YouCompli

JANUARY 4, 2023

The healthcare enterprise risk approach takes compliance in new directions . Featured speakers: James Bryant , Vice President and Chief Compliance Officer, Brigham and Women’s Hospital; Timothy C. They spoke about going beyond historical healthcare compliance duties like billing coding to include.

Compliance Officers 52

Compliance Officers Compliance ADA Hospitals 52

Compliancy Group

FEBRUARY 26, 2024

A comprehensive hospital compliance work plan is pivotal for achieving these objectives. Hospital compliance officers, c-suite executives, and other decision-makers must constantly stay abreast of the latest developments in healthcare compliance. What Are Hospital Compliance Work Plans?

Compliance 52

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

MedTrainer

APRIL 24, 2022

For that reason, HIPAA privacy officers exist. They’re like the king’s advisor for hospitals and healthcare organizations when it comes to staying HIPAA compliant. And—given how important it is to protect confidential health information—the duties of an officer are critical to facility operations. Inform Patients.

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Compliance Officers HIPAA Compliance Hospitals 52

YouCompli

MARCH 29, 2022

You know the seven elements for compliance program effectiveness. They are a north star for healthcare compliance officers, and they’re at the heart of the adage “you can’t manage what you can’t measure.”. You might look at number of compliance audits completed or billing error rates.

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Compliance Officers Compliance Hospitals 52

YouCompli

JANUARY 4, 2022

Featured speakers: Craig Bennett , Vice President and Chief Compliance Officer, Boston Medical Center; Rachel Lerner , Esq., Bennett, Lerner and Palumbo addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Building a culture of compliance. Read a summary.

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Compliance Officers Public Health Compliance COVID-19 40

Compliancy Group

MARCH 26, 2024

In addition to ensuring their organization’s adherence to regulations and overseeing a compliance program, compliance officers must also perform comprehensive risk management. This part of the compliance officer’s job can be daunting by itself.

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Compliance Compliance Officers Regulatory Compliance Hospitals 52

Healthcare Law Blog

FEBRUARY 9, 2024

million to resolve a lawsuit filed by the system’s former Chief Compliance Officer, Ronald Sherman. Following the resolution of this case, hospitals are encouraged to revisit their arrangements with private physician groups to ensure that proper safeguards are in place to mitigate FCA risk.

Hospitals 52

Hospitals Compliance Officers Compliance Overpayments 52

MedTrainer

MARCH 29, 2024

Hospitals deal with emergencies of all kinds and severity. When the crisis is over, staff must know how to report an incident in hospitals. Reporting an incident in hospitals is crucial for ensuring patient safety and quality of care. Reporting an incident in hospitals is crucial for ensuring patient safety and quality of care.

Hospitals 52

Hospitals Compliance Nurses Compliance Officers 52

MRO Compliance

MARCH 2, 2022

Fast Focus: Revenue Cycle Compliance. Compliance officers and auditors today are tasked with responsibility for monitoring and auditing hundreds of rules and regulations that impact healthcare. More than ever before, a team-based approach is needed to manage the burden and ensure regulatory compliance. Background Summary.

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Compliance Regulatory Compliance Compliance Officers Hospitals 130

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.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

HIPAA Journal

DECEMBER 28, 2022

Discussing HIPAA compliance for hospitals in a single article is challenging. Not only is there so much to cover, but there are also many different types and sizes of hospitals. For example, most Medicare-participating hospitals already have: A Notice of Rights which includes the hospital’s grievance procedures.

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HIPAA Compliance Hospitals Medicare 62

MedTrainer

JANUARY 30, 2024

The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS). Certified Compliance and Ethics Professional (CCEP) offered by the Compliance Certification Board (CCB).

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

MedTrainer

FEBRUARY 7, 2024

The complex world of healthcare compliance demands a clear understanding of responsibilities. For those new to the role of compliance officer, the question often arises: “Who is responsible for compliance in healthcare?” Who is Responsible for Compliance in Healthcare?

Compliance 52

Compliance Compliance Officers Health Insurance Medicaid 52

YouCompli

MARCH 21, 2022

1, 2022 – required extensive training, education, and communications for healthcare organizations to demonstrate compliance. Most chief compliance officers anticipated obstacles as they prepared their healthcare organizations to implement the complex law. The rollout has not been easy for many hospital systems.

Hospitals 52

Hospitals Compliance Officers Compliance 52

Compliancy Group

APRIL 24, 2024

A Deep Dive into the Features and Benefits of a Compliance Monitoring Platform The American Hospital Association reports that hospitals and PAC providers spend nearly $39 billion annually on administrative tasks associated with compliance in various domains.

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Compliance Compliance Officers Compliance Framework Hospitals 59

Compliancy Group

MAY 6, 2024

When considering how you approach managing regulatory compliance, consider 3 of the main drivers that push compliance officers to seek digital frameworks first over anything else. Compliance officers are realizing they just can’t keep up with the continuously shifting industry changes and the costs that come with those shifts.

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Regulatory Compliance Compliance Compliance Framework Compliance Officers 59

Verisys

JANUARY 19, 2022

By outsourcing medical credentialing, hospitals can significantly reduce their costs. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. million dollars for an average-sized hospital. Human Resources.

US Department of Health and Human Services 52

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

Compliancy Group

APRIL 18, 2024

While traditional, humble, and respectable, this method is teeming with challenges—manual updates, the risk of human error, and the inefficiency of tracking complex compliance processes in a static document. Is It Time to Leverage the Power of Compliance Tracking Software?

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Compliance Regulatory Compliance Compliance Officers Hospitals 52

MedTrainer

JANUARY 26, 2024

Healthcare Administrators: Hospital administrators, clinic managers, and other healthcare administrators seek these certificates to ensure that their organizations remain compliant with federal, state, and local regulations. Certified Medical Compliance Officer (CMCO): The CMCO certification is offered by the Practice Management Institute.

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Regulatory Compliance Compliance Compliance Officers HIPAA 52

YouCompli

MARCH 21, 2022

As chief compliance officer for a hospital system, Scott Borsuk faced a two-fold challenge. Implementing YouCompli helped his compliance function to deliver greater value to the hospital system. Implementing YouCompli helped his compliance function to deliver greater value to the hospital system.

Hospitals 52

Hospitals Compliance Compliance Officers Medicare 52

Compliancy Group

MARCH 22, 2024

As a compliance officer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. Office of Inspector General (OIG) guidelines.

Medicare 52

Medicare Medicare Compliance Compliance Officers 52

YouCompli

MARCH 21, 2022

When the pandemic hit, a California-based hospital system was inundated by COVID-19 caseloads and related pressures. Its Compliance function was overwhelmed too, struggling to manage the volume, speed, and scope of regulatory changes coming in. YouCompli ensured that the hospital system knew what was changing. Executive Summary.

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Hospitals Compliance COVID-19 Regulatory Compliance 52

YouCompli

DECEMBER 19, 2023

Compliance Officer (page 38) : The OIG clarifies that compliance officers “have sufficient stature within the entity to interact as an equal of other senior leaders of the entity.” Effective communication and collaboration between compliance and legal is the key to a successful outcome.

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Compliance Compliance Officers Medicaid Medicaid 52

Healthicity

MARCH 4, 2022

The OIG continues to perform focused audits on hospital claims using billing data from thousands of hospitals.

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Overpayments Overpayment Hospitals Compliance 96

MedTrainer

APRIL 22, 2024

A healthcare compliance committee is a cross-functional team that monitors compliance at a strategic level. An influential healthcare compliance committee supports the compliance officer in promoting ethical practices, mitigating risks, and advising on compliance program operations.

Compliance 52

Compliance Compliance Officers Governance Medicaid 52

HIPAA Journal

MARCH 30, 2023

While the seven elements of a compliance program apply to all industries, they originated in the healthcare industry in the 1990s. This was in response to the growing level of healthcare fraud and abuse and an alleged “compliance disconnect” at the executive level in many hospitals and health systems.

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Compliance Compliance Officers Fraud HIPAA 97

YouCompli

NOVEMBER 29, 2023

“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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Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

FEBRUARY 13, 2024

Eight weeks to sign a new policy document may sound absurd but such delays can be the norm vs. the exception for many hospitals, clinics, surgical centers, and other healthcare entities. They like having the compliance officer drop by to grab a signature or have their team gather in a break room to sign an acknowledgement sheet together.

Compliance Officers 52

Compliance Officers Compliance Hospitals 52

YouCompli

AUGUST 2, 2023

As compliance officers, we talk a lot about the factors that directly influence a culture of compliance in our organizations. But we don’t spend nearly as much time on elements that affect compliance culture more indirectly.  non-medical factors that influence patients’ health outcomes) can influence compliance rates.

Compliance 52

Compliance Compliance Officers Health Outcomes Hospitals 52

MedTrainer

NOVEMBER 30, 2023

Effective compliance management at any facility requires comprehensive programming to monitor and adapt to changing regulations, such as those related to hospital and surgery centers, among others. Regulations Unique to Missouri To meet the standards of healthcare compliance in Missouri , there are a few additional regulations.

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Compliance Compliance Officers Hospitals Public Health 52

YouCompli

JANUARY 2, 2024

As Shawn DeGroot noted in her recent look at top takeaways from the document, “The GCPG should be used to establish a compliance program, clarify roles and responsibilities, identify risks, and align current policies and procedures with what  should  be done.” Support an environment of nonretaliation.

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 52

Health Law RX

JULY 31, 2023

While the joint letter was directed to a small number of recipients, in the announcement OCR and the FTC encouraged all companies they regulate to review their data-tracking practices and ensure that their tracking technologies are not impermissibly disclosing consumers’ sensitive personal health data to third parties.

HIPAA 52

HIPAA Hospitals Compliance Compliance Officers 52

Health Care Performance

APRIL 19, 2022

If you are thinking that linking “circus” and “compliance” is one analogy too far, hear me out. Let’s say you are the Corporate Compliance Officer for a hospital. The hospital is lucky to have you. Compliance isn’t a solo act. Do these topics vary by department, building, or shift?

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Compliance Compliance Officers HIPAA Hospitals 52

Healthcare Law Blog

NOVEMBER 9, 2023

Of particular significance is the guidance pertaining to the role of a Compliance Officer. 4] This ensures the independence of the Compliance Officer to identify and advise on how to mitigate risks. 4] This ensures the independence of the Compliance Officer to identify and advise on how to mitigate risks.

Compliance 52

Compliance Compliance Officers Fraud Medicare 52

YouCompli

MARCH 21, 2022

When two hospital systems merged, the Compliance function struggled to keep up with cumbersome exsiting processes. This was on top of another complex problem facing the hospital system: billing headaches. This was on top of another complex problem facing the hospital system: billing headaches. Executive Summary.

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Compliance Compliance Officers Hospitals 52

YouCompli

OCTOBER 11, 2022

Demonstrate Compliance’s impact with a sales mentality and culturally impactful metrics. Healthcare compliance officers know the value their work and regulatory change management bring to their organization. Being an effective influencer and using culturally impactful metrics can help tell Compliance’s story.

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Compliance Compliance Officers HIPAA Hospitals 52

Hall Render

NOVEMBER 10, 2023

Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders. Below we provide some of the compliance guidance memorialized in the GCPG: 1.

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Compliance Compliance Officers Fraud Governance 40