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

AIHC

FEBRUARY 8, 2024

Governments bear the responsibility to set laws and standards to require or forbid certain practices. Another aspect to consider is compliance to national and state security standards. Governments should also avoid introducing regulations that provide a competitive advantage or disadvantage for either companies or themselves.

Governance 59

Governance World Health Compliance Nurses 59

Healthcare IT News - Telehealth

MAY 29, 2020

During the dialogue session, he attributed four main factors in South Korea’s swift and effective response to the pandemic: Korean citizens’ active compliance with government policies. I can definitely feel there is a huge attitude change of the public and even the government regarding telehealth,” Dr Hwang replied.

COVID-19 155

COVID-19 Governance Medical Personnel Hospitals 155

Healthcare IT Today

MAY 13, 2024

December 31, 2024 : Deadline for health IT developers to update their technologies in compliance with the new HTI-1 regulations, specifically regarding the DSI certification criterion and the maintenance of certification requirements as detailed in §170.315(b)(11) and its subparts.

Compliance 117

Compliance Governance Medicare Medicare 117

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%. For example, the government regularly asserts Medicare claims must be “reasonable and necessary for the diagnosis or treatment of an illness or injury.”

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

AIHC

FEBRUARY 8, 2024

Governments bear the responsibility to set laws and standards to require or forbid certain practices. Another aspect to consider is compliance to national and state security standards. Governments should also avoid introducing regulations that provide a competitive advantage or disadvantage for either companies or themselves.

Governance 52

Governance World Health Compliance Nurses 52

AIHC

FEBRUARY 17, 2025

This article follows a road less-traveled by discussing the potential of audit managers knowingly skewing audit results causing unintended consequences within what appears to be a well-functioning compliance program. The list of terms and definitions used throughout are below for reference. An explanation is far more effective.

Fraud 52

Fraud Compliance Overpayments Overpayment 52

Healthcare IT Today

OCTOBER 21, 2021

The following is a guest article by Lauren Riplinger, Vice President of Policy and Government Affairs at the American Health Information Management Association (AHIMA).

Compliance 60

Compliance Governance HIPAA 60

HIPAA Journal

AUGUST 8, 2023

Volunteer firefighters may be covered by OSHA if they are remunerated for time spent serving the community, covered by workers’ compensation, or regarded as public employees by the state or local government with jurisdiction over the location they volunteer in. All privately owned businesses in the energy sector are subject to OSHA standards.

Governance 98

Governance Compliance HIPAA Hospitals 98

HIPAA Journal

OCTOBER 5, 2022

HSCC is a private sector-led critical infrastructure advisory council of large, medium, and small health industry stakeholders, that works with government partners to identify and mitigate threats and vulnerabilities that have the potential to affect the ability of the sector to deliver healthcare services. Now that H.R.

HIPAA 115

HIPAA COVID-19 Compliance Health Insurance 115

Healthcare IT News - Telehealth

JUNE 9, 2022

Under this definition, a software to be used for the following purposes is excluded from SaMD: patient education; in-hospital operating support or maintenance; or personal health or exercise check and management by patients/users. engaging a qualified general compliance manager for marketing).

Licensing 192

Licensing Telemedicine Governance Compliance 192

Healthcare IT Today

FEBRUARY 6, 2024

Amid the push for digital transformation, leaders in IT will face the challenge of balancing innovation with regulatory compliance and patient safety. The forward-thinking approach involves advocating for seamless communication, integration, and a clear vision for enhanced multi-lateral data governance. So many great insights here!

Regulatory Compliance 122

Regulatory Compliance Compliance Governance Hospitals 122

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. Are the claims accurate and complete?

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 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.

Compliance 52

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.

Compliance 52

Compliance Licensing Doctors Hospitals 52

MRO Compliance

FEBRUARY 15, 2023

Additionally, definitions of terms within the two rules do not match, such as the definition of patient representative. This is particularly true if the API is not governed by HIPAA. The FTC is supposed to have governance in this arena, but they’ve never been given full authority to enforce penalties.

HIPAA 130

HIPAA Governance 130

HIT Consultant

NOVEMBER 21, 2021

Leigh Burchell, Vice President of Policy & Government Affairs, Allscripts. Healthcare organizations can achieve and maintain compliance by following these six takeaways: 1. Healthcare organizations can achieve and maintain compliance by following these six takeaways: 1. Core Data for Interoperability ( USCDI ) standard.

Public Health 98

Public Health Compliance HIPAA Governance 98

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

HIPAA Journal

MARCH 27, 2024

Utah has updated its online data security and privacy laws with new definitions and new requirements for data breach notifications to the Utah Cyber Center. Cox on March 19, 2024, and updated the Utah Protection of Personal Information Act and the Utah Technology Governance Act. The online data security and privacy amendments ( S.B.

Governance 81

Governance HIPAA Compliance 81

Electronic Health Reporter

MAY 24, 2019

The HIPAA compliance is regulated by the federal government and failure to comply with it can attract […]. The article Penalties For Violating HIPAA appeared first on electronichealthreporter.com.

HIPAA 96

HIPAA Governance Compliance 96

Hall Render

APRIL 28, 2025

The Final Rule outlined a phase-in approach to compliance, with initial requirements such as adverse event reporting and correction/removal procedures set to take effect on May 6, 2025. Congress established CLIA to govern laboratory testing separately.

FDA 52

FDA Medicaid Medicaid Medicare 52

Healthcare IT Today

MAY 19, 2021

symplr®, a global leader in enterprise healthcare operations including governance, risk management, and compliance (“GRC”) SaaS solutions, backed by Clearlake Capital Group, L.P.

Governance 60

Governance Compliance 60

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.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare Law Today

DECEMBER 15, 2022

The case asks whether the government has authority to dismiss an FCA suit after initially declining to proceed with the action, and if so, what standard would apply. The Petitioner-Relator filed an FCA case against EHR on July 26, 2012 which the government investigated for about two years before declining to intervene on June 27, 2014.

Governance 52

Governance Doctors Medicare Medicare 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.

Compliance 52

Compliance Governance 52

Compliancy Group

AUGUST 3, 2022

Procurement compliance and security are often put on the back burner when companies try to save money. Customers of Aksoy’s fraudulent and counterfeit devices included hospitals, schools, government agencies, and the military.”. ” Let’s Simplify Compliance HIPAA and device security go hand-in-hand. Learn More! ×

Compliance 52

Compliance HIPAA Licensing Governance 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

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

C&M Health Law

DECEMBER 5, 2022

part 2 (“Part 2”) governing the confidentiality of substance use disorder (“SUD”) records. HHS requests comment on whether this would be sufficient time for entities to come into compliance with revised regulations, including revising policies and procedures, training workforce, and completing other implementation requirements.

Governance 52

Governance HIPAA Compliance Health Services Administration 52

YouCompli

NOVEMBER 18, 2023

This overly simplistic definition fails to address the inherent challenges that keep many people from being a good listener in life and, more particularly, in the workplace. In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations.

Compliance Officers 52

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

Healthcare IT Today

SEPTEMBER 27, 2022

For example, the definition of EHI and how it applies to various data isn’t clear and how the 8 exceptions apply is also confusing to many. I’ve given up trying to predict that government organizations like HHS and ONC will do. However, like I said, trying to predict government is not my skill.

Governance 101

Governance Hospitals Compliance 101

American Medical Compliance

MAY 6, 2024

What you will learn: Definitions of child abuse and neglect Types of child abuse and neglect Signs of abuse Mandated reporting guidelines Mandatory reporters of child abuse and neglect Standards for making a report Making and screening reports of child abuse Classification of reports Details Course length: 1 hour. What is CAPTA?

Compliance 52

Compliance Governance 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

Compliancy Group

MAY 6, 2022

It’s sometimes hard to believe that the acronym GRC (Governance, Risk, Compliance) has been around for less than 20 years. By leveraging the common governance, performance, risk management, compliance, and audit capabilities, organizations can achieve business objectives while managing uncertainty and acting with integrity.

HIPAA 52

HIPAA Compliance Governance Ransomware 52

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.”

Compliance Officers 52

Compliance Officers Compliance Due Diligence Governance 52

MRO Compliance

AUGUST 8, 2024

The Role of Payers Payers, including insurance companies and government programs, design and implement payment models that incentivize high-quality, cost-effective care. Standardized Data Formats: Agreeing on standardized data formats and definitions to ensure consistency and comparability.

Patient Satisfaction 147

Patient Satisfaction Medicare Medicare Medicaid 147

HIT Consultant

OCTOBER 17, 2022

– Porzio Life Sciences simplifies compliance by combining its regulatory expertise with product innovation to deliver a truly unique solution to its customers. – Financial details of the acquisition were not disclosed.

Compliance 52

Compliance Governance 52