Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. HCO Qualifications. Reimbursement.

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YouCompli

JUNE 8, 2022

Sharon Parsley, JD, MBA, CHC, CHRC , is a health law attorney, compliance officer, author, speaker, investigator, and problem solver. She has nearly 20 years of healthcare compliance and legal leadership experience, and she believes that mentorship and on-the-job training are critical to compliance professional success.

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Healthcare Law Today

NOVEMBER 9, 2022

The Office of Inspector General of the U.S. Department of the Health and Human Services (OIG) recently changed the language describing a compliance officer’s role in relation to other responsibilities he or she may have within their company when under a Corporate Integrity Agreement (CIA). Emphasis added).

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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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MedTrainer

APRIL 24, 2022

Here’s an overview of HIPAA privacy officer requirements and the ways they help their organization adhere to legal regulations. What Are HIPAA Privacy Officer Requirements and Duties? They’ll then need to take corrective actions, such as drafting new procedures or sanctioning an employee who failed to adhere to compliance.

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YouCompli

JULY 12, 2023

Mock audits deliver value for healthcare   Mock audits are an incredible tool for compliance officers to protect a healthcare organization’s revenue and add tangible value. They are time consuming, but they can dramatically advance your compliance program. The unbilled services totaled $9 million. 

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MedTrainer

APRIL 9, 2024

The healthcare sector, renowned for its dynamic regulatory environment, relies on healthcare compliance officers who ensure their organizations adhere to established norms. If you’re intrigued by the intersection of healthcare, law, and administration, this blog will explain how to get into healthcare compliance.

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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.

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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

YouCompli

SEPTEMBER 20, 2023

After looking for several minutes, I eventually left, feeling frustrated by the clerk’s lack of customer service. Essentially, we are acting as an internal customer service representative, similar to these store clerks; our healthcare leaders are our customers. Assume for a moment you’re not a compliance officer.

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Healthcare Law Blog

FEBRUARY 9, 2024

million to resolve a lawsuit filed by the system’s former Chief Compliance Officer, Ronald Sherman. Sherman alleged that these “in-kind” services constituted improper remuneration that was intended to induce the physicians to make referrals to ChristianaCare. ChristianaCare did not admit liability as part of the settlement.

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Electronic Health Reporter

JUNE 5, 2020

By Susan Kohler, chief compliance officer, Greenway Health The Coronavirus Aid, Relief, and Economic Security (CARES) Act, signed into law in March, has provided a lifeline for many businesses — including healthcare organizations. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

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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?

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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. Such an ongoing auditing system is crucial to a healthcare organization’s compliance program.

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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. On November 6, 2023, the Office of Inspector General (OIG) of the U.S.

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Compliancy Group

JANUARY 16, 2024

Let’s dive right into the significance behind these solutions, emphasizing the role of the Compliance Officers (COs) in reporting to the Board of Directors and the importance of compliance training for the Board. This open line of communication fosters a culture of accountability throughout the organization.

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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).

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HIPAA Journal

NOVEMBER 17, 2022

HIPAA Journal is conducting interviews with healthcare professionals and service providers to find out more about their compliance journeys, how the HIPAA Rules have affected their working lives, and the successes and challenges they have faced with HIPAA compliance. What are the main challenges in your position?

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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. An example is knowingly billing for services a doctor hasn’t provided.

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YouCompli

NOVEMBER 9, 2022

Compliant Billing for Critical Care Evaluation and Management Services. This month’s article looks at critical care services. These codes are reimbursed at a higher rate than the typical evaluation and management, (E/M) codes reported for less-intensive professional medical services. CJ Wolf, MD ?provides

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Compliancy Group

MARCH 21, 2024

Instead of continuously working hard to maintain all these administrative and logistical functions, you can be more innovative by letting compliance training software do the heavy lifting. Importance of OIG Compliance Training The U.S. All these tasks can seem daunting to even the most organized compliance officers.

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Compliancy Group

APRIL 24, 2024

Here’s how a simplified, automated, and guided compliance monitoring platform makes a difference: Easy Monitoring of Compliance Status: The platform provides a clear, intuitive dashboard, displaying open tasks and current status at a glance. Don’t wait to enhance your organization’s compliance framework.

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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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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.

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C&M Health Law

DECEMBER 18, 2023

The Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) published the General Compliance Program Guidance (GCPG) on November 6, 2023. The GCPG provides updated descriptions of the seven elements of an effective compliance program that health care entities have long relied upon.

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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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American Medical Compliance

FEBRUARY 15, 2023

Every year, organizations that provide prescription drugs, health care, or administrative services to persons who have Medicare Advantage (MA) or Prescription Drug Plan (PDP) instead of a health plan must complete this training. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

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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.

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Compliancy Group

FEBRUARY 11, 2022

When healthcare providers and the vendors that serve them seek guidance about HIPAA Compliance, an internet search for “online HIPAA” is one place to start. . Online HIPAA Services – How We Got Here. Designating a compliance officer and compliance committee. Close Online HIPAA Services – What is Required.

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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.

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YouCompli

FEBRUARY 1, 2023

Using the OIG’s seven elements as a guide to delivering better patient care Healthcare Compliance professionals tend to focus, rightfully so, on the regulations and organization requirements around providing quality patient care and keeping patients safe. Consider the seven elements in the OIG’s guidance on effective compliance programs.

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MedTrainer

FEBRUARY 1, 2024

Mitigating Red Flags in Healthcare Compliance Healthcare organizations and compliance officers are responsible for monitoring and addressing these red flags to ensure adherence to healthcare regulations and prevent potential legal and financial consequences. Ensure that documentation reflects the services provided accurately.

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Health Law Advisor

AUGUST 25, 2023

It is axiomatic that New York State requires every Medicaid provider to have an “effective” compliance program. New York Social Services Law § 363-d. New Self-Disclosure Program rules (amendments to N.Y.

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HIPAA Journal

MARCH 30, 2023

The Background to the Seven Elements In 1991, the Department of Health and Human Services (HHS) launched the Workgroup for Electronic Data Interchange (WEDI). under the direction of a compliance officer. WEDI had the objective of reducing administrative costs in the healthcare system by promoting electronic claims submission.

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YouCompli

APRIL 5, 2023

Department of Health & Human Services posted a fact sheet and transition roadmap. It addressed which patient care and services will – and won’t – be affected, and it remains a helpful guide now. Each element is an opportunity for compliance officers to position their organization to provide the best patient care.

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MedTrainer

DECEMBER 7, 2023

All healthcare organizations, along with their providers and compliance officers, must understand the requirements of each regulatory state agency that provides oversight. The Med-QUEST Division administers Hawaii’s Medicaid program, providing essential healthcare services to low-income individuals and families across the state.

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YouCompli

SEPTEMBER 13, 2023

Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. Integrating this strategy into your compliance culture can help your organization avoid penalties and deliver compliant patient care.

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