Healthcare Law Blog

NOVEMBER 7, 2023

Lawsuit Details As we covered in a previous blog post , OCR released guidance in December 2022 on the use of tracking technologies by HIPAA-regulated entities (the “Guidance”). [ii] Furthermore, class action lawsuits related to the use of trackers by healthcare providers continue to pose a risk, regardless of the outcome of this lawsuit.

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Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

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MedTrainer

JANUARY 12, 2024

Healthcare facilities, from hospitals and clinics to insurance providers, are deeply affected by the regulations set forth by the Health Insurance Portability and Accountability Act (HIPAA). In this blog, we will answer that question, delve into HIPAA principles, and explore the consequences of non-compliance.

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Jane Sarashon

FEBRUARY 23, 2022

my essay published this week in Medecision’s Liberate Health blog. Since we learned to spell “coronavirus,” we also learned the meaning and risk-managing importance of physical distance early in the COVID-19 pandemic. Not so much,” I observe in Medical Distancing in America: A Lingering Pandemic Side Effect.,

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YouCompli

FEBRUARY 22, 2023

It is “prospective” because hospitals and other providers know ahead of time what they will be reimbursed. The CCR is determined by a hospital’s cost report that is reconciled with the local Medicare contractor. If they were not, the hospital must return the funds. This means reimbursement is not typically based on charges.

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Compliance US Department of Health and Human Services Overpayments Overpayment 52

Compliancy Group

MARCH 19, 2024

Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. In this blog, we’ll outline the fundamentals and importance of regulatory compliance in healthcare in the U.S. OSHA regulations are implemented to reduce the risk of injuries, illnesses, and accidents.

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Healthcare Blog

MARCH 8, 2023

In this blog post, we will discuss the importance of nursing policies and how to introduce and implement those policies in your healthcare facility. Well-executed policies and procedures provide for patient and staff safety and reduce risk. Having unclear or difficult-to-locate policies and procedures can be disastrous.

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MedTrainer

JULY 28, 2023

Risk Assessment. The OIG conducts risk assessments to identify areas or programs within HHS that are more susceptible to fraud, abuse, or mismanagement. These risk assessments help prioritize OIG resources for inspections. Red flags can include unusually high billing rates or suspicious billing patterns.

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OSHA Law Blog

JUNE 23, 2022

On “heat priority days” Federal OSHA intends to conduct field inspections, ask employers about their heat-related hazard prevention programs, and assess the potential for heat-related serious illnesses and injuries for that employer. Like Federal OSHA, Nevada OSHA is in the process of adopting a new regulation governing heat hazards.

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Healthcare Law Blog

FEBRUARY 12, 2024

Another $3.173 billion will be made available to cover qualified services provided to address HRSN, which includes the potential for individuals with high-risk pregnancies to receive coverage for nutrition interventions during their pregnancy and for two months postpartum. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

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Hall Render

DECEMBER 5, 2022

The Centers for Medicare and Medicaid Services (“CMS”) published a recent Memo reminding hospitals and other Medicare certified health care entities of their regulatory obligation to maintain a safe setting for patients, residents and staff. Health care workers are uniquely and disproportionately at risk of workplace violence.

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Health Law RX

DECEMBER 21, 2023

The key terms of the corrective action plan require DMS to: Review and update its risk analysis to identify potential risks and vulnerabilities to DMS’s data to protect the confidentiality, integrity, and availability of ePHI. The electronic protected health information (ePHI) of approximately 206,695 individuals was affected.

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Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is risk management in Healthcare? What is GRC in Healthcare?

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MedTrainer

MAY 20, 2024

It also helps to reduce the risk of accidents, errors, and violations that can lead to lawsuits or harm the center’s reputation. But beyond that, it enables staff to provide the highest quality of care and patient safety. Well-trained staff are more competent, improving patient care and satisfaction.

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Healthcare Law Blog

NOVEMBER 9, 2023

1] These CPGs were directed at various segments of the health care industry and provided specific guidance on risks posed by industry practices. As illustrated in this blog post, GCPG is a valuable resource for both new and experienced professionals working both within and in support of organizations in the health care industry.

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MedTrainer

MAY 22, 2024

In this blog, I’ll delve into what controlled substances are, federal and state compliance requirements, and how technology can simplify processes around CDS. For example, pharmacists or doctors who work at hospitals, pharmacies, or clinics will have the letters A, B, F, or G as the first letter of their license number.

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MedTrainer

MARCH 30, 2024

Patient fall incident reports serve as a vital tool for monitoring and preventing falls in healthcare settings such as hospitals and nursing homes, where technology plays a crucial role in capturing and analyzing data to mitigate fall-related incidents. MedTrainer offers all the functions listed above in an all-in-one compliance solution.

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MedTrainer

JANUARY 26, 2024

In this blog, we’ll discuss how compliance came into being and why ethics are closely monitored by federal, state, and local governments. Healthcare providers must provide patients with all relevant information about their condition, treatment options, risks, and benefits to obtain informed consent.

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Healthcare Law Blog

FEBRUARY 9, 2024

Following the resolution of this case, hospitals are encouraged to revisit their arrangements with private physician groups to ensure that proper safeguards are in place to mitigate FCA risk. Hospitals may also want audit rights to ensure that it has the ability to monitor billing compliance by private physicians on a regular basis.

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Hospitals Compliance Officers Compliance Overpayments 52

Hall Render

JULY 5, 2023

As skilled nursing facilities and home health agencies work to assess and admit new residents and patients, they often face the challenge of obtaining all of the information about the individual to make a proper admission assessment and to begin to build a care plan designed specifically for the individual.

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Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

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Provider Trust

JANUARY 25, 2024

Despite the Centers for Medicare and Medicaid Services (CMS) efforts to target long-standing problematic areas (such as hospice, home health, hospital outpatient, and skilled nursing facility care), the battle against improper payments within Medicare fee-for-service programs remains challenging.

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MedTrainer

NOVEMBER 2, 2023

In this blog post, we’ll explore what credentialing entails, its significance, and why it remains an indispensable aspect of healthcare. Risk Management: Minimizes institutional liabilities by validating staff competence. Hospital Credentialing/Privileging Once credentialed, a healthcare professional may seek privileges.

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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. ILOSs must be cost effective.

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Medicaid Medicaid Medicare Medicare 52

MedTrainer

JUNE 5, 2023

The United States Pharmacopeia (USP) <800> General Chapter for Hazardous Drugs Handling in Healthcare Settings focuses on the safe handling of hazardous drugs to protect healthcare workers, patients, and the environment from potential risks associated with these substances. What’s Needed for USP <800> Compliance?

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Compliance FDA Regulatory Compliance Hospitals 52

MedTrainer

MARCH 30, 2024

Enrollment delays cost nearly a third of organizations polled in a 2023 MedTrainer survey money, and 26% believe credentialing delays increase compliance risks that can significantly drain coffers. Data To Improve Processes With all credentialing data in one place, you can quickly assess and improve your enrollment process.

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MedTrainer

JULY 7, 2022

Unfortunately, hospital staff already have a lot on their plates, meaning compliance risk management can increase their workload even further. But how can risks be mitigated through compliance software? However, once implemented, they can transform how you approach risk management and mitigation in more ways than one.

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Compliance Hospitals 52

YouCompli

NOVEMBER 30, 2022

Explain your assessment. operational, financial, and reputational risks. Not having a scalable, repeatable regulatory change management process puts us at risk of being unable to correctly perform all but ?__ Assessment?. To effectively assess the issue, we need to review two different but equally important concepts.

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

Health Law RX

JULY 31, 2023

The Joint Letter With the letter, the FTC and OCR draw recipients’ attention to “serious privacy and security risks related to the use of online tracking technologies” that are “impermissibly disclosing consumers’ sensitive personal health information to third parties.” In addition to a $7.8 GoodRx was subject to a $1.5

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MedTrainer

NOVEMBER 14, 2023

The Virginia Hospital & Healthcare Association has 26 member health system (as of the writing of this article) and provides advocacy, communication, and education. Hospitals must conduct a security risk assessment and align their safety plan with the International Association for Healthcare Security and Safety or other industry standards.

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MedTrainer

NOVEMBER 14, 2023

Are there increased risks you need to be aware of? This blog post explains the impact for organizational operations in the event of a shutdown, and what healthcare leaders can expect based on previous years. What will change and what will stay the same? Are there actions you can take ahead of time to prepare?

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Governance Medicaid Medicaid Medicare 52

Hall Render

MARCH 20, 2024

Notably, these revisions are being made in the context of a pending lawsuit that the American Hospital Association (“AHA”) filed against OCR seeking to enjoin OCR from enforcing the Bulletin and to obtain a declaratory judgment that IP addresses are not individually identifiable health information (“IIHI”) under HIPAA.

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Bill of Health

APRIL 29, 2022

Success is benchmarked by statistics that quantify mortality and clinical complications that occur during patients’ hospital stays. Physicians and nurses lack tools to help patients return to work, and comprehensive programs dedicated to supporting patients from hospital discharge to employment reentry are rare.

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MedTrainer

SEPTEMBER 8, 2023

Patients and stakeholders alike are reassured knowing that the healthcare professionals and institutions they engage with have undergone rigorous training and assessments to ensure compliance — and remain committed to education, adaptation, and continuous learning. Certifications emphasize patient rights, data security, and safety measures.

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Compliance Regulatory Compliance HIPAA Governance 52

YouCompli

MAY 17, 2023

Build relationships across risk assurance functions. Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. In this article she discusses relationships and collaboration with other key risk assurance functions. Let me give you an example.

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Healthcare Compliance Blog

JUNE 6, 2022

He then purchased an AR-15-style rifle and took it to the hospital, along with a.40-caliber Discussion Points: Review policies and procedures regarding the facility’s Emergency Preparedness Plan provisions for responding to an active shooter situation, including the performance of risk assessments and drills.

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MedTrainer

JANUARY 26, 2024

In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates. Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. What is Healthcare Compliance?

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