US Department of Health and Human Services 40

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

Redox

MARCH 20, 2024

This surge in cyberattacks has prompted the Department of Health and Human Services (HHS) to publish voluntary cybersecurity performance goals to help healthcare organizations plan and prioritize their cybersecurity implementations. Our zero trust implementation allowed us to meet all of those goals.

US Department of Health and Human Services 59

US Department of Health and Human Services Governance Compliance Ransomware 59

Health Populi

MARCH 20, 2020

Johns Hopkins COVID-19 interactive map told us this morning. Department of Health and Human Services on the nation’s response to the coronavirus pandemic, published March 13, 2020, forecasts a plan looking 18 months out. Health Populi’s Hot Points: In the U.S., This report from the U.S.

US Department of Health and Human Services 74

US Department of Health and Human Services COVID-19 Governance Public Health 74

Drug & Device Law

DECEMBER 29, 2023

Executive Health Resources, Inc. , 2023) (federal government may unilaterally obtain dismissal of FCA claims, and calling the constitutionality of the FCA’s private enforcement mechanism into question) ( here ); Quishenberry v. Executive Health Resources, Inc. , United States Department of Health and Human Services , 58 F.4th

FDA 105

FDA US Department of Health and Human Services COVID-19 COVID-19 Vaccine 105