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Understanding Compliance for Healthcare Vendors

Provider Trust

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?

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

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. In addition, the suit involved alleged submission of false claims for reimbursement to the Massachusetts Medicaid Agency.

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Updated Compliance Tool for Developers of Mobile Health Apps

Hall Render

Federal Food, Drug, and Cosmetic (“FD&C”) Act – If an app includes a software function that meets the definition of a medical device under section 201(h) of the FD&C Act, the app may be subject to regulatory oversight by the FDA. Hall Render blog posts and articles are intended for informational purposes only.

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Pharma IT and AI – 2024 Health IT Predictions

Healthcare IT Today

It is key for pharmaceutical companies to recognize that efficiency does not override compliance, patient safety or regulatory standards. There are considerable risks to adoption that may have deep compliance implications. As new systems and automated technologies are built, global health authorities will need to respond accordingly.

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CMS Releases CY2024 Final Rule for PACE Organizations

Healthcare Law Blog

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities.

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Provider Credentialing Verifies Expertise

AIHC

If the provider is not enrolled in the plan, you will not be able to bill for services rendered, ESPECIALLY with Medicare and Medicaid. Code of Federal Regulations (CFR) have, as a result, become the best standard for due diligence. CFR regulations (U.S. As we say in the credentialing world… Happy Credentialing!