Verisys

MARCH 6, 2025

Credentialing involves a detailed review of a provider’s qualifications, including their: Education Work experience Certifications Licenses Professional standing This process ensures that patients see professionals who are properly trained and certified to provide the level of care they require.

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Compliancy Group

DECEMBER 25, 2024

Credentialing software can help you automate the tracking of your staff while navigating the complexities of healthcare compliance laws. These records include the medical licenses, certifications, and other credentials practitioners need to hold their jobs. What’s the Purpose of Credentialing Software?

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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. Here are four ways healthcare compliance software simplifies fraud prevention: 1.

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MedTrainer

AUGUST 21, 2024

Why Stack CE Courses and Compliance Training? Since the healthcare organization is already providing required compliance training to meet regulatory and accreditation requirements, many are now also offering CEUs for staff. Start with your existing compliance training program since these courses are required.

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Verisys

MARCH 6, 2025

Healthcare executives and compliance officers must consistently update and verify provider data to enhance patient care, adhere to regulatory standards, and streamline administrative tasks. These small discrepancies can cause major disruptions down the line, from billing issues to compliance violations.

Compliance 52

Compliance Licensing Doctors Malpractice 52

MedTrainer

FEBRUARY 16, 2023

Compliance is critical in the medical field, especially during times of high healthcare staff turnover. Even as people and roles change, compliance guidelines stay the same, and serve to help healthcare organizations adhere to legal, ethical, and regulatory standards.

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Compliance Nurses Compliance Officers Licensing 98

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. Other adverse actions Things like voluntarily giving up a license while under investigation.

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Malpractice Licensing Compliance Hospitals 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

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

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

JUNE 4, 2024

Maintaining compliance in hospitals, health centers, and other clinically based pharmacies goes beyond the handling, dispensing, and prescribing of drugs. Pharmacy compliance rules require staff to properly manage electronic prescriptions, maintain mandatory licenses, and complete continuing education (CE) courses.

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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

MedTrainer

APRIL 16, 2024

In healthcare, maintaining regulatory compliance is crucial for providing quality patient care and avoiding costly penalties. Healthcare compliance auditing software helps compliance managers prepare their organization for an audit. What is Healthcare Compliance Auditing Software?

Compliance 52

Compliance Compliance Officers Regulatory Compliance Governance 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.

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HIPAA Nurses Licensing Compliance 107

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

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.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 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.

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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

MedTrainer

DECEMBER 7, 2023

Healthcare compliance in Rhode Island consists of specific rules and regulations, some of which are shared with other states and some are unique to Rhode Island. This article serves as a primer, highlighting crucial information you need to know about healthcare compliance in Rhode Island.

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

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

MedTrainer

AUGUST 31, 2023

Yet, navigating the intricacies of healthcare compliance can be daunting. It’s why we’ve compiled a series of the most common healthcare compliance FAQs and their answers. Any healthcare professional curious about compliance practices will find these answers helpful, insightful, and empowering. What Is Healthcare Compliance?

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Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

MARCH 28, 2024

Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. Who in the Organization Is Responsible for Healthcare Compliance?

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

JULY 11, 2024

Maintaining regulatory compliance has never been easy, and the pace of change isn’t slowing. In this article, I will share the impact of change on regulatory compliance and a few strategies to reduce disruption. Let’s start by defining regulatory compliance. What Is Regulatory Compliance?

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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.

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

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.

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Compliance Compliance Officers Regulatory Compliance HIPAA 52

MedTrainer

NOVEMBER 29, 2023

One critical aspect of managing healthcare compliance in South Carolina is the adherence to both federal laws and state-specific regulations, including those pertaining to telehealth, which has seen significant growth in the state. Read on for vital information about maintaining healthcare compliance in South Carolina.

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Compliance Licensing Medicaid Medicaid 52

MedTrainer

SEPTEMBER 10, 2024

When talking about healthcare compliance education, these misunderstandings can have significant repercussions, from compliance gaps to inefficiencies in operations. Understanding common, but dangerous misconceptions about healthcare compliance education can potentially prevent your organization from these issues in the long run.

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Compliance Compliance Officers HIPAA Medicare 52

MedTrainer

NOVEMBER 27, 2023

What does healthcare compliance in Georgia look like? Like all states, Georgia has its own distinct rules and regulations that compliance management teams must follow. Keep reading for resources, tips, and regulations unique to healthcare compliance in Georgia. Operating a pain management clinic without a license is a felony.

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Compliance Licensing Medicaid Medicaid 52

MedTrainer

APRIL 21, 2025

While much attention has been given to the use of AI in clinical settings (which carries both potential and risk), AI-driven solutions in healthcare compliance and operations are a low-risk, high-reward opportunity that every healthcare leader should seize. Key Areas To Implement AI-Driven Solutions in Healthcare Compliance Operations 1.

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Compliance Licensing Compliance Officers 52

MedTrainer

DECEMBER 5, 2023

Managing healthcare compliance in Connecticut is unique, ranging from urban centers like Hartford and New Haven to rural areas in the northwestern part of the state. To remain compliant in Connecticut, healthcare organizations should stay up-to-date on both state and federal regulation changes and keep their compliance program current.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 29, 2023

With its distinctive legal environment, Louisiana poses a few unique healthcare compliance challenges that differ from other states. Managing healthcare compliance in Louisiana successfully means that providers and organizations can skillfully navigate their state-specific regulatory framework.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Similar to other states, maintaining healthcare compliance in Florida State involves meeting state-specific regulations and requirements. This post offers an overview of must-know compliance requirements for Florida. These laws define medical marijuana, regulate its use, and oversee licensed dispensaries.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Managing healthcare compliance in Texas is nuanced and challenging. For successful compliance management in Texas, healthcare organizations need to develop a strong system for tracking and interpreting regulatory changes, and promptly adapt to these modifications.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

DECEMBER 4, 2023

Managing healthcare compliance in Wyoming is shaped by the state’s rural character and limited population. Maintaining healthcare compliance in Wyoming requires a thorough understanding of the state’s specific healthcare regulations and a commitment to ethical and legal healthcare practices.

Compliance 52

Compliance Licensing Health Outcomes Public Health 52

MedTrainer

NOVEMBER 6, 2023

As a leader in public health initiatives, compliance in Washington state can involve more regulations and additional grant funding, which both require diligence by compliance professionals. This article provides an overview of key factors you’ll want to know about healthcare compliance in Washington.

Compliance 52

Compliance Licensing Public Health Governance 52

HIPAA Journal

DECEMBER 30, 2022

The account contained sensitive information such as names, addresses, Social Security numbers, dates of birth, driver’s license numbers, medical treatment information, and some financial information. An individual will be designated as having overall control of the information security program and a HIPAA compliance officer will be appointed.

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