AIHC

JUNE 6, 2023

AI Use in Healthcare Research & Quality As posted in the American Institute of Healthcare Compliance (AIHC) June monthly newsletter, the Agency for Healthcare Research & Quality (AHRQ) grantee is testing AI for use to improve breast cancer screening accuracy and efficiency. Beware of new companies offering such services.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

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

AIHC

JUNE 6, 2023

AI Use in Healthcare Research & Quality As posted in the American Institute of Healthcare Compliance (AIHC) June monthly newsletter, the Agency for Healthcare Research & Quality (AHRQ) grantee is testing AI for use to improve breast cancer screening accuracy and efficiency. Beware of new companies offering such services.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 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

HIPAA Journal

JUNE 20, 2023

Securely sharing patient information is vital in the United States where healthcare organizations and their business associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) and state laws governing health information privacy.

Doctors 82

Doctors Due Diligence Telemedicine HIPAA 82

Healthcare Law Blog

APRIL 3, 2023

While government enforcement has traditionally been an indirect concern for private equity (“PE”) investors, such as looking at whether a target entity has been sanctioned or could be sanctioned in the future, the current trend in government enforcement has been to target PE firms directly. million to the U.S.

Due Diligence 52

Due Diligence Governance Fraud Compliance 52

Health Care Law Brief

JUNE 5, 2023

Despite not providing the foregoing, Jelly Bean represented compliance with its contract with FHKC. Government contractors, such as Jelly Bean, are expected “to do the due diligence to keep software applications updated and secure” to ensure the “safeguarding [of] patients’ medical and other personal information.”

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

HIT Consultant

OCTOBER 17, 2022

Each business associate or vendor opens your organization to potential risk — and that risk increases as their access increases — so, do your due diligence. During your due diligence, the organization should also review the vendor’s environmental and social impact, as that may in turn affect the organization.

Due Diligence 52

Due Diligence HIPAA Compliance Governance 52

YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. Routine occurrences – and a potential compliance issue if it looks like financial kickbacks are involved. In this case, a laboratory settled allegations by paying the government millions of dollars.

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

Compliancy Group

JANUARY 24, 2022

Passed in 1996 , the Health Insurance Portability and Accountability Act (HIPAA) governs how healthcare organizations (covered entities – CE) and their employees should properly collect, use and manage the protected health information (PHI) of their patients. . appeared first on Compliancy Group.

HIPAA 52

HIPAA Due Diligence Compliance Health Insurance 52

HIPAA Journal

MARCH 15, 2023

The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design. Attorney’s Office for the Middle District of Florida, with assistance provided by HHS-OIG. Companies have a fundamental responsibility to protect the personal information of their website users.

Health Insurance 75

Health Insurance HIPAA Due Diligence Fraud 75

Health Law RX

AUGUST 10, 2021

On July 21, 2021, the DOJ announced that the government settled FCA claims against the Alliance Family of Companies, LLC (“Alliance”), a national electroencephalography (“EEG”) diagnostic testing company, and Ancor Holdings LP (“Ancor”), the private equity firm that invested in Alliance. Moreover, the U.S.

Due Diligence 40

Due Diligence Compliance Governance Fraud 40

Total HIPAA

OCTOBER 3, 2023

When a company effectively communicates the significance of cybersecurity, ensures that team members know how to report suspicious incidents, and implements accurate risk assessments along with clear policies and procedures, we refer to this as a “culture of compliance”. This approach significantly enhances your security measures.

Compliance 98

Compliance Due Diligence HIPAA Compliance Officers 98

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. Patient-Provider Dispute Resolution.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

MedTrainer

AUGUST 2, 2023

Good credentialing management opens the door to a wide range of benefits at both the facility and organization levels: Compliance With Regulatory Standards. Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

Verisys

JULY 13, 2023

How to Tackle Pharma’s 3 Biggest Compliance Risks Head-On with Verisys How often have you started at a new organization and heard these phrases? “ Some companies make decisions based on compliance standards and optics, while others may be more lax. Clinical trial compliance can offer unique challenges for pharmaceutical companies.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52

HIT Consultant

DECEMBER 28, 2023

Third-Party Vendor Assessment: Due diligence is required to thoroughly vet third-party vendors and their cybersecurity practices. About Britton Burton Britton Burton is the Senior Director of TPRM Strategy with its sister company, CORL Technologies , tech-enabled managed services for vendor risk management and compliance.

US Department of Health and Human Services 104

US Department of Health and Human Services Due Diligence Regulatory Compliance Compliance 104

HIT Consultant

FEBRUARY 5, 2024

Therefore, due diligence requires background checks to identify both current and historical adverse actions to be performed. Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system.

Malpractice 85

Malpractice Licensing Due Diligence Hospitals 85

MedTrainer

AUGUST 2, 2023

After that, the credentialing process is periodically reviewed and renewed to ensure ongoing compliance with standards and regulations. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust. Why Is Provider Credentialing Important?

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

HIPAA Journal

MARCH 9, 2022

The HIPAA Security Rule is dominated by the Administrative, Physical, and Technical Safeguards – the remainder of the Rule being assigned to General Rules, Organization Rules (discussed below) Documentation Requirements, and Compliance Dates. The post Guide to HIPAA Safeguards appeared first on HIPAA Journal.

HIPAA 111

HIPAA Due Diligence Ransomware Compliance 111

HIT Consultant

DECEMBER 26, 2021

Government mandates were an impetus for change, starting with the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 to “promote the adoption and meaningful use of health information technology” (Office of Civil Rights (OCR), 2017).

Due Diligence 98

Due Diligence Compliance HIPAA Nurses 98

AIHC

JUNE 22, 2022

Unfortunately, this led to another problem… Providers being denied appointment or privileges by a hospital’s governing body turned to the Sherman Act and state antitrust laws to claim that the practice of credentialing amounted to anti-competitive collusion. CFR regulations (U.S. As we say in the credentialing world… Happy Credentialing!

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52