AIHC

MARCH 31, 2025

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

Compliance 64

Compliance COVID-19 Compliance Officers Medicaid 64

YouCompli

FEBRUARY 22, 2023

Price increases can sometimes result in inappropriate outlier payments. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS).

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Hall Render

NOVEMBER 25, 2024

When a nursing facility submits a claim to Medicare or Medicaid for reimbursement, the claim submission form includes certifications that the claimed services were provided in compliance with all applicable statutes, regulations and rules. Compliance Officer Experience. Competency-Based Training.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

MedTrainer

JANUARY 12, 2024

Key Changes in the History of Healthcare Compliance The face of healthcare compliance has changed dramatically in the last 100-plus years: Inception (Early 20th Century): Healthcare compliance began as a response to concerns about the quality of healthcare provided by medical practitioners.

Compliance 52

Compliance HIPAA Telemedicine ACA 52