MedTrainer

MAY 16, 2024

Staff should review the requirements for their specific state to remain in compliance. Below are courses common to many roles in ASC facilities that meet federal requirements for orientation or annual continuing education.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Medisys Compliance

JANUARY 30, 2023

Let us discuss the top compliance issues in the medical billing industry, shall we? HIPAA: The Health Insurance Portability and Accountability Act( HIPAA) is a federal law that establishes the national standards for protecting the privacy and security of individuals’ personal health information ( PHI).

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Compliancy Group

AUGUST 31, 2023

They cover various aspects, including: Internal Monitoring Systems Employee Training Programs Reporting Mechanisms for Potential Violations Health Insurance Portability and Accountability Act (HIPAA) HIPAA focuses on safeguarding the privacy and security of patients’ health information.

Compliance 52

Compliance Compliance Officers Fraud Compliance Framework 52

MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. This is one of seven components recommended in the OIG’s compliance guidelines. For all-size organizations, the owner(s)/executive team has a legal and ethical responsibility to maintain compliance.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

OCTOBER 23, 2023

Office of Inspector General (OIG): Prevents fraud, waste, and abuse within the department’s vast array of Department of Health and Human Services (HHS) initiatives. Centers for Medicare and Medicaid (CMS) : Evaluates providers’ adherence to state/federal regulations and guidelines at both the individual and organizational levels.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). However, your organization should not address only “HIPAA” or only “HITECH”. What is “HITECH”?

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

MedTrainer

NOVEMBER 14, 2023

Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. Criminal Charges: Knowingly committing compliance violations can lead to criminal charges against individuals responsible.

Compliance 52

Compliance HIPAA Governance Medicare 52

MedTrainer

FEBRUARY 1, 2024

Ensure Legal and Regulatory Compliance: This helps healthcare facilities stay in compliance with federal, state, and accreditation regulations, including laws like the Health Insurance Portability and Accountability Act (HIPAA). Monitoring and Auditing: Monitor for adherence to policies and regulations.

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

MedTrainer

JUNE 28, 2023

CFEs collaborate with various stakeholders — including compliance officers, legal teams, auditors, and law enforcement agencies — to address fraud and compliance-related issues. The FCA prohibits submitting false or fraudulent claims for payment to government healthcare programs, such as Medicare and Medicaid.

Fraud 52

Fraud Compliance Governance Compliance Officers 52

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). However, your organization should not address only “HIPAA” or only “HITECH”. What is “HITECH”?

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

MedTrainer

JANUARY 30, 2024

Compliance is Mandatory for Federal Programs One constant is that organizations and facilities that participate in federal healthcare programs, such as Medicare and Medicaid, must have a compliance program. Laboratories: Clinical laboratories that perform tests covered by Medicare or Medicaid.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

MedTrainer

SEPTEMBER 8, 2023

These two healthcare compliance news stories — and many others — highlight the significant damage that can come from non-compliance or a willful violation of compliance standards. This settlement was the largest HIPAA settlement at that time. Loss of reimbursements. License revocation or suspension. Patient privacy.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

JANUARY 26, 2024

It jeopardizes patient health, and can seriously harm the legal standing and reputation of healthcare institutions. Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

MedTrainer

DECEMBER 7, 2023

Healthcare Facility Standards In Idaho, the Bureau of Facility Standards plays a key role that is particularly relevant for healthcare executives and compliance officers. For healthcare executives and compliance officers, thorough understanding and adherence to the Bureau’s standards is required.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

APRIL 8, 2024

These requirements include but are not limited to: Health Insurance Portability and Accountability Act (HIPAA): Protects the privacy and security of patients’ health information. Occupational Safety and Health Act : Established the Occupational Safety and Health Administration (OSHA) and created a U.S.

Compliance 52

Compliance Governance ACA HIPAA 52

MedTrainer

OCTOBER 4, 2023

Compliance Governing Agencies There are a number of federal agencies and governing bodies responsible for passing down healthcare compliance requirements to healthcare organizations, providers, and practicing professionals. CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid.

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

JANUARY 31, 2024

Here are some key ways in which these programs have evolved: Increased Regulatory Complexity: As healthcare regulations have become more complex and numerous, compliance programs have had to keep pace.

Compliance 52

Compliance Fraud Governance ACA 52

Verisys

JANUARY 19, 2022

According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Checks credentialing for Health Insurance Portability and Accountability Act (HIPAA) compliance. Human Resources. Medical Staffing Services.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

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. Department of Health and Human Services (HHS). What Are the Penalties for Non-Compliance in Healthcare? million annually.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

MedTrainer

JUNE 29, 2023

Today, compliance reporting software typically also plays a significant role in automating and streamlining processes related to data collection, analysis, documentation, and reporting.

Compliance 52

Compliance FDA Health Insurance Medicaid 52

MedTrainer

NOVEMBER 15, 2023

Department of Health and Human Services The United States Department of Health and Human Services (HHS) is the primary federal agency responsible for protecting the health of all Americans and providing essential human services. Designate a compliance officer and/or compliance committee.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

AIHC

DECEMBER 2, 2021

At a recent AIHC HIPAA training event, this topic came up. I am a Certified HIPAA Compliance Officer (CHCO) through the AIHC organization and a compliance specialist. Our compliance committee wants the “industry standard” of this statement and evidence that this is industry standard. Need HIPAA support?

HIPAA 52

HIPAA Compliance Compliance Officers Health Insurance 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

Hall Render

DECEMBER 29, 2023

hospitals for maternity care UMass Memorial Medical Center to reinstate caregiver mask mandate Massachusetts health system sees over $17M FY ’23 profit Mass. system turns profit for 1st time in 4 years Mass.

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Nursing Homes US Department of Health and Human Services Nurses COVID-19 40