Med-Net Compliance

OCTOBER 21, 2022

The OIG applies published criteria to assess future risk and places each party to an FCA settlement into one of five categories on a risk spectrum. The OIG uses its exclusion authority differently for parties in each category and bases its assessment on the information it has reviewed in the context of the resolved FCA case.

Fraud 59

Fraud Compliance Medicare Medicare 59

Health Care Law Brief

JANUARY 29, 2024

The new HPH-focused CPGs are taxonomized into two categories: essential goals, which outline minimum practices for cybersecurity performance, and enhanced goals, which provide the foundation for more advanced cybersecurity measures.

Public Health 52

Public Health Compliance 52

Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Below are additional details about the updates, including effective dates and implementation timelines. Register for the webinar here.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

MedTrainer

SEPTEMBER 20, 2023

Healthcare is a continuously evolving industry, especially when it comes to compliance. Compliance standards are consistently under scrutiny from regulatory organizations, which means healthcare professionals frequently need to refresh, re-train, and learn new concepts and best practices. What Is Microlearning? Improved Engagement.

Compliance 98

Compliance HIPAA Informed Consent Compliance Officers 98

Compliancy Group

NOVEMBER 16, 2022

MIPS is composed of four performance categories, on which providers are graded. These categories include quality, cost, improvement activities, and promoting interoperability. Under MIPS, participating providers will receive an overall score of 1–100 points based on performance in the four MIPS performance categories.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

MedTrainer

DECEMBER 5, 2023

Managing healthcare compliance in Connecticut is unique, ranging from urban centers like Hartford and New Haven to rural areas in the northwestern part of the state. To remain compliant in Connecticut, healthcare organizations should stay up-to-date on both state and federal regulation changes and keep their compliance program current.

Compliance 52

Compliance Licensing Public Health Governance 52

Total HIPAA

APRIL 25, 2022

Many organizations, including Total HIPAA Compliance, rely on NIST for guidance. NIST Special Publication 800-50 , entitled “Building an Information Technology Security Awareness and Training Program,” is a document published by NIST, and the foundation of Total HIPAA’s HIPAA compliance training. What is NIST?

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HIPAA Compliance 115

Healthcare IT Today

OCTOBER 26, 2023

For instance, RCxRules’ extensive Hierarchical Condition Category (HCC) content will expand Alpha II’s existing robust rules engine to further elevate coding accuracy. “At RCxRules, our focus has always been helping our customers to succeed and navigate industry challenges,” said Stephen Gorman, CEO at RCxRules.

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Compliance 65

Compliancy Group

OCTOBER 19, 2023

What is SOC 2 Compliance? SOC 2 compliance refers to adhering to the Service Organization Control (SOC) 2 framework , designed specifically for service providers that store customer data in the cloud or process sensitive information. Why is SOC 2 Compliance Important? One way to achieve this is by becoming SOC 2 compliant.

Compliance 52

Compliance 52

Hall Render

NOVEMBER 13, 2023

Department of Health and Human Services (“HHS”) Office of Civil Rights (“OCR”) recently released updated guidance in its October 2023 Cybersecurity Newsletter emphasizing the importance of sanction policies in maintaining HIPAA compliance.

HIPAA 40

HIPAA Compliance 40

American Medical Compliance

MARCH 2, 2023

Types of Violations These violations fall into four categories. Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, billing, and HR solutions. Retrieved from: [link] The post Updates to Penalties for OSHA Violations appeared first on American Medical Compliance.

Compliance 52

Compliance 52

Hall Render

OCTOBER 10, 2023

A Civil Monetary Penalty (“CMP”) is a fine that CMS may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements. Hall Render blog posts and articles are intended for informational purposes only.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

MedTrainer

NOVEMBER 29, 2023

A unique set of rules and standards can pose a unique set of challenges for overseeing healthcare compliance in Indiana. Just as in other states, Indiana health professionals and groups must have a firm grasp of state-specific regulations in order to effectively manage their healthcare compliance.

Compliance 52

Compliance Licensing Governance Public Health 52

Hall Render

NOVEMBER 10, 2023

Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders. Key Highlights of the GCPG Much of what is covered in the GCPG is not new to the health care compliance industry.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

MedTrainer

APRIL 18, 2024

Here are some of the most common challenges for behavioral health credentialing and Medicare enrollment: Understanding Medicare Requirements: The Center for Medicare and Medicaid (CMS) divides counselors into two main categories: marriage and family therapist (MFT) and mental health counselor (MHC).

Medicare 52

Medicare Medicare Licensing Compliance 52

Med-Net Compliance

JULY 20, 2022

Ensure that your policies are reviewed at least annually and updated when new information becomes available. Train all staff upon hire and at least annually on your compliance and ethics policies and procedures and on what can be considered a false claim.

Fraud 59

Fraud Doctors Medicare Medicare 59

HIPAA Journal

JANUARY 21, 2024

A HIPAA Security Rule checklist helps covered entities, business associates, and other organizations subject to HIPAA compliance to fulfil the requirements of the Security Standards for the Protection of Electronic Protected Health Information (better known as the HIPAA Security Rule).

HIPAA 57

HIPAA Compliance Due Diligence Medicare 57

C&M Health Law

AUGUST 3, 2023

Earlier MHPAEA guidance stated that “similar or dissimilar outcomes between [mental health and substance use disorder (“MH/SUD”)] benefits and medical/surgical [(“M/S”)] benefits … are NOT determinative of compliance,” but noted that disparate outcomes could be a “warning sign” of “potential operational parity noncompliance.”

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Compliance 52

Compliancy Group

FEBRUARY 14, 2023

Properly label dangerous chemicals This is another item that belongs in the “common sense” category. Provide comprehensive staff training OSHA training for healthcare workers is mandatory if an organization wants to achieve compliance with the law (much like HIPAA Healthcare Compliance ). appeared first on Compliancy Group.

Compliance 52

Compliance HIPAA 52

Provider Trust

AUGUST 16, 2023

While medical providers comprise a large percentage of healthcare vendors, other facility staff members also fall under this category. Failing to update this information regularly puts healthcare organizations at risk, exposing them to potential legal and financial repercussions, not to mention reputational damage.

Fraud 52

Fraud Compliance Licensing Compliance Officers 52

HIT Consultant

NOVEMBER 21, 2021

Information exchange and data availability are now a cost of doing business but establishing a robust strategy for that exchange and compliance with the new regulation from the Office of the National Coordinator for Health Information Technology takes careful planning. At its core, information blocking is a legal and compliance issue.

Compliance 98

Compliance Public Health HIPAA Governance 98

Dot Compliance

SEPTEMBER 5, 2023

In this era where efficiency, collaboration, and compliance are paramount, these systems have become indispensable for businesses across the life science industry. Flexible ability to relate documents to additional categories such as suppliers, equipment, and products for ease of administration and more importantly PQR.

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Compliance 98

Compliancy Group

FEBRUARY 17, 2022

According to a notice updated on the firm’s website on January 17, 2022, there was unusual activity detected on the company network on September 14, 2021. Let’s Simplify Compliance Are you a CPA that needs to be HIPAA compliant? The updated notice of the CPA HIPAA breach on the firm’s website made no mention of this offering.

HIPAA 52

HIPAA Compliance Ransomware Fraud 52

Compliancy Group

APRIL 13, 2023

To maintain HIPAA compliance, covered entities must ensure that all personnel with access to PHI are trained on HIPAA regulations and the organization’s policies and procedures to protect that information. Regularly reviewing, updating, and implementing safeguards such as access controls, audit controls and encryption.

HIPAA 52

HIPAA Compliance 52

Med-Net Compliance

JUNE 15, 2022

During the course of the investigation, documentation from his office revealed five categories of medical services which were the focus of the fraudulent billing schemes. Ensure that your policies are reviewed at least annually and updated when new information becomes available.

Fraud 59

Fraud Doctors Elder Abuse Medicare 59

American Medical Compliance

SEPTEMBER 12, 2022

Due to the cost effectiveness of these new flu vaccines, it is highly recommended for everyone falling into the 65 and older age category to receive their flu shot. Getting an updated vaccine is crucial to staying protected against the flu. The post Getting Your Flu Shot This Year appeared first on American Medical Compliance.

COVID-19 52

COVID-19 Compliance Medicare Medicare 52

HIT Consultant

FEBRUARY 3, 2022

Lab results, transcripts, radiology imagery, and physicians’ notes all fall under the category of unstructured data. This can result in thousands of dollars in compliance fees and extended downtime. Any time a healthcare enterprise moves their data there is room for mistakes if the proper precautions are not taken.

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Due Diligence Hospitals Compliance 98

Hall Render

MARCH 1, 2023

Reminder: Reporting on Additional Covered Recipients and Nature of Payment Categories Began in 2022 Covered Recipients Prior to 2021, only physicians (excluding medical residents) and teaching hospitals were included in the definition of Covered Recipients.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

Compliancy Group

APRIL 1, 2022

The HIPAA regulations divide businesses into two groups based on they handle protected health information (PHI) : Covered Entities (CE): Healthcare providers, health insurers, and healthcare data clearinghouses fall into this category. The goal is to create an unbroken chain of HIPAA compliance in any place where PHI may be stored or used. .

HIPAA 52

HIPAA Compliance Health Insurance Doctors 52

Med-Net Compliance

JULY 8, 2022

Update your policies and procedures as needed. Periodically perform audits to ensure all staff are aware of their responsibility to identify and report compliance and ethics concerns and understand that it is their responsibility to report violations to their supervisor, the compliance officer, or via the anonymous hotline in a timely manner.

Nursing Homes 59

Nursing Homes COVID-19 Vaccine Nurses COVID-19 59

Total HIPAA

MARCH 8, 2022

Now more than ever, your HIPAA compliance program should establish safeguards for every area of data protection – including passwords. If your password falls into any of these categories, odds are that hackers and cybercriminals are more likely to guess it, and you should update it. appeared first on Total HIPAA Compliance.

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HIPAA Compliance 98

Healthcare Law Blog

FEBRUARY 28, 2023

In its update, CMS clarified that all codes on the List are available through the end of CY 2023. Other Considerations As the termination of the PHE commences, providers should closely review the evolving scope of telehealth coverage to ensure compliance with applicable CMS rules.

Medicare 52

Medicare Medicare Nurses Licensing 52

Hall Render

JANUARY 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has armed surveyors with detailed instructions on how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. The updated surveyor guidance updates include: National Healthcare Safety Network Data Review. Staff Interviews.

COVID-19 Vaccine 40

COVID-19 Vaccine Nurses COVID-19 Nursing Homes 40

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. If the answer is yes, then the best mechanism for limiting CMP liability is to screen all persons that perform under that contract or that are in that job category. at a provider that furnishes items or services payable by Federal health care programs. Case Study: S. Martino-Fleming v.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Healthcare Compliance Blog

MARCH 15, 2022

Allegedly, this over reporting to CMS resulted in fraudulently increasing the facilities’ star ratings in some categories. Appoint a monitor to oversee compliance at one of the facilities. · Update as needed. These over inflated star ratings were used to attract prospective residents and their families.

Nurses 59

Nurses Fraud Medicaid Medicaid 59

Health Law Advisor

SEPTEMBER 7, 2022

We have previously discussed the compliance requirements of these data privacy laws on organizations doing business in California. [1] It is easy to see how such an expansive definition can create compliance and operational challenges for businesses. laws that require the maintenance of certain employment and business records).

Compliance 52

Compliance Legislative Initiatives COVID-19 Governance 52

Innovaare Compliance

JANUARY 16, 2022

The status update could be about any case type, such as: Inquiries. The cost saving categories are listed below: Single platform price is less than the price of two case-tracking systems. Less maintenance because only one system requires updates. A compliance-driven platform include compliance reporting right out of the box.

Compliance 40

Compliance Medicaid Medicaid Medicare 40