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

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

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

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

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

MedTrainer

MAY 21, 2024

With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care.

Compliance 52

Compliance Medicaid Medicaid HIPAA 52

MedTrainer

JANUARY 12, 2024

Healthcare facilities, from hospitals and clinics to insurance providers, are deeply affected by the regulations set forth by the Health Insurance Portability and Accountability Act (HIPAA). Health plans: Insurance companies, HMOs, Medicare, Medicaid, and other health insurance providers.

HIPAA 52

HIPAA Compliance Health Insurance Hospitals 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).

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 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

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

MAY 20, 2024

Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 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

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

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

DECEMBER 4, 2023

Regulations in the district encompass diverse healthcare areas, including patient privacy and data security, Medicaid and Medicare compliance, health insurance marketplaces, and scope of practice for healthcare professionals. Healthcare in D.C.

Compliance 52

Compliance Health Insurance Health Outcomes 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 4, 2023

The Mississippi Division of Medicaid administers health coverage programs to eligible residents, providing vital healthcare services to underserved and vulnerable populations in the state. Health insurance plans must cover telemedicine services to the same extent that services would be covered if they were provided in-person.

Compliance 52

Compliance Telemedicine Licensing Public Health 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). Understanding the core regulations is essential for any healthcare entity.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

MedTrainer

NOVEMBER 29, 2023

The Massachusetts Health & Hospital Association (MHA) is a prominent organization representing hospitals and health systems across Massachusetts, advocating for policies and practices that support healthcare delivery and patient care.

Compliance 52

Compliance Public Health Health Insurance Hospitals 52

MedTrainer

NOVEMBER 29, 2023

The Tennessee Hospital Association (THA) is a membership organization that represents and supports hospitals and health systems across Tennessee, advocating for their interests and working to enhance healthcare quality and accessibility for all Tennesseans. TennCare is Tennessee’s managed Medicaid agency.

Compliance 52

Compliance Licensing HIPAA Medicaid 52

MedTrainer

OCTOBER 4, 2023

These federal compliance governing agencies regulate the industry at the national level: Centers for Medicare & Medicaid Services (CMS). CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. HIPAA sets the standard for protecting sensitive patient data.

Compliance 52

Compliance Fraud HIPAA 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). OCR can impose civil money penalties up to $1.5

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

MedTrainer

NOVEMBER 17, 2023

This model involves specific regulations and agreements with Medicare and Medicaid, impacting how healthcare providers in the state bill for services and receive payments. Health information (including mental health), health insurance policy information, or biometric data is considered personal information under Maryland law.

Compliance 52

Compliance Licensing Hospitals Health Insurance 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). OCR can impose civil money penalties up to $1.5

HIPAA 52

HIPAA Compliance Governance Health Insurance 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. Office for Civil Rights The Office for Civil Rights (OCR) is another branch of HHS.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 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

Provider Trust

FEBRUARY 3, 2023

Hosted by Co-Founder of ProviderTrust Michael Rosen and Chief Compliance Officer Donna Thiel, our webinar outlined various factors affecting the healthcare space in the new year, from staffing strikes to increased scrutiny around private equity investment firms.

Compliance 52

Compliance Fraud Nurses Telemedicine 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. hospitals for maternity care UMass Memorial Medical Center to reinstate caregiver mask mandate Massachusetts health system sees over $17M FY ’23 profit Mass.

Nursing Homes 40

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

Hall Render

MARCH 24, 2023

Sanders pushes funding boost for rural health care Struggling to survive, the first rural hospitals line up for new federal lifeline ALABAMA AARP report puts spotlight on caregiving issues, expenses in Alabama All of Us Research Program launching new enrollment location in Dothan Local partnership to provide cancer screening for rural patients Medical (..)

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40