AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 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.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

HIT Consultant

APRIL 29, 2024

Expanded Breach Definition: The rule now encompasses unauthorized access or disclosure of identifiable health information, providing broader protection for consumers. Improved Readability: The revised rule simplifies language for better comprehension and promotes compliance.

Health Insurance 128

Health Insurance HIPAA Compliance 128

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.

Compliance 52

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”?

Compliance 188

Compliance Licensing 188

YouCompli

MARCH 22, 2023

The second type is typically called quantitative or definitive drug testing. Department of Health and Human Services Office of Inspector General (OIG) has expressed concerns about UDT billing. The overpayment rate for definitive drug testing for 22 or more drug classes was over 71%.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Healthcare IT News - Telehealth

DECEMBER 18, 2020

On today's HIMSSCast, host Jonah Comstock talks to Kajeet's Director of Strategy, Dominic Marcellino, about some of the different roadblocks to secure, reliable connectivity and how to approach tackling them. The relationship between security and HIPAA-compliance. This episode was created in collaboration with sponsor Kajeet.

COVID-19 123

COVID-19 HIPAA Compliance Hospitals 123

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.

Compliance 52

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?

Compliance 52

Compliance Compliance Officers 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?

Compliance 52

Compliance Compliance Officers Hospitals 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?

Medicare 52

Medicare Medicare Compliance Health Insurance 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

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.   Each claim for these services must include data about the CDSM consult and have a modifier appended.

Compliance 52

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

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

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?

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 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).

Compliance 105

Compliance 105

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).

Compliance 103

Compliance 103

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.

Compliance Officers 52

Compliance Officers Compliance HIPAA Nurses 52

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.

Compliance 52

Compliance Compliance Officers Nurses 52

HIPAA Journal

APRIL 29, 2024

While the Health Breach Notification Rule has been in effect for more than a decade, the FTC has only recently started enforcing compliance. Modifying requirements for notifying the FTC about a breach of security. Commissioners Holyoak and Ferguson issued a statement about the reason why they did not vote in favor of the final rule.

HIPAA 89

HIPAA Health Insurance Compliance 89

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

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.

Compliance 52

Compliance Compliance Officers 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).

Compliance 52

Compliance Public Health 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: Can you tell us about Meharry Medical College? Q: In the healthcare industry, why is compliance monitoring important? Again, it’s about stewardship.

Compliance 52

Compliance Governance 52

Total HIPAA

JUNE 21, 2021

It might feel like it was yesterday that your business went through its last HIPAA compliance training. Not only is this important for remaining compliant, it’s also necessary to keep everyone in your organization well-informed about any new changes to your policies and procedures. The answer is yes! Retraining protects you.

HIPAA 52

HIPAA US Department of Health and Human Services Compliance 52

Healthcare It News

JANUARY 31, 2024

WHY IT MATTERS In the new report, Deloitte researchers said 70% of the executives surveyed were highly focused on data availability, quality, compliance, security and privacy during implementation, but they "may miss the imperative." Justin Norden, partner at GSR Ventures, genAI will see massive growth and wider adoption this year.

Governance 274

Governance Compliance 274

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.

Compliance 52

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

Compliance 52

Compliance HIPAA Licensing 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.

Compliance 40

Compliance Compliance Officers Medicare Medicare 40

Compliancy Group

APRIL 26, 2024

The Final Rule modifies the existing Privacy Rule by changing the definition of the term “person.” The Final Rule adds definitions for the terms “public health” and “reproductive healthcare.” What Else Should I Know About The Final Rule? What Does the Final Rule Do? The Final Rule itself can be viewed here.

HIPAA 59

HIPAA Compliance Health Insurance Public Health 59

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.

HIPAA 92

HIPAA Compliance 92

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. Explore Our Solution.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

MedTrainer

MARCH 13, 2024

It’s not just about compliance; it’s about fostering a culture of safety and continuous improvement. Streamlined Communication: Online systems can automatically notify relevant parties about new reports, speeding up the response and investigation process. What is a Healthcare Incident Reporting Policy?

Compliance 52

Compliance Compliance Officers 52

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

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.

Compliance 52

Compliance Medicaid Medicaid Medicare 52

MRO Compliance

MARCH 30, 2023

Key takeaways from my article include: Definitions and data sharing parameters for substance abuse must be revamped. Definitions of key terms within the two rules don’t match. There is no definition of “reproductive health data” included in most of the rules and laws we’re seeing pass.

HIPAA 130

HIPAA Governance 130

Healthcare It News

SEPTEMBER 21, 2021

Although the law does not apply to nonprofits, "given the law’s broad definition of 'business' and 'consumer,' companies across the U.S. The high cost of compliance without an equitable ROI. Part of the issue, say researchers, stems from the combination of CCPA and HIPAA. THE LARGER TREND.

HIPAA 288

HIPAA COVID-19 Regulatory Compliance Compliance 288