MedTrainer

JANUARY 12, 2024

Healthcare compliance is serious business for regulators. In this blog post, we’ll outline who regulates healthcare compliance, how rules are enforced, and why organizations need a robust compliance platform to stay in the good graces of regulators. What is Healthcare Compliance? Who Regulates Healthcare Compliance?

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MedTrainer

FEBRUARY 1, 2024

Those early ethical standards paved the way for how medical compliance plans to limit liability for healthcare organizations today. Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization.

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MedTrainer

JULY 3, 2024

Determining the necessary compliance training and ensuring your staff stays ahead of these requirements can be complex without comprehensive home health training. Importance of Home Health Training Home health staff must complete compliance training like all healthcare professionals to provide safe, legal, and ethical services.

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MedTrainer

JANUARY 26, 2024

The best way to maintain these standards is by providing healthcare compliance training for all staff members. Even when training is not required, it may still be very beneficial for your staff and overall organizational compliance. What topics should be covered in healthcare compliance training?

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MedTrainer

JANUARY 30, 2024

Healthcare compliance is a critical part of any organization’s business model. The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS).

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MedTrainer

FEBRUARY 24, 2025

Healthcare compliance audits can be highly stressful for organizations. A structured healthcare compliance audit preparation checklist simplifies the process, allowing you to meet regulatory expectations and avoid common compliance pitfalls. Having a healthcare compliance audit preparation checklist in place strengthens this.

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MedTrainer

JANUARY 31, 2024

What is the most recognized healthcare compliance certification a professional can secure? As an overall certification, the Certified in Healthcare Compliance (CHC) and Certified Compliance and Ethics Professional (CCEP) certifications are some of the most sought after. In short, it depends on your role and career goals.

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MedTrainer

JUNE 11, 2024

What Is Required for Florida Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

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MedTrainer

JANUARY 26, 2024

That means there’s a direct relationship between compliance and a healthcare organization’s revenue. To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance?

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MedTrainer

JULY 31, 2024

Meeting Tennessee training requirements for compliance is critical to maintain this level of excellence. What Is Required for Tennessee Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Included in this blog post are the results of an audit on Tennessee requirements.

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MedTrainer

JUNE 11, 2024

What Is Required for Texas Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

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MedTrainer

JANUARY 31, 2024

For the organization itself, compliance programs are the guardians that can help potentially prevent medical errors and regulatory violations, and mitigate other compliance risks. So, how do compliance programs protect healthcare? What is Healthcare Compliance?

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MedTrainer

JULY 30, 2024

What Is Required for Wisconsin Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

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MedTrainer

JULY 29, 2024

Healthcare compliance is complicated for organizations of any size. However, the complexities grow exponentially for large or enterprise organizations with hundreds or thousands of employees who must complete and pass rigorous compliance training. What Is Corporate Compliance Training?

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Provider Trust

SEPTEMBER 29, 2022

Mendez faces seven counts of healthcare fraud and up to 10 years in federal prison. These numerous counts of fraud also carry a possible fine of up to $250,000. Organizations should download a copy of licenses or take screenshots of verifications for future audit purposes.

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MedTrainer

MARCH 8, 2024

Long-term care facilities are among the most regulated in healthcare, making compliance challenging and training critical. Importance of Long-Term Care Training Like all healthcare professionals entrusted with providing safe, legal, and ethical services, long-term care staff must complete required compliance training.

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Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

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MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

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Compliancy Group

JANUARY 18, 2022

But the best tool to prevent small practice cybercrime can be as basic as having a truly effective HIPAA compliance strategy. For HIPAA compliance to help prevent small practice cybercrime, it must address the particulars of your practice. The most common “download and start” version used by so many people is not HIPAA compliant.

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MedTrainer

FEBRUARY 1, 2024

But what is a red flag in health compliance? A “red flag” in healthcare compliance refers to a warning sign or indicator that suggests a potential issue or violation of healthcare laws, regulations, or policies. Appoint a compliance officer or team responsible for overseeing compliance efforts.

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MedTrainer

MARCH 17, 2025

But, its critically important because inaccurate data or poor management is costly leading to credentialing delays, denied claims, and compliance penalties. Find out why you need to start thinking differently about healthcare compliance. More data is required and there are more hoops to jump through.

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MedTrainer

FEBRUARY 6, 2024

MedTrainer, an industry leader in healthcare compliance software, now offers 30 hours of continuing education (CE) approved by the American Association of Medical Assistants (AAMA).

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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.

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YouCompli

MAY 11, 2022

It reflects remarks CJ made at HCCA’s 2022 Compliance Institute. For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). The doctor will be sentenced in July for multiple counts of healthcare fraud.

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HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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HIPAA Journal

DECEMBER 2, 2022

Information disclosed in confidence by a patient of a website or web application could be transferred to a third party and be used for fraud, identity theft, extortion, stalking, harassment, or to promote misinformation. That information could be provided to law enforcement or other third parties.

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Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

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MedTrainer

JUNE 10, 2024

What Is Required for California Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

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MedTrainer

JUNE 10, 2024

What Is Required for New York Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

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MedTrainer

FEBRUARY 28, 2025

Healthcare compliance audits can be highly stressful for organizations. A structured healthcare compliance audit preparation checklist simplifies the process, allowing you to meet regulatory expectations and avoid common compliance pitfalls. Having a healthcare compliance audit preparation checklist in place strengthens this.

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MedTrainer

JANUARY 13, 2025

Automating this process can significantly reduce the risk of compliance violations and improve operational efficiency. The Office of Inspector General (OIG) s List of Excluded Individuals/Entities ( LEIE ) flags professionals who should be excluded from government reimbursement programs for criminal behavior, fraud, or misconduct.

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MedTrainer

FEBRUARY 27, 2024

And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. It is arguably more important — and harder — to maintain a standard level of compliance when staff are working in client homes, rather than in a central facility. What is the Role of Home Health Aides?

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Total HIPAA

OCTOBER 28, 2019

A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. How to Maintain Compliance with HIPAA. Keeping detailed logs is the first step toward HIPAA compliance. You should also be prepared to keep these logs for a minimum of 6 years as is required for HIPAA Compliance.

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Verisys

DECEMBER 29, 2024

Organizations that manage healthcare facilities or supplier networks also need to obtain an NPI to ensure compliance with HIPAA regulations. How Verisys Utilizes NPI Data: Verisys leverages NPI data through its healthcare provider credentialing solutions to enhance fraud prevention and ensure data accuracy.

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Health Care Law Brief

APRIL 11, 2022

Adherence is often tracked and confirmed by those that provide the incentive payment through digital health technologies—including apps that can be downloaded to the patient’s smart phone or that are already downloaded to a smart phone provided to the patient as part of a CM program. The OIG highlighted four specific reasons.

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MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? Meets compliance standards: Both processes verify a provider has met compliance standards. Maintaining compliance helps protect against fraud, waste, and abuse. Upon completion and approval, the provider can begin billing for medical services.

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MedTrainer

APRIL 17, 2024

Download Now Common Challenges in Telehealth Credentialing Telehealth encompasses various modalities, including real-time video conferencing, remote monitoring, mobile health apps, virtual consultations, and asynchronous communication (e.g., Get the tools you need to eliminate delays in your provider enrollment process.

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