Compliance Officers HIPAA Medicaid Regulatory Compliance 
MedTrainer
NOVEMBER 2, 2023
This critical responsibility rests on the shoulders of the healthcare compliance officer. Read on if you’ve ever wondered about the unsung heroes as we answer the question: What does a compliance officer do in healthcare? What Is the Primary Role of a Compliance Officer in Healthcare?
Compliancy Group
APRIL 17, 2024
For example, the OIG has focused on billing and coding, quality of care, data security and privacy, and Medicare compliance. Compliance officers and other healthcare leaders should stay updated on these focus areas and be able to anticipate annual changes in audit policy. and cybersecurity threats. Medicare Advantage (M.A.):
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MedTrainer
FEBRUARY 1, 2024
Corporate compliance can help to reduce these potential costs by helping companies uphold compliance standards. Meet Government Requirements: Some government programs and payers, such as the Centers for Medicare & Medicaid Services (CMS) , require healthcare facilities to have compliance programs as a condition for participation.
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. The specific structure may vary depending on the organization’s size, structure, and regulatory environment.
MedTrainer
APRIL 20, 2023
Providers need a strong compliance program to inform the creation of compliance checklists. The Seven Core Compliance Program Requirements The Centers for Medicare & Medicaid Services (CMS) criteria promote an effective compliance program in healthcare organizations.
MedTrainer
AUGUST 30, 2023
Medicaid Managed Care. Some state Medicaid programs contract with managed care organizations to provide healthcare services to eligible beneficiaries. These plans follow managed care principles to control costs and improve care coordination for Medicaid recipients. Quality of Care Standards. Data Security and Privacy.
MedTrainer
OCTOBER 5, 2023
As a key member of your facility’s healthcare compliance programming, you understand the significance of regulatory compliance and the critical role it plays in ensuring the privacy and security of patient information. Security Rule: The HIPAA Security Rule sets standards for securing electronic PHI (ePHI).
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