Compliancy Group

APRIL 23, 2024

When OIG Evaluation of Corporate Compliance Programs Turns Up Wrongdoing Compliance officers, and the compliance programs they oversee, represent the backbone of stringent adherence to federal, state, and internal standards of conduct. Minimizing their importance can be costly. Most CIAs last five years.

Compliance 59

Compliance Compliance Officers Regulatory Compliance Medicare 59

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

Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. What Is the National Practitioner Data Bank (NPDB)?

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

MedTrainer

JULY 29, 2024

Corporate compliance training software is vital to tailoring programs to staff, departments, and locations. Corporate compliance training software helps healthcare executives and compliance officers mitigate legal and financial risks while fostering a culture of ethical behavior. monitorship or reporting obligations).”

Compliance 52

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

Compliancy Group

OCTOBER 16, 2024

There’s a significant connection between healthcare compliance and risk management. Compliance officers must thoroughly understand both concepts to protect their organizations and the patients they serve. Risk management refers to identifying, avoiding, and mitigating the factors contributing to healthcare non-compliance.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

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). MCOs need to comply with various regulations and requirements to operate effectively — and ensure they meet the standards set forth by regulatory bodies.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

HIT Consultant

JULY 24, 2024

The company’s AI practices are guided by standards from the Centers for Medicare & Medicaid Services (CMS) and the National Institutes of Standards and Technology (NIST). Led by Michael Rodio (General Manager of AI) and Katie McCrudden (AI Project Manager), in collaboration with Nikole Benders-Hadi, M.D.

Regulatory Compliance 52

Regulatory Compliance Compliance Officers Compliance Medicaid 52

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.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Regulations Compliance 52

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.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

FEBRUARY 1, 2024

Why Healthcare Corporate Compliance is Critical Healthcare facilities use corporate compliance programs for several important reasons: Reduce Risk-related Costs: Potential costs can arise from a variety of compliance risks including operational, legal, clinical, and financial.

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

Innovaare Compliance

NOVEMBER 29, 2023

On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. This has been a very useful tool for Medicare Advantage Organizations (MAO) to check their readiness to fulfill requirements in the new contract year.

Medicare 52

Medicare Medicare Compliance Medicaid 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

YouCompli

MARCH 21, 2022

Another challenge was the health system’s decentralized model for managing regulatory compliance. By implementing YouCompli, the Compliance function delivered much greater value to the hospital system. Managing healthcare regulatory changes is a balancing act for chief compliance officers (CCO).

Hospitals 52

Hospitals COVID-19 Compliance Regulatory Compliance 52

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

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. Your organization’s ability to practice regulatory compliance is only as good as what’s been documented.

HIPAA 98

HIPAA Compliance Regulatory Compliance ADA 98