MedTrainer

JANUARY 31, 2024

Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program? federal government enacted the Federal False Claims Act (FCA) in 1863 during the American Civil War. It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations.

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MedTrainer

OCTOBER 23, 2023

In this blog post, we will explain healthcare compliance, shine light on its significance, and share best practices within the industry. Who Governs Healthcare Compliance? Office for Civil Rights (OCR) : Provides oversight of the safe and ethical handling of patient data and privacy. This agency enforces HIPAA rules.

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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.

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MedTrainer

NOVEMBER 14, 2023

Becoming certified in healthcare compliance is not just some letters after your name; it validates your expertise and dedication to upholding the laws, regulations, and ethical standards that govern healthcare practices. Those with the CHC are well-prepared to tackle the intricate compliance issues that arise in healthcare.

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Compliancy Group

AUGUST 31, 2023

Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Let’s delve into the importance of healthcare compliance laws and regulations, their impact on providers and organizations, and the guidelines governing their implementation.

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MedTrainer

AUGUST 31, 2023

Let’s delve into the world of compliance with answers to the most common compliance FAQs. What Is Healthcare Compliance? Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. What Are the Consequences of Non-Compliance?

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MedTrainer

FEBRUARY 1, 2024

A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?

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Compliancy Group

JULY 12, 2023

Organizations must establish and implement an effective compliance program encompassing seven key elements to achieve this. Let us delve into these essential components and understand how they contribute to upholding healthcare compliance requirements. Designating a compliance officer and compliance committee.

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Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Let us discuss the top compliance issues in the medical billing industry, shall we? companies operating internationally.

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MedTrainer

OCTOBER 4, 2023

To ensure organizations meet these standards, federal healthcare compliance requirements have been put in place. These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. Office of Inspector General (OIG).

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MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? Risk Assessment. Legislation and Congressional Requests.

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MedTrainer

JANUARY 12, 2024

So, how has the history of healthcare compliance changed since its inception? What is Healthcare Compliance? Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

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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. Maintaining compliance is essential for operating within the legal framework and providing high-quality patient care.

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YouCompli

DECEMBER 11, 2023

These include the Federal Anti-Kickback Statute, the Physician Self-Referral Law, the False Claims Act, the Civil Monetary Penalty (CMP) Authorities, Exclusion Authority, Criminal Health Care Fraud Statute, and the HIPAA Privacy and Security Rules. The compliance officer should either report directly to the CEO or the Board.

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MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. One effective tool to achieve this is through internal healthcare compliance audits.

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MedTrainer

JANUARY 26, 2024

In this blog, we will outline what is non-compliance in healthcare, highlight various non-compliance activities, and explore how healthcare compliance software plays a crucial role in combating non-compliance. What is Healthcare Compliance? This includes training modules and tools for secure data management.

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MedTrainer

JANUARY 26, 2024

Ensure Relevant and Up-To-Date Healthcare Compliance Training In today’s fast-paced healthcare environment, it’s hard for employers to stay on top of required compliance training and changing regulations.

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AIHC

MARCH 2, 2023

I do a lot of training of compliance officers and realize the time that is being spent could be improved. At this particular time, I was also a commissioner in city government and was active among many charitable organizations. The role of Compliance Officer for an association with 200 doctors had its challenges.

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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.

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Compliancy Group

AUGUST 14, 2023

Regulatory compliance in the healthcare industry plays a crucial role in patient safety, maintaining quality standards, and preventing fraud and abuse. Healthcare organizations are subject to numerous regulations that govern their operations, ranging from privacy and security requirements to billing and coding guidelines.

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MedTrainer

FEBRUARY 12, 2024

In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. What is Healthcare Compliance? Failure to report non-compliance can hinder the resolution of these issues.

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MedTrainer

OCTOBER 16, 2023

Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Anti-Kickback Statute The Office of Inspector General (OIG) is responsible for the enforcement of the Anti-Kickback Statute. million annually.

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MedTrainer

AUGUST 28, 2023

Ensuring compliance can be a daunting task, but healthcare compliance software is available to simplify the process and help organizations meet their regulatory obligations with ease. What Is Healthcare Compliance Software? Here’s how: HIPAA compliance: Ensuring the privacy and security of patient information is a top priority.

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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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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. Quality of Care Standards. Data Security and Privacy. Provider Credentialing and Accreditation.

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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).

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AIHC

FEBRUARY 16, 2024

The OIG states the following: “Entities also should develop appropriate incentives to encourage participation in the entity’s compliance program.” “The The “Cobra” - In the late 1800s-early 1900s when India was ruled by the British government, there was a problem with venomous cobras invading major cities. The result?

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AIHC

FEBRUARY 16, 2024

The OIG states the following: “Entities also should develop appropriate incentives to encourage participation in the entity’s compliance program.” “The The “Cobra” - In the late 1800s-early 1900s when India was ruled by the British government, there was a problem with venomous cobras invading major cities. The result?

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