Compliance Officers HIPAA Medicare 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
Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Findings from OIG audits can identify compliance areas needing improvement.
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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
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
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
Medicare Advantage (Part C). Medicare Advantage plans are managed care plans offered by private insurance companies as an alternative to traditional Medicare (Parts A and B). Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. Quality of Care Standards.
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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