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Who Is Responsible For Compliance In Healthcare?

MedTrainer

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.

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Properly Classify Grievances to Improve Member Experience using Inovaare’s Grievance Management Software

Innovaare Compliance

Healthcare organizations establish Compliance Departments with the primary purpose of providing compliance oversight for the organization. Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance.

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ONC’s HTI-1 Places Undue Burdens on Healthcare Providers, Health IT Developers

Healthcare IT Today

Many of our concerns center on the proposed implementation timeframes associated with various concepts included in HTI-1, as well as ONC’s failure to sufficiently consider the burden compliance will place on provider organizations and health IT developers. 31, 2024, compliance timeline is unrealistic.

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Key Plastic Surgery Coding Tips for Accurate Reimbursement

Medisys Compliance

Modifier codes and their definitions may change over time. Plastic surgeons and medical billing companies can form a valuable partnership to enhance coding accuracy, improve documentation review, streamline claim processing, ensure regulatory compliance, and maximize reimbursement opportunities.

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Regulatory Changes for PDE Reporting in CY 2024 and Beyond

Innovaare Compliance

On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. The Readiness List is comprehensive and touches on all aspects of administering a Medicare Advantage plan (MA), a Prescription Drug Plan (PDP), an 1876 Cost Plan, and a Medicare-Medicaid Plan (MMP).

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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. While tools like artificial intelligence (AI) show a lot of promise for the pharmaceutical regulatory industry, many are not quite ready for all the challenges that will follow.

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Continuing Consolidation in Orthopedic Medicine

Healthcare Law Today

Finally, billing and coding mistakes can have an adverse effect on earnings, value, and create compliance concerns. Thus, compliance with the AKS is vital to the health of the overall relationship. This is especially important given new legislation and regulatory guidance regarding surprise billing. Section1320a-7b).