YouCompli

MARCH 22, 2023

For example, the government regularly asserts Medicare claims must be “reasonable and necessary for the diagnosis or treatment of an illness or injury.” The government argued that before ordering definitive UDT, a provider first needs to review the results of the presumptive test. Some were never tested at all.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

YouCompli

AUGUST 30, 2022

Government enforcement agencies continue to put the pressure on healthcare providers to ensure compliance with opioid prescribing guidelines. The court’s action brought to close a civil complaint filed by the government against the physician’s assistant. Here are two strategies compliance officers can use.

Compliance 40

Compliance Compliance Officers Governance Doctors 40

MedTrainer

AUGUST 30, 2023

Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. MCOs must adhere to federal (Medicare) and state (Medicaid) laws and regulations governing the healthcare industry. Schedule a free demo today and learn how! Quality of Care Standards. appeared first on MedTrainer.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

SEPTEMBER 1, 2023

What Is a Healthcare Compliance Company? A healthcare compliance company helps providers and organizations adhere to the complex and ever-changing regulations and standards that govern the healthcare industry. How Can a Healthcare Compliance Company Help My Organization? Don’t let compliance fall by the wayside.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

MedTrainer

OCTOBER 4, 2023

Federal healthcare compliance requirements encompass a set of regulations and laws established by various government agencies to ensure certain standards for the healthcare industry at the national level. Schedule a demo and learn more about MedTrainer today!

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

JANUARY 2, 2024

Stay Compliant When Regulations Change There are many federal and state agencies governing healthcare operations and there are even more regulations that are frequently updated, which means policies need to be revised, approved, shared, and acknowledged. Request a demo of MedTrainer Document & Policy Management by clicking here.

Compliance 52

Compliance Medicaid Medicaid Medicare 52

MedTrainer

NOVEMBER 14, 2023

The goal of such a software is to streamline these processes so healthcare providers can focus on patient care while staying within the legal and ethical boundaries set by governing bodies. See all that MedTrainer has to offer and schedule a demo with an expert today.

Compliance 52

Compliance Governance Compliance Officers 52

MedTrainer

AUGUST 2, 2023

They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS).

Compliance 52

Compliance ACA Medicaid Medicaid 52

MedTrainer

APRIL 11, 2024

Symplr software focuses on healthcare governance, risk management, and compliance within the healthcare sector. Their cloud-based solutions aim to enhance healthcare operations via provider data management, workforce management, compliance, quality and safety monitoring, contract, supplier, and spend management. What is Symplr?

Compliance 52

Compliance Licensing Governance Compliance Officers 52

MedTrainer

SEPTEMBER 8, 2023

Many healthcare facilities rely on reimbursements from government programs such as Medicare and Medicaid. Non-compliance with regulations that govern these programs can result in the suspension or termination of reimbursements. To learn more about how these solutions can benefit your organization, contact us for a demo.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

YouCompli

DECEMBER 7, 2022

Some of these include: Misdemeanor convictions related to healthcare fraud other than Medicare or a state health program, fraud in a program (other than a healthcare program) funded by any federal, state, or local government agency. Read more about  the rollout and accountability of requirements  or  schedule a demo.   .

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

MedTrainer

SEPTEMBER 20, 2023

Clearly documented guidelines that outline compliance expectations and regulatory requirements. Leadership and Governance. Strong senior management support and dedicated compliance oversight. Ongoing programs to educate employees about compliance standards and their roles. Training and Education.

Compliance 52

Compliance Regulatory Compliance Governance Compliance Officers 52

MedTrainer

AUGUST 25, 2023

Healthcare Compliance Regulations and Accreditation Healthcare compliance and workplace safety is heavily regulated by federal governing bodies, such as OSHA, OIG, OCR, and CMS. Take a closer look at MedTrainer and everything it has to offer — schedule a free demo today. Hira Rashid, Ph.D.,

Compliance 52

Compliance HIPAA ADA Medicaid 52