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What is a Healthcare Compliance Officer?

Verisys

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. HCO Qualifications. Reimbursement.

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Managing Healthcare Compliance in Idaho

MedTrainer

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services. The IMLC streamlines physician licensure for multi-state practice, including telehealth.

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Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 

YouCompli

Exclusions (page 26) : OIG recommends that any entity participating in the federal Medicaid program should check the state Medicaid program exclusion list for each applicable state. In organizations where compliance reports to legal, conflicts of interest exist and can create barriers that lead to timing and resource inefficiencies.

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Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 

YouCompli

“As previous OIG compliance guidance(s) are retired to ‘archival’ status, we all should recognize that the original guidance may have been the most important document ever written for healthcare compliance professionals.” — Roy Snell In 1998, the Office of Inspector General (OIG) issued its first General Compliance Program Guidance (GCPG).

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Telehealth evolution: Supporting patients with virtual care

YouCompli

With it, compliance officers have guided their healthcare organizations in complying with changing documentation, coding, and confidentiality requirements. As virtual care requirements for telehealth evolve, we explore how compliance officers can support patient care and help their organizations stay up to date.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Healthcare Compliance Complexities The first healthcare compliance programs began in the early 20th century as a response to concerns about the quality of care provided by medical practitioners. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

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Managing Healthcare Compliance in Georgia

MedTrainer

Through its various departments, such as the Office of Compliance, DPH ensures adherence to ethical standards, regulations, and policies to maintain quality care. The Medical Assistance Plans Division oversees Georgia’s Medicaid and PeachCare for Kids® programs. Operating a pain management clinic without a license is a felony.