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Navigating the Maze of Who Regulates Healthcare Compliance

MedTrainer

Healthcare compliance is serious business for regulators. In this blog post, we’ll outline who regulates healthcare compliance, how rules are enforced, and why organizations need a robust compliance platform to stay in the good graces of regulators.

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Why Do Healthcare Facilities Use Corporate Compliance Programs?

MedTrainer

Why do healthcare facilities use corporate compliance programs? We’ll answer that question in this blog along with assessments of a good corporate compliance process. What is Corporate Compliance in Healthcare? Monitoring and Auditing: Monitor for adherence to policies and regulations.

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The OIG Work Plan Decoded

Compliancy Group

The OIG’s work in this area serves as a critical guidepost for healthcare organizations to protect patients, foremost, and the healthcare providers themselves by keeping them on track for compliance. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.

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The History of Healthcare Compliance

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance evolved to include performance reporting and quality metrics.

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OIG General Compliance Program Guidance November 2023

Healthcare Law Blog

The document is divided into the following six sections: Introduction, Health Care Enforcement and Other Standards: Overview of Certain Federal Laws, Compliance Program Infrastructure: The Seven Elements, Compliance Program Adaptations for Small and Large Entities, Other Compliance Considerations, and OIG Resources and Processes.

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Strengthening Healthcare Compliance: The Importance of Utilizing Compliance Checklists

MedTrainer

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.