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

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

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

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.

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Compliance Due Diligence Medicaid Medicaid 52

Innovaare Compliance

OCTOBER 6, 2022

MAOs have to ensure that TPMOs use a standardized disclaimer in their marketing materials that meet the definition of marketing whether they are in print, on the website, or in television advertising. If you have any questions, or you’d like to discuss these changes with one of our compliance experts, please call us at 1.408.850.2235.

Medicare 52

Medicare Medicare Compliance Public Health 52

Verisys

JULY 12, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. related to the Temporary Licenses for Military Spouses/Domestic Partners. related to the Temporary Licenses for Military Spouses/Domestic Partners. July Regulatory Update – The best resource for monthly updates.

Licensing 52

Licensing COVID-19 Medicaid Medicaid 52

HIPAA Journal

NOVEMBER 17, 2022

HIPAA Journal is conducting interviews with healthcare professionals and service providers to find out more about their compliance journeys, how the HIPAA Rules have affected their working lives, and the successes and challenges they have faced with HIPAA compliance. Tell the readers about your career in the healthcare industry.

Governance 84

Governance HIPAA Compliance Nursing Homes 84

Healthcare IT News - Telehealth

JUNE 9, 2022

License and approval. Only licensed physicians are qualified and permitted to engage in medical practice. 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.

Licensing 167

Licensing Telemedicine Governance Compliance 167

Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Changes include: Definition updates. 303, Rule 2) Updates for multistate applicants allowing 60 days to apply for a new multistate license when moving from one party state to another. (§402, Here is our monthly regulatory update.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Compliancy Group

MAY 11, 2023

HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. In contrast, violations of the Iowa Privacy Law are typically addressed through disciplinary actions by professional licensing boards or administrative agencies. Become Compliant × Get HIPAA Compliant! Find Out More!

HIPAA 52

HIPAA Compliance Governance Licensing 52

Medisys Compliance

JULY 10, 2023

This article aims to provide a comprehensive guide to modifiers for mental health billing, exploring their definitions, purposes, and relevant keywords. AJ Modifier – Licensed Clinical Social Worker (LCSW) The AJ modifier is used to identify services provided by a Licensed Clinical Social Worker (LCSW). What are Modifiers?

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

HIT Consultant

NOVEMBER 21, 2021

Information exchange and data availability are now a cost of doing business but establishing a robust strategy for that exchange and compliance with the new regulation from the Office of the National Coordinator for Health Information Technology takes careful planning. At its core, information blocking is a legal and compliance issue.

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Compliance Public Health HIPAA Governance 98

Healthcare Law Blog

NOVEMBER 13, 2023

The Act’s definition of “healthcare facilities” includes: Ambulatory surgical treatment centers; Hospitals and other facilities licensed under the Hospital Licensing Act; Kidney disease treatment centers; and Outpatient surgical centers. a) of the Illinois Health Facilities Planning Act.

Licensing 59

Licensing Compliance Hospitals Governance 59

Innovaare Compliance

JANUARY 15, 2024

6] A compound drug not approved by the FDA under a New Drug Application or Biological License Application does not meet the definition of an applicable drug and will not be eligible for Part D. Additional drugs will be selected for negotiation every year after 2025. [6] Non-applicable drugs (i.e., It is not too early to begin planning.

Medicare 52

Medicare Medicare Compliance FDA 52

Hall Render

AUGUST 18, 2022

This work encompasses: corporate structure and reorganizations; joint ventures; tax planning; obtaining and maintaining tax exemption; health care licensing and certification; government reimbursement, billing and payment matters; and corporate compliance. Best Lawyers is based on an exhaustive peer-review survey.

Health Care Lawyers 40

Health Care Lawyers Governance Licensing Hospitals 40

Healthcare IT Today

SEPTEMBER 25, 2022

The resources include a primer on the expanded definition of electronic health information, which goes into effect October 6, and its operational implications for vendors and healthcare providers. Madaket Health has collaborated with Licentiam to add state medical licensing and credentialing services to its data management platform.

Telemedicine 94

Telemedicine HIPAA Compliance Licensing 94

Verisys

JANUARY 19, 2022

As the number of satellite facilities per provider increases and the definition of healthcare expands, it adds to healthcare organizations’ burdens–not just in providing care, but also in terms of the administrative burden and costs necessary to maintain a practice. Ensures proper credentialing and privileging of the licensed medical staff.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Hall Render

JUNE 5, 2024

In April 2024, the Food and Drug Administration (“FDA”) issued a Final Rule amending the definition of in vitro diagnostics products (“IVDs”) found in 21 C.F.R. To learn more about the significance of the FDA’s New Rule, join Hall Render attorneys on June 11 at 1:00 PM ET for a 60-minute webinar.

FDA 40

FDA Compliance Regulatory Compliance Licensing 40

HIPAA Journal

FEBRUARY 17, 2023

HIPAA Journal is conducting interviews with healthcare professionals, compliance professionals, and industry service providers to find out more about how their experiences with HIPAA, their successes, and the challenges they have and continue to face with HIPAA compliance. When did you first get involved with HIPAA compliance?

HIPAA 52

HIPAA Compliance Licensing Hospitals 52

HIPAA Journal

JANUARY 1, 2023

Certificate/license numbers. Vehicle identifiers and serial numbers including license plates. Why is the list of Safe Harbor identifiers the same as many definitions of PHI? Social Security numbers. Medical record numbers. Health plan beneficiary numbers. Device identifiers and serial numbers. Account numbers. Website URLs.

HIPAA 99

HIPAA Doctors Licensing Compliance 99

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

New Jersey Healthcare Blog

OCTOBER 12, 2021

The amendments address spelling and language changes, as well as definitional changes and additions. 1491(a), the Department of Human Services, Office of Licensing readopted the Standards for Private Licensed Facilities for Persons with Developmental Disabilities. On September 7, 2021, at 53 N.J.R. See proposed N.J.A.C.

COVID-19 40

COVID-19 COVID-19 Vaccine Licensing Hospitals 40

Healthcare Law Blog

MAY 16, 2022

Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 At the beginning of the applicable contract year, the credit and the use of LOIs will no longer apply and, if the application is approved, the MAO must be in full compliance with network adequacy, including having signed provider and facility contracts.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

JANUARY 1, 2023

Certificate and license numbers. Vehicle identifiers and serial numbers, including license plate numbers. E-mail addresses. Social Security numbers. Medical record numbers. Health plan beneficiary numbers. Other account numbers. Device identifiers and serial numbers. URLs and IP addresses.

HIPAA 77

HIPAA Licensing Public Health Compliance 77

Healthcare Law Blog

JANUARY 26, 2023

Based on the Church Amendments, the Weldon Amendment, and the Coats-Snowe Amendment, the 2011 Final Rule established a complaint process for individuals and entities that believe their rights have been violated, and required that recipients of certain HHS funding certify that they were in compliance with the conscience protections.

ACA 105

ACA Medicaid Medicaid Compliance 105

Total HIPAA

NOVEMBER 8, 2021

If you have not done so, you can still register to receive a recording of the webinar and a free Total HIPAA Training License! If your organization has compliance requirements like encryption at rest, file access monitoring, or backups, you may prefer one provider over another based on those features. NaviSec — That is correct.

HIPAA 52

HIPAA Compliance Licensing 52

Healthcare Law Blog

FEBRUARY 28, 2023

Originating Site – Continuing Flexibility through 2024 During the PHE, the definition of “originating site” is expanded to mean any site in the United States, including an individual’s home. Prior to the PHE, “originating site” only included the patient’s home in certain limited circumstances.

Medicare 52

Medicare Medicare Nurses Licensing 52

Health Law Blog

MAY 25, 2018

Generally, Michigan requires a controlled substance license to prescribe controlled substances in the state. A holder of a controlled substance license may administer or dispense a schedule 2 to 5 controlled substance without a separate controlled substance license covering those substances.

Licensing 40

Licensing Fraud Telemedicine Compliance 40

AIHC

NOVEMBER 3, 2023

This definition focuses on the outcomes of the diagnostic process, recognizing that diagnosis is an iterative process that solidifies as more information becomes available. Artificial Intelligence & Regulatory Compliance About the author Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS.

Department of Veterans Affairs 59

Department of Veterans Affairs Hospitals Compliance Nurses 59

Hall Render

NOVEMBER 15, 2023

The medical history and physical examination must be completed and documented by a physician (as defined in section 1861(r) of the Act), an oral and maxillofacial surgeon, or other qualified licensed individual in accordance with State law and hospital policy. 42 CFR 482.22 (emphasis added).

Medicare 40

Medicare Medicare Medicaid Medicaid 40

SQA

JUNE 10, 2021

The essential oils general monograph has been completely overhauled to expand, among others, the definition, production, test, and labelling sections, providing additional detail and clarification. FKOL also agreed to implement a compliance and ethics program designed to prevent, detect, and correct violations of U.S. 10 May 2021.

FDA 52

FDA COVID-19 COVID-19 Vaccine Compliance 52

SQA

FEBRUARY 22, 2021

Compliance with UDI requirements will now be enforced for the first batch of devices in the agency’s phased implementation plan. China’s UDI pilot program wrapped up at the close of 2020; it was previously slated to end in October, but the NMPA extended this trial period due to the impact of the COVID-19 pandemic.

COVID-19 52

COVID-19 Compliance Licensing Governance 52

Healthcare Law Blog

OCTOBER 25, 2023

iii] The Act also authorizes the CT DCP to impose penalties for instances of non-compliance or violations of the Act. It remains to be seen whether subsequent regulations will further clarify the applicability of this law to certain individual roles that may not neatly fall within the Act’s definitions.

Licensing 52

Licensing Compliance FDA Public Health 52

C&M Health Law

JANUARY 4, 2024

Information Blocking Enhancements ONC has modified the information blocking regulations, which were adopted in May 2020 ( ONC Information Blocking Rule ), by a) revising the definition of the term “offer health IT”; and b) modifying the information blocking exceptions.

Public Health 52

Public Health Licensing HIPAA Governance 52

Healthcare Law Blog

JANUARY 10, 2022

Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 As of January 1 of the applicable contract year, the 10-percentage point credit would no longer apply, and MA organizations’ provider networks would need to be in full compliance for the entire service area. and 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare IT Today

JANUARY 9, 2024

Clinicians need to spend their 10-15 minutes in an exam room talking to patients, answering questions, and practicing at the top of their license. As a result, proactive compliance around the handling of ePHI will be more important than ever for the healthcare industry this year.

Hospitals 121

Hospitals Regulatory Compliance Compliance Licensing 121

New Jersey Healthcare Blog

JULY 22, 2022

Following a thorough review in compliance with Executive Order No. to require that supervisors of licensed associate counselors be professional counselors licensed in New Jersey for at least three years and have an approved clinical supervisor certification. On April 4, 2022, at 54 N.J.R. 13:44F with amendments. 13:34-13.1

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40