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

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

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." GenAI governance is key to building both consumer and employee trust, the Deloitte researchers said.

Governance 284

Governance Compliance 284

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Compliancy Group

JANUARY 5, 2024

At the end of 2022, Compliancy Group predicted that, with the COVID-19 crisis at last in the rear-view mirror, HHS would return to “normal” – would spend the bulk of its time and resources on traditional enforcement priorities. In 2023, OCR continued to enforce compliance with the HIPAA Privacy Rule right of access rule.

HIPAA 52

HIPAA Compliance COVID-19 Ransomware 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 Nurses 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

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

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

Healthcare IT Today

JANUARY 6, 2023

Because penalties for information blocking – that is, any practice that interferes with access, exchange, or use of electronic health data – are tied to the definition of EHI. The expanded definition of EHI now includes virtually any health information tied to an individual that is used in decision making. Key policy considerations.

Compliance 86

Compliance Public Health Health Outcomes Governance 86

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

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

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 65

Governance HIPAA Compliance 65

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

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 57

Compliance Governance HIPAA 57

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

Hall Render

OCTOBER 6, 2023

The federal government plans to define “zero-emissions building” for the real estate industry. The definition is part of a plan to create uniform guidelines for reducing greenhouse gas emissions. Government officials originally estimated the cost of compliance at $4B. Benedictine and Trinity Health Senior Communities.

Nursing Homes 40

Nursing Homes Governance Nurses Medical Billing 40

Total Medical Compliance Resources

APRIL 14, 2023

FACT SHEET: Biden-Harris Administration Makes Progress in the Whole-of-Government Response to Long COVID U.S. The whole-of-government response by the Biden-Harris administration this past year has made tremendous progress in the fight against Long COVID, but our work is not yet done. This work is foundational to all other progress.

Governance 59

Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 59

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

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

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

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 81

Governance Compliance HIPAA Hospitals 81

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

Compliancy Group

MAY 22, 2023

Government agencies, tribal agencies, and contracted service providers processing consumer health data on behalf of government agencies are excluded from this definition. HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. Find Out More! Please Wait. Please Wait.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIT Consultant

NOVEMBER 22, 2021

For over fifteen years, the federal government has used both carrots and sticks to make the ubiquitous exchange of patient data a key component of its goal of creating a better, faster, more affordable, healthcare industry. Compliance Challenges. These findings are critical for payers to consider to comply with future legislation.

Compliance 52

Compliance 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 57

Governance Compliance 57

C&M Health Law

NOVEMBER 9, 2020

The Interim Final Rule provides these Actors with “additional flexibilities” to implement the provisions of the ONC Rule including updated compliance dates. See CMS and ONC Enforcement Deadlines Chart for more information about compliance dates for the ONC Rule. Information Blocking. Information Blocking. Conditions of Certification.

Compliance 40

Compliance COVID-19 Public Health Governance 40

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 93

Regulatory Compliance Compliance Governance Hospitals 93

McGuire Wood

JULY 5, 2022

Founded in 2001, the company solutions, designed for government-sponsored health plans, are designed to support member interactions, compliance and Medicare processes. Under the terms of the definitive merger agreement, the firm will acquire all outstanding shares of Convey common stock, representing an enterprise value of about $1.1

Medicare 52

Medicare Medicare Governance Compliance 52

Verisys

APRIL 13, 2023

By definition, a medical error is an unintended act that doesn’t achieve its intended outcome due to an error in execution or planning. The figure published in the 2016 article estimates that 250,000 deaths per annum were attributable to medical error. Enforcing compliance is the only path to full transparency.

Fraud 52

Fraud Governance Compliance 52

Compliance Now

JUNE 27, 2022

In a 2020 decision, the Supreme Court ruled that an Arkansas state law regulating pharmacy benefit managers was not preempted by ERISA because it did not govern “a central matter of plan administration or interfere with nationally uniform plan administration.” Any employer program providing medical care is by definition a group health plan.

ACA 100

ACA HIPAA Governance Compliance 100

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

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 116

HIPAA COVID-19 Compliance Health Insurance 116

Healthcare Law Today

JANUARY 11, 2023

The government alleged that, between April 2014 and April 2019, Jet Medical introduced devices into interstate commerce that were misbranded under the Federal Food, Drug and Cosmetic Act (FDCA) because Jet Medical did not obtain approval or clearance from the U.S. Food and Drug Administration (FDA) prior to distribution.

FDA 59

FDA Governance Medicare Medicare 59

Compliancy Group

MAY 11, 2023

HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. HIPAA violations can result in significant fines from federal agencies such as the Department of Health and Human Services, whereas violations of the Iowa law may result in private lawsuits but not government penalties. Please Wait.

HIPAA 52

HIPAA Compliance Governance Licensing 52