Provider Trust

MARCH 13, 2023

State licensing boards nationwide have annulled the licenses of dozens of nurses who obtained fake degrees and used them to gain or secure employment. In Delaware, 26 nursing licenses were revoked when the nurses’ credentials were tied to the scheme. ProviderTrust recommends conducting license verification monthly.

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

MedTrainer

APRIL 16, 2024

Healthcare compliance auditing software helps compliance managers prepare their organization for an audit. As the regulatory landscape evolves, having robust healthcare compliance software to ensure you’re audit-ready will become increasingly important for compliance officers in 2024.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Governance 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.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

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).

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

Provider Trust

MAY 9, 2024

But it siloed us and created a lot of duplicative work,” said the organization’s Corporate Compliance Officer. “We grew up doing what had to be done. The laws have come so fast and so furiously. Partnering with ProviderTrust allowed the client to automate their exclusion monitoring and primary source verification processes fully.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

HIPAA Journal

APRIL 19, 2024

What Are The Benefits Of Healthcare Compliance Software? For a chief compliance officer the benefits of using healthcare compliance software are: 1. This increased visibility enhances the chief compliance officer’s ability to effectively oversee compliance efforts across the organization.

Compliance 52

Compliance Compliance Officers Regulatory Compliance HIPAA 52

YouCompli

JUNE 29, 2022

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.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

MedTrainer

MAY 3, 2024

Non-compliance with these regulations can result in jail time, large fines, and even loss of license. Keeping compliance and fraud prevention top of mind can help to protect both your organization and its staff. For those who are not, there are five main federal laws they are likely violating related to healthcare fraud.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

MedTrainer

DECEMBER 4, 2023

The Kentucky Board of Medical Licensure (KBML) is responsible for regulating and licensing medical professionals in Kentucky, ensuring that they meet the necessary standards for safe and ethical practice. Healthcare leaders and compliance officers should refer to CHFS for guidance and specific compliance information.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Prevent Fraud by Verifying Licenses Routinely. This should become an integral part of the license verification process.

Nurses 52

Nurses Licensing Fraud Medicaid 52

MedTrainer

SEPTEMBER 1, 2023

Spending 20+ years as a compliance officer means that I’m often thinking about compliance — even at birthday parties. And that’s when I realized birthdays and compliance have a lot in common. With learning and compliance, this type of gift may be continuing education that staff needs to renew their professional licenses.

Compliance 52

Compliance Compliance Officers Licensing Public Health 52

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIPAA Journal

JULY 15, 2023

Element 2: The Roles of HIPAA Compliance Officers It is interesting that the HHS’ Office of Inspector General placed this “tip” in second place after the development of policies and procedures. However, there is quite a lot more involved in being a compliance officer. Responding to queries, issues, complaints, etc.

HIPAA 80

HIPAA Compliance Compliance Officers Licensing 80

MedTrainer

MARCH 28, 2024

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.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

DECEMBER 7, 2023

The Maine Board of Licensure in Medicine is a regulatory authority responsible for licensing and overseeing the professional conduct of physicians and physician assistants in Maine, ensuring the highest standards of medical practice and patient care.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

DECEMBER 7, 2023

The Rhode Island Executive Office of Health and Human Services (EOHHS) oversees the state’s integrated health and human services system, focusing on providing a range of services from healthcare to assistance for families and individuals in need.

Compliance 52

Compliance Licensing Compliance Officers Nurses 52

MedTrainer

NOVEMBER 28, 2023

Healthcare providers, organizations, and compliance officers in Michigan State need to be aware of their state-specific laws and regulations in order to navigate compliance successfully. This rigorous procedure not only maintains high-quality healthcare standards but also protects public health and safety.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

HIPAA Journal

NOVEMBER 15, 2022

I’ve been employed with the Anchorage Fire Department since 1998, holding numerous positions within the department including Firefighter/Paramedic, EMS Battalion Chief, Assistant Fire Chief, Training Chief, Chief of EMS, Health & Safety Officer, and Chief of Mobile Integrated Healthcare.

HIPAA 85

HIPAA Compliance Officers Compliance Licensing 85

Provider Trust

JULY 26, 2022

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. The Importance of Conducting License Verification and Monitoring. According to the U.S.

Licensing 52

Licensing Fraud Compliance Nurses 52

MedTrainer

AUGUST 31, 2023

Non-compliance can lead to severe consequences, such as legal penalties, fines, exclusion from government programs, loss of licenses, and even criminal charges for individuals knowingly involved in violations. What Is a Compliance Officer?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Provider Trust

FEBRUARY 26, 2024

Tuesday, March 19, 2024 at 1 pm CST Register Today Presenting Results from a Survey of 150 Healthcare Executives Join our Chief Compliance Officer, Donna Thiel, and VP of Sales, Katy Harvey, for a webinar presenting the results of a recent survey conducted by ProviderTrust and Healthcare Dive.

Compliance Officers 52

Compliance Officers Compliance Licensing 52

Healthcare IT Today

DECEMBER 20, 2022

Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors. Mike Semel is the President and Chief Compliance Officer at Semel Consulting.

HIPAA 87

HIPAA Nurses Licensing Compliance 87

MedTrainer

NOVEMBER 29, 2023

The Board of Medical Examiners under the South Carolina Department of Labor, Licensing, and Regulation (LLR) is responsible for licensing and regulating medical professionals in the state, ensuring that they meet the required standards of practice and ethics.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

APRIL 27, 2024

The visit usually lasts three days, during which the surveyor will meet with center leaders and board members to gather information and assess compliance. Verification of current licensure, registration, or certification Primary source verification (PSV) directly from the state licensing agency/body.

Licensing 52

Licensing Compliance Malpractice Governance 52

MedTrainer

NOVEMBER 30, 2023

The Missouri State Board of Registration for the Healing Arts , which operates under the Division of Professional Registration , is a regulatory body responsible for licensing and overseeing medical professionals in Missouri, ensuring they meet the necessary standards and qualifications to provide safe and competent healthcare.

Compliance 52

Compliance Compliance Officers Hospitals Public Health 52

MedTrainer

NOVEMBER 30, 2023

To manage healthcare compliance in Alabama successfully, providers and compliance officers need to know the ins-and-outs of state-specific regulations. While tricky to navigate, staying up to date with compliance requirements and standards can make the process more manageable.

Compliance 52

Compliance Compliance Officers Public Health Licensing 52

MedTrainer

FEBRUARY 12, 2024

An investigation for compliance violations may occur long after it occurred ( in some cases years !). Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation. These actions can include fines, sanctions, or even revocation of licenses or certifications.

Compliance 52

Compliance Licensing Governance Fraud 52

MedTrainer

MARCH 15, 2024

The hepatitis B vaccination is so important for most healthcare workers that if employees choose not to get the vaccination, OSHA requires them to sign a declination form that is tracked by the organization’s compliance officer. This is a requirement often overlooked by organizations but spotted during OSHA inspections.

Compliance 52

Compliance Compliance Officers Licensing 52

MedTrainer

NOVEMBER 27, 2023

The Georgia Composite Medical Board (GCMD) oversees licensing requirements for medical providers in Georgia. The Board of Professional Counselors, Social Workers, and Marriage and Family Therapists provides oversight and licensing for mental/behavioral health professionals in Georgia.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The North Carolina Medical Board (NCMB) regulates the practice of medicine and ensures that medical professionals meet licensing requirements, adhere to ethical standards, and maintain competency in their field. Proper patient identification, confidentiality, and comprehensive medical record-keeping are essential to maintaining compliance.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 29, 2023

The Louisiana State Board of Medical Examiners is the regulatory body responsible for licensing and regulating physicians and other healthcare professionals in Louisiana, ensuring they meet the required standards for medical practice.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 5, 2023

DPH encompasses various departments, such as the Office of Compliance, which fosters ethics, integrity, and regulatory adherence through awareness initiatives, monitoring, and addressing non-compliance reports. The Connecticut Medical Examining Board handles licensing and regulations for medical professionals.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 20, 2023

The TSBEPC ensures practitioners adhere to licensing requirements and maintain high standards of competence and ethical practice. Credentialing and Licensing Compliance in Texas The Texas Medical Board oversees medical credentialing and licensing within the state.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 20, 2023

Ensuring adherence to licensing requirements, the Florida Agency for Health Care Administration oversees Medicaid, coordinating essential healthcare access to vulnerable populations. The Florida Board of Medicine is responsible for regulating practitioner licenses and provides the guidelines providers must adhere to.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

Provider Trust

JULY 25, 2022

Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

MedTrainer

DECEMBER 7, 2023

The Board of Medicine within the New Hampshire Office of Professional Licensure and Certification (OPLC) is responsible for licensing and regulating medical professionals in the state to ensure high standards of practice and protect public health. Conveniently, license renewals are also completed online through the OPLC website.

Compliance 52

Compliance Licensing Public Health Medicaid 52

MedTrainer

AUGUST 2, 2023

The requirements for CE vary depending on the profession and may be mandated by licensing boards or professional organizations. Search by state and license type. CE is a broad term for any continuing education that’s done in pursuit of skill development in a person’s respective field. Continuing Medical Education (CME).

Licensing 80

Licensing Nurses Compliance Doctors 80