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Navigating the Maze of Who Regulates Healthcare Compliance

MedTrainer

These industry and governmental bodies are responsible for maintaining the integrity of medical practice and ensuring healthcare providers make ethical decisions. Department of Health and Human Services focuses on preventing fraud, abuse, and waste in federal healthcare programs.

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What Is Medical Auditing?

MedTrainer

Medical auditing is critical in understanding why errors occur and how providers can prevent them in the future. The primary objective of medical auditing is to identify any discrepancies, errors, or deficiencies in documentation or practices that could impact patient care.

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What Are Reportable Events in Healthcare?

MedTrainer

These include: Medical Errors: The Institute of Medicine’s landmark report To Err is Human highlighted the alarmingly high rate of preventable medical errors in the United States. Adverse Drug Reactions: Prescribed medications are a mainstay of modern medical practice, but they are not without risk.

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Improving Patient Care With a “Prevent, Detect, Report” Strategy  

YouCompli

Compliance professionals can help their organizations reduce FWA with a “prevent, detect, report” strategy, guided by recommendations from the Office of the Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Healthcare Law Blog

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). Below is a summary of some of the Proposed Rule’s key changes.

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Electronic Prescribing for Controlled Substances Set to Take Off

Healthcare IT Today

Opiate pain killers are not the only culprits: Medications for ADHD and other conditions can also be abused. I estimate more than 550 medications on the DEA’s controlled substance list. Hence the multitude of federal and state oversight mechanisms to prevent abuse. Congress this year are expected to boost e-prescriptions.

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Policy Management Software As a Part of Risk Management in Healthcare

Healthcare Blog

This blog post will discuss the benefits of using a risk management system and how to choose the best system for your organization. This blog post will discuss the benefits of using a risk management system and how to choose the best system for your organization.