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. Training employees on compliance issues.

Compliance Officers 52

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

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

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

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. Oversee Programs.

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Compliance Officers HIPAA Compliance Hospitals 52

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.

Compliance 52

Compliance Compliance Officers Regulatory 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.”. Another is an oversight goal requiring 100% of board compliance committee meetings to achieve a quorum.

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Compliance Officers Compliance Hospitals 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. From hiring and safety to data governance, it all matters.

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Compliance Compliance Officers Compliance Framework Hospitals 59

Compliancy Group

MAY 6, 2024

Managing regulatory compliance is one area of healthcare where the majority prefer digital solutions over manual processes. 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.

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Regulatory Compliance Compliance Compliance Framework Compliance Officers 59

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

MedTrainer

JANUARY 30, 2024

Healthcare compliance is a critical part of any organization’s business model. 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).

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

Compliancy Group

APRIL 18, 2024

Many healthcare organizations rely on the classic spreadsheet to track their compliance status. 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. Let’s learn more.

Compliance 52

Compliance Regulatory Compliance Compliance Officers Hospitals 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. Remaining in good standing with Medicare has several advantages.

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Medicare Medicare Compliance Compliance Officers 52

MedTrainer

APRIL 22, 2024

Several federal agencies highly recommend having a healthcare compliance committee — the key is to make the committee helpful, not just a regulatory checkbox. Compliance committees vary based on the size of the organization, the care setting, and the committee’s charter. What is a Healthcare Compliance Committee?

Compliance 52

Compliance Compliance Officers Governance Medicaid 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 63

HIPAA Journal

MARCH 30, 2023

The seven elements of a compliance program are integrated processes organizations in all industries can adopt to help them develop a culture of compliance in the workplace. While the seven elements of a compliance program apply to all industries, they originated in the healthcare industry in the 1990s.

Compliance 101

Compliance Compliance Officers Fraud HIPAA 101

MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers HIPAA 52

MedTrainer

JANUARY 26, 2024

Maintaining good standing typically falls to a compliance analyst or officer while smaller hospitals and health systems may not staff such roles. In this blog, we’ll outline the seven key components of compliance in healthcare and how MedTrainer helps manage these processes. What is Healthcare Compliance?

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Compliance Compliance Officers Governance Hospitals 52

MedTrainer

NOVEMBER 30, 2023

Healthcare compliance in Missouri is uniquely challenging due to state-specific regulations, such as the surgical smoke plume evacuation system requirement. This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of.

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Compliance Compliance Officers Hospitals Public Health 52

YouCompli

DECEMBER 19, 2023

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). HIPAA Privacy and Security Rules (page 30): In bold print, the OIG recommends that compliance with Privacy, Security and Breach Notification Rule requirements be included in ALL risk assessments.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

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. Robust, flexible, and reliable compliance programs must be developed to maintain compliance in Hawaii.

Compliance 52

Compliance Compliance Officers Licensing 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).

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Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

FEBRUARY 1, 2024

But what is a red flag in health compliance? A “red flag” in healthcare compliance refers to a warning sign or indicator that suggests a potential issue or violation of healthcare laws, regulations, or policies. Appoint a compliance officer or team responsible for overseeing compliance efforts.

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Compliance Compliance Officers Fraud HIPAA 52

MedTrainer

MAY 22, 2024

Controlled dangerous substances (CDS) have extremely strict compliance regulations due to the high potential of abuse associated with them. To maintain compliance, staff must complete specific training, adhere to strict policies, and obtain DEA (Drug Enforcement Agency) licensure for providers to prescribe controlled dangerous substances.

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Compliance Licensing Doctors Hospitals 52

MedTrainer

MAY 20, 2024

Understanding the differences in these requirements can ensure staff are taking the most relevant courses to maintain regulatory and accreditation compliance. Importance of FQHC Training Like all healthcare professionals providing safe, legal, and ethical services, FQHC staff must complete required compliance training.

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Compliance HIPAA Health Insurance Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

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Compliance Licensing Compliance Officers Informed Consent 52

Healthcare Law Blog

NOVEMBER 9, 2023

In late April this year, the Office of Inspector General, Department of Health and Human Services (OIG) announced that it would make changes to its existing body of healthcare compliance program guidance (CPGs) as part of its current Modernization Initiative. [1] On November 6, 2023, OIG finally published the GCPG on its website [3].

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Compliance Compliance Officers Fraud Medicare 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

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.

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Compliance Licensing Medicaid Medicaid 52

MedTrainer

MAY 21, 2024

With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care. Training requirements vary by role and specific healthcare setting.

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Compliance Medicaid Medicaid HIPAA 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.

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Compliance Compliance Officers Health Outcomes Hospitals 52

MedTrainer

DECEMBER 7, 2023

To sail smoothly through the complex rules and requirements, you need a deep knowledge of the most essential aspects of healthcare compliance in Maine. A successful compliance program involves adaptability, comprehensive planning, and insight into key compliance factors, including credentialing requirements.

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Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

DECEMBER 4, 2023

Responsible healthcare providers and compliance professionals in each state of the United States must follow specific regulations, and achieving healthcare compliance in Kentucky is no exception. Regulations Unique to Kentucky To meet the standards of healthcare compliance in Kentucky , there are a few additional regulations.

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Compliance Licensing Medicaid Medicaid 52

YouCompli

JANUARY 2, 2024

The updated General Compliance Program Guidance (GCPG) from the Office of the Inspector General (OIG) is an extremely helpful reference with an easy-to-understand user’s guide. Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a relevant and meaningful way.

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Compliance Compliance Officers HIPAA Hospitals 52

MedTrainer

OCTOBER 16, 2023

In an era where patient safety, data protection, and ethical practices are paramount, the importance of a compliance program in healthcare cannot be overstated. But, what is a compliance program in healthcare really all about? Why Is a Compliance Program Important in Healthcare? let’s first discuss the importance of compliance.

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Compliance Compliance Officers Governance Hospitals 52

YouCompli

NOVEMBER 1, 2023

As compliance officers, we are continually placed in a position to influence the actions of others and help shape our organization’s compliance culture. One way to change that perception is to avoid creating “gotcha” moments when you’re working on a compliance-related matter. Here are four tips that will help.

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

MedTrainer

NOVEMBER 14, 2023

Becoming certified in healthcare compliance is not just some letters after your name; it validates your expertise and dedication to upholding the laws, regulations, and ethical standards that govern healthcare practices. Use this checklist to shine bright in your compliance role.

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Compliance Compliance Officers HIPAA Governance 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 article serves as a quick-reference guide for maintaining healthcare compliance in Michigan State.

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