YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. Routine occurrences – and a potential compliance issue if it looks like financial kickbacks are involved. In addition, there are files of downloadable data. A physician prescribes a new medication.

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MedTrainer

JANUARY 31, 2024

What is Healthcare Compliance? Healthcare compliance is following and meeting the laws, regulations, and ethical standards that govern the healthcare industry. Emphasize Regulatory Adherence: Healthcare is a heavily regulated industry, with numerous federal and state regulations governing its operations.

Compliance 52

Compliance Compliance Officers Governance Fraud 52

MedTrainer

MARCH 8, 2024

Employee compliance training is essential to any healthcare organization’s onboarding process. It educates employees on the laws, regulations, and policies governing their work and ensures they understand their responsibilities and obligations as healthcare professionals.

Compliance 52

Compliance Fraud Governance HIPAA 52

MedTrainer

MARCH 28, 2024

This is one of seven components recommended in the OIG’s compliance guidelines. In large healthcare organizations, a compliance officer is typically responsible, however, in smaller organizations, such as physician practices, a case could be made for the entity’s compliance contact to be in one of several different roles.

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Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

FEBRUARY 19, 2024

HIPAA mandates that these relationships are governed by agreements to ensure all parties adhere to HIPAA’s stringent privacy and security standards. Strategies for Maintaining HIPAA Compliance The Office for Civil Rights is responsible for enforcing HIPAA compliance. Learn more about OCR inspection preparation.

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HIPAA Compliance Health Insurance Governance 52

Health Care Performance

JUNE 29, 2022

Organizations with five or more facilities must also have: A mandatory annual compliance training program, and. A compliance officer who reports directly to the governing body, with designated compliance liaisons at each site. And, we can review your existing compliance program, or do your annual review.

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Compliance Nursing Homes Nurses Compliance Officers 52

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

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Medicaid Medicaid Compliance Overpayments 52

YouCompli

MARCH 1, 2023

Effectively Manage Shared Responsibility A common challenge for compliance officers in healthcare organizations is collaborating with operational leaders to identify and mitigate risks. Often, operational leaders are unaware of their roles and responsibilities in their organizations’ compliance programs. 29, 2022.

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Compliance Compliance Officers Governance Hospitals 52

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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US Department of Health and Human Services HIPAA Compliance Medicaid 85

MedTrainer

MARCH 12, 2024

To underline the significance and complexity of this system, we will explore what are reportable events in healthcare, the regulatory requirements that govern them, the types of reportable events, and the importance of proper reporting. Each state has its own set of laws and regulations dictating what must be reported and when.

Compliance 52

Compliance Malpractice Governance Public Health 52

MedTrainer

FEBRUARY 28, 2024

Start with a document creation tool, such as Microsoft Word, and a draft policy is emailed back and forth between team members, then to the governing board. The governing board needs to approve the final policy, which is either done in person at a board meeting or by using expensive electronic signature software.

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Compliance Governance Compliance Officers 52

MedTrainer

APRIL 12, 2024

Healthcare compliance entails adhering to laws, regulations, and ethical standards governing the industry, ensuring patient safety, data privacy, and the integrity of medical practices. More importantly, ongoing compliance education ensures staff deliver the highest quality patient care and minimizes incidents.

Compliance 52

Compliance ADA HIPAA Licensing 52

MedTrainer

JUNE 11, 2024

Get everything you need to know about the 9 compliance reports you can't live without. Download Now Red Flag: Lack of Incident Reporting Log Unlike other industries, healthcare organizations must be able to demonstrate appropriate incident resolution. You can customize and schedule reports for all records in the system.

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Regulatory Compliance Compliance Licensing Governance 40

MedTrainer

JANUARY 26, 2024

To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance? Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JANUARY 26, 2024

Here are some of the topics that are recommended to be covered in compliance training for healthcare: Code of Conduct and Ethics Billing and Coding Compliance Stark Law and Anti-Kickback Statute Clinical Documentation Improvement (CDI) Environmental and Occupational Health Government Healthcare Programs Conflict Resolution and Communication Skills (..)

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

MedTrainer

JANUARY 12, 2024

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. What is Healthcare Compliance? These plans provide a structured approach to rectifying non-compliance issues.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

JULY 28, 2023

Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. While learning of an inspection can cause alarm, oftentimes it’s a routine occurrence required by the federal government to ensure the overall quality and delivery of healthcare services. What Prompts an OIG Inspection?

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Fraud Compliance Medicaid Medicaid 98

MedTrainer

APRIL 4, 2024

Download Now Emergency Management Standards Changes The Joint Commission is cutting the number of elements of performance by more than 40% for ambulatory care organizations (ACOs) and eliminated redundant requirements for office-based surgery practices (OBSPs). Data De-Identification: Comply with HIPAA.

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Compliance Hospitals Compliance Officers HIPAA 40

Total HIPAA

MARCH 1, 2021

Jason Karn, Total HIPAA’s Chief Compliance Officer, recently talked with David Smith, a nationally recognized healthcare benefits consultant and regulatory expert, to discuss HIPAA regulation during the COVID-19 pandemic. State laws that govern protected information have also gone into effect in the last few years.

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COVID-19 HIPAA Compliance Compliance Officers 52

Provider Trust

JULY 26, 2022

In order for a person to perform certain services, state laws govern whether a state-issued license or certification is required. Always remember to download a copy of the license or capture a screenshot of the verification for future audit purposes. Chief Compliance Officer, ProviderTrust. Donna Thiel.

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MedTrainer

DECEMBER 4, 2023

For those involved in healthcare provision and compliance management, this article details useful tips and resources for some of the most crucial compliance concepts in Mississippi. For one-time verifications, used primarily by hospitals, there’s a $25 fee.

Compliance 52

Compliance Telemedicine Licensing Public Health 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.

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Compliance Framework Governance Compliance Medicaid 52

AIHC

APRIL 25, 2022

Are providers and professionals allowed to download mobile applications to mobile devices? Does Your Organization Have a Trained (Certified) HIPAA Privacy/Security Officer? The federal government has been encouraging providers to use telehealth to conduct virtual appointments and has made the telehealth “rules” more flexible.

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HIPAA Compliance COVID-19 Compliance Officers 52