MedTrainer

MARCH 28, 2024

Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare Blog

APRIL 13, 2023

As hospitals have become increasingly complex organizations, effective governance, risk, and compliance (GRC) strategies have become essential for ensuring patient safety and regulatory compliance. Improve GRC in Your Facility GRC strategies are essential for ensuring hospital patient safety and regulatory compliance.

Governance 40

Governance Compliance Hospitals Regulatory Compliance 40

Verisys

FEBRUARY 14, 2024

Healthcare compliance is a critical component in the operation of healthcare organizations, encompassing a broad range of activities designed to ensure adherence to applicable laws, regulations, and ethical standards. For instance, within the realm of healthcare compliance, HIPAA compliance plays a pivotal role.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

MedTrainer

NOVEMBER 2, 2023

Most compliance officers possess a bachelor’s degree, often in healthcare administration, law, or a related field. Additionally, hands-on experience in healthcare or regulatory compliance provides a foundation for this role.

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Florida Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Florida Department of Health (DOH) plays a crucial role in promoting and safeguarding the wellbeing of Floridians. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

Innovaare Compliance

FEBRUARY 14, 2022

Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance. This includes CMS regulations for Medicare Plans, regulations for Commercial Plans and Medicaid regulations for state plans.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

Healthcare Blog

AUGUST 23, 2023

Strategies Healthcare Organizations Can Use to Promote Ethical Behavior in Compliance Ensuring ethical practices in healthcare compliance is essential to corporate health and the integrity of your organization. Use the following strategies to promote ethical behavior in regulatory compliance. 2022, December 5).

Compliance 56

Compliance Nurses Regulatory Compliance Medicaid 56

Innovaare Compliance

NOVEMBER 29, 2023

On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. The Readiness List is comprehensive and touches on all aspects of administering a Medicare Advantage plan (MA), a Prescription Drug Plan (PDP), an 1876 Cost Plan, and a Medicare-Medicaid Plan (MMP).

Medicare 52

Medicare Medicare Compliance Medicaid 52

MedTrainer

APRIL 20, 2023

Providers need a strong compliance program to inform the creation of compliance checklists. The Seven Core Compliance Program Requirements The Centers for Medicare & Medicaid Services (CMS) criteria promote an effective compliance program in healthcare organizations.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Regulations Compliance 52

Health Care Law Brief

NOVEMBER 17, 2021

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released its final rules for the 2022 Medicare Physician Fee Schedule (PFS Final Rule) and 2022 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (OPPS Final Rule). Both rules take effect January 1, 2022. at 1396b(s).

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

MedTrainer

AUGUST 30, 2023

Medicaid Managed Care. Some state Medicaid programs contract with managed care organizations to provide healthcare services to eligible beneficiaries. These plans follow managed care principles to control costs and improve care coordination for Medicaid recipients.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

MedTrainer

OCTOBER 5, 2023

As a key member of your facility’s healthcare compliance programming, you understand the significance of regulatory compliance and the critical role it plays in ensuring the privacy and security of patient information. Your organization’s ability to practice regulatory compliance is only as good as what’s been documented.

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HIPAA Compliance Regulatory Compliance ADA 98

Med Com Blog

DECEMBER 5, 2022

This streamlined approach enables care providers to focus solely on their patients – without the burden of data entry and complex coding while knowing a high standard of regulatory compliance is upheld. RemitOne technology software will be fully integrated in all aspects throughout our facility.

Compliance 40

Compliance Hospitals Electronic Medical Records Regulatory Compliance 40

Med Com Blog

DECEMBER 2, 2022

This streamlined approach enables care providers to focus solely on their patients – without the burden of data entry and complex coding while knowing a high standard of regulatory compliance is upheld. RemitOne technology software will be fully integrated in all aspects throughout our facility.

Compliance 40

Compliance Hospitals Electronic Medical Records Regulatory Compliance 40

MedTrainer

AUGUST 2, 2023

Legal and Regulatory Compliance Healthcare facilities and insurance companies are legally obligated to credential providers before allowing them to practice or join their networks. By verifying education, training, and experience, organizations help prevent unqualified or incompetent individuals from delivering care to patients.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Innovaare Compliance

NOVEMBER 4, 2021

This blog is to inform California MMP Plans of the changes to the CMS 2022 protocols for MMP SARAG & MMP CDAG Universes (as it relates to Appeals & Grievances). Armed with this regulatory compliance information, you should be in a better position to create accurate universes that comply with the latest Medicare and Medicaid protocols.

Regulatory Compliance 52

Regulatory Compliance Medicaid Medicaid Medicare 52