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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Compliance Compliance Officers Fraud Regulatory Compliance 52

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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Compliance Fraud Regulatory Compliance Health Insurance 52

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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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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Compliance Compliance Officers Governance Fraud 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.

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Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

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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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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Compliance Compliance Officers Fraud HIPAA 52

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

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital.

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Fraud Compliance Medicaid Medicaid 98

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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HIPAA Compliance Ransomware Malpractice 52

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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Compliance Officers Fraud Compliance Medicare 52

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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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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Compliance HIPAA Fraud Licensing 52

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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US Department of Health and Human Services HIPAA Compliance Medicaid 84

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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Malpractice Licensing Hospitals Compliance 52

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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Licensing Fraud Compliance Nurses 52

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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Licensing Compliance Fraud HIPAA 52

Healthcare IT Today

DECEMBER 15, 2023

Simply open a mobile app and download the report to your smartphone. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. Currently, ChatGPT does not meet HIPAA standards.

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Electronic Medical Records Doctors HIPAA Hospitals 105

HIT Consultant

DECEMBER 18, 2023

Simply open a mobile app and download the report to your smartphone. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. Currently, ChatGPT does not meet HIPAA standards.

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Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

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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HIPAA Journal

FEBRUARY 9, 2024

Card on file payments can accelerate collections from patients, reduce non-payments, and protect both patients and practices from credit card fraud. Patients may also be able to request copies of PHI or download PHI via the system, while physicians can send patients electronic consent forms to sign digitally ahead of a procedure.

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HIPAA Compliance Payment Systems Ransomware 40

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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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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HIPAA Compliance Fraud Hospitals 52

Verisys

DECEMBER 5, 2023

Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data. Credentials Verification Organizations to the Rescue?

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data. Credentials Verification Organizations to the Rescue?

Governance 52

Governance Licensing Malpractice Medicaid 52

CMS.gov

JUNE 20, 2018

Fraud, waste, & abuse. One of the top areas of burden identified in the over 2,600 comments received was compliance with the physician self-referral law (often called the “Stark Law”) and its accompanying regulations. The RFI can be downloaded from the Federal Register at: [link]. Working Together for Value. lisa.sokol@cms….

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Medicare Medicare Fraud Medicaid 30

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

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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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Licensing Fraud Medicaid Medicaid 52

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

In health systems relying on insurance, these include budget and enrollment model forecasting, fraud detection, and waste reduction. They can also proactively identify fraud, waste and abuse within telehealth programs using machine learning models trained to detect financial and transactional anomalies.

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