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. And they’d be partly right.

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Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare IT Today

NOVEMBER 9, 2023

The acquisition of SMEDIX will: Strengthen Perficient’s healthcare industry software development capabilities and capacity with enhanced agile software design, development, testing, and support for biomedical and healthcare customers, enhancing patient care, reducing costs, and accelerating innovation Broaden Perficient’s clinical diagnostic and medical (..)

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Compliance 90

Healthicity

NOVEMBER 14, 2023

Reporting incidents of potential fraud should be on every compliance professional’s radar (because it’s definitely on the OIG ’s).

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Compliance Fraud 52

Compliancy Group

JANUARY 3, 2024

This article discusses the issues related to medical billing compliance policy and the steps for providers to maintain financial integrity and adherence to all requirements. Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Medical Billing Compliance ACA Health Insurance 52

Healthcare IT Today

MAY 31, 2022

NYSE American: CTEK), a leading cybersecurity, privacy, compliance, and IT audit firm helping organizations in highly regulated industries navigate emerging security and privacy issues, announces it has entered into a definitive agreement to be acquired by Clearwater Compliance LLC (collectively with its affiliates, “Clearwater”), […].

Compliance 54

Compliance 54

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

Compliance Now

JANUARY 3, 2022

This requirement is designed to facilitate the plan sponsor’s compliance as a fiduciary to ensure that compensation is reasonable and that no conflicts of interest exist for plan service providers. Is this definition limited to service providers who are licensed as, or who market themselves as, “brokers” or “consultants”?

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Compliance Licensing 188

YouCompli

MARCH 22, 2023

The second type is typically called quantitative or definitive drug testing. The overpayment rate for definitive drug testing for 22 or more drug classes was over 71%. In many of the cases it was alleged the definitive UDT was performed on the same day as presumptive UDT.

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Overpayments Overpayment Compliance Medicare 52

YouCompli

JANUARY 16, 2024

A simple and effective approach is to survey key stakeholders by asking, “ How has the compliance team been most effective and valuable to you ?” There are three areas that support moving from a reactive to a proactive compliance program. Does the corporation’s compliance program work in practice?

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Compliance Compliance Officers Hospitals 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). Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents.

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Compliance Compliance Officers Medicaid Medicaid 52

Health Care Performance

FEBRUARY 8, 2023

I’m not a paleontologist, but I can tell you that at the time of the dinosaurs’ extinction, Ohio definitely did not exist. When bad combinations add up to a win: Compliance education and… The bathroom Compliance is serious business. Until the day it makes perfect sense to bring compliance into the bathroom. The problem?

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Compliance Compliance Officers 52

Bill of Health

DECEMBER 18, 2023

even examining the definition of “elder abuse” in a handful of states results in differing definitions. Federal law includes a definition of elder abuse in the Older Americans Act but does not criminalize it. Federal law includes a definition of elder abuse in the Older Americans Act but does not criminalize it.

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Elder Abuse Nursing Homes Nurses Public Health 300

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

American Medical Compliance

APRIL 17, 2024

Likewise, taking this training course with American Medical Compliance can help your staff become more knowledgeable about this insurance program, as well as work with their patients in this program. American Medical Compliance designates this activity for a maximum of 0.5 AMA PRA Category 1 Credits. What does Medicare Cover?

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Medicare Medicare Compliance Health Insurance 52

YouCompli

SEPTEMBER 6, 2023

It definitely wasn’t in any of mine! But very quickly, as a compliance officer, I realized that I was managing multiple projects every day. Conducting annual compliance training is a project.   As a compliance officer, you undoubtedly manage a multitude of simultaneous projects of different scope, size, and duration.

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

American Medical Compliance

MARCH 26, 2024

What you will learn: Introduction to implicit biases Definition of diversity Why is diversity important for teams? Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC).

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Compliance 105

YouCompli

OCTOBER 5, 2022

It’s tempting to focus all your time and attention on getting board and leadership support for a compliance program. In order for me to ever deliver a truly effective and robust compliance program, I also needed all employees and physicians to get on board. Communication for healthcare compliance.

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Compliance Compliance Officers Nurses 52

American Medical Compliance

MARCH 26, 2024

What you will learn: Introduction to implicit biases Definition of diversity Why is diversity important for teams? Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. To become certified, please visit us at: American Medical Compliance (AMC).

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Compliance 103

YouCompli

APRIL 26, 2023

How to create a strong culture and make a valuable impact Compliance officers in healthcare organizations are responsible for building or strengthening culture. The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization. What is a strong culture of compliance in healthcare?

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Compliance Compliance Officers HIPAA Hospitals 52

American Medical Compliance

APRIL 23, 2024

American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education to physicians. American Medical Compliance designates this activity for a maximum of 1.25 To become certified, please visit us at: American Medical Compliance (AMC).

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Compliance Public Health 52

YouCompli

APRIL 12, 2023

Incentives, Compensation Structures, and Consequence Management for Healthcare Compliance A new document from the Department of Justice (DOJ) will give you reason to revisit some of your healthcare compliance benchmarks. These steps are an effort to elevate the level of compliance effectiveness.

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Compliance Compliance Officers Hospitals 52

HIPAA Journal

FEBRUARY 9, 2023

HIPAA Journal is conducting interviews with healthcare professionals and vendors to get their points of view on HIPAA, how the legislation relates to their roles, and the successes and challenges they face with HIPAA compliance. Veronica Xu, Chief Compliance Officer, Saber Healthcare Group, shared her thoughts. This week, J.

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Compliance Officers Compliance HIPAA Nurses 52

YouCompli

MAY 25, 2022

Anstine, JD is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog. This post establishes a working definition of compliance culture and puts it in the context of overall healthcare priorities. They’d likely still be in business today.

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Compliance Compliance Officers Fraud Regulatory Compliance 52

YouCompli

OCTOBER 26, 2022

Helping our clinical colleagues feel the urgency of compliance monitoring can be a huge challenge. And the Compliance team simply doesn’t have the clinical expertise to own the monitoring of these requirements. The subgroup included Clinical Leadership, Finance, Health Information Management and Compliance. Well, not exactly.

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

Provider Trust

MAY 17, 2022

So what does that mean for your healthcare organization’s compliance program? Is your organization properly vetting and monitoring compliance of your entire vendor network? Which regulations govern vendor compliance? Vendor Z provides contract janitorial services.

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Compliance Medicare Medicare Due Diligence 52

Compliancy Group

AUGUST 3, 2022

Procurement compliance and security are often put on the back burner when companies try to save money. ” Let’s Simplify Compliance HIPAA and device security go hand-in-hand. × HIPAA Compliance Simplified. Procurement Security: Mitigating Procurement Compliance Risk. Learn More! × Find Out More! . *We

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Compliance HIPAA Licensing Governance 52

Provider Trust

AUGUST 10, 2022

Ronette Adams-Taylor has been the Associate General Counsel and Director of Compliance and Risk Management for Meharry Medical College for the last 10 years. Q: In the healthcare industry, why is compliance monitoring important? I know it has definitely taken the burden off the finance team! Again, it’s about stewardship.

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Compliance Governance 52

YouCompli

MARCH 15, 2023

Project Management Methodologies for Healthcare Compliance Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. It definitely wasn’t in any of mine! It definitely wasn’t in any of mine! Conducting annual compliance training is a project.

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Compliance Compliance Officers Medicare Medicare 40

Healthcare Law Today

NOVEMBER 16, 2022

Much of the compliance focus for digital health providers appropriately hones in on the state where the patient is located — for example, ensuring that practitioners are appropriately licensed to treat patients in a particular state. Another Hot Ongoing Compliance Issue: Expense Reimbursement. 11, and issued Oct.

Regulations Compliance 52

Regulations Compliance Compliance Licensing Nurses 52

HIPAA Journal

JULY 19, 2023

HIPAA compliance laws set the standards for protecting sensitive patient data that healthcare providers, insurance companies, and other covered entities must adhere to. You can use our HIPAA Law Compliance Checklist to check your compliance requirements and avoid HIPAA violations.

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HIPAA Compliance 94

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. However, healthcare receives federal funding, and thus OFAC is an additional sanction list that you should add to your vendor compliance plan/program. Case Study: S. Bay Mental Health Centers (and the associated PE firm) U.S. Martino-Fleming v.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Healthcare IT Today

JUNE 6, 2023

When applying this definition to your revenue cycle operations, having revenue integrity means that your healthcare organization is receiving optimal return for every clinical encounter by being operationally efficient, assuring appropriate reimbursement, and remaining compliant with regulatory requirements.

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Compliance 54

HIT Consultant

NOVEMBER 22, 2021

The following analysis provides an “inside look” into the most recent interoperability ruling and identifies which strategies led some payers to comply quickly and which approaches delayed compliance and set payers behind the competition. Compliance Challenges. Understanding the Ruling and its Impact.

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Compliance Medicaid Medicaid Medicare 52

HIT Consultant

APRIL 8, 2024

What You Should Know: – Model N (NYSE: MODN), a leading provider of revenue optimization and compliance solutions for the life sciences and high-tech industries, has announced a definitive agreement to be acquired by Vista Equity Partners (“Vista”). per share in an all-cash transaction valued at approximately $1.25

Compliance 52

Compliance 52

HIPAA Journal

JANUARY 22, 2024

A typical HIPAA training course covers essential topics to ensure compliance with HIPAA regulations. It starts with fundamental definitions, including Protected Health Information and the Minimum Necessary Standard , to lay a solid foundation for understanding other modules. The post How Long Does HIPAA Training Take?

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HIPAA Compliance Officers Compliance Ransomware 63

Healthcare IT Today

OCTOBER 21, 2021

As actors work to comply with the Cures Act Final Rule, it’s become clear that greater consensus is needed regarding the interpretation of the definition of electronic health information (EHI) and […].

Compliance 57

Compliance Governance HIPAA 57

Health Law Advisor

OCTOBER 5, 2022

The new policies , and those that are in development, further attempt to put pressure on companies to implement effective compliance policies and to self-report if there are problems. Voluntary self-disclosure is an indicator of a working compliance program and a healthy corporate culture.”

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Compliance Officers Compliance Due Diligence Governance 52