HIT Consultant

NOVEMBER 4, 2024

By implementing thorough cybersecurity measures and adhering to regulatory compliance, healthcare providers can fortify their systems and ensure the confidentiality and integrity of critical health information. However, protecting patient identity is equally crucial. billion and $2.45

Ransomware 98

Ransomware Regulatory Compliance Compliance Fraud 98

Compliancy Group

SEPTEMBER 28, 2023

As the healthcare landscape continues to evolve, regulatory compliance has become a critical aspect of ensuring patient privacy, safety, and overall quality of care. Additionally, compliance ensures that proper protocols are followed when it comes to billing procedures and financial practices, reducing the risk of fraud or misconduct.

Regulatory Compliance 52

Regulatory Compliance Compliance Fraud Governance 52

Compliancy Group

AUGUST 28, 2024

Human resources (HR) professionals have a stake in their organizations’ healthcare compliance practices. Regardless of company size or number of employees, thorough HR compliance training ensures that your practice, hospital, or company protects patients and workers.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

Compliancy Group

MARCH 19, 2024

Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Regulatory compliance in healthcare ensures quality care for patients. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

Compliancy Group

AUGUST 14, 2023

Regulatory compliance in the healthcare industry plays a crucial role in patient safety, maintaining quality standards, and preventing fraud and abuse. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.” Learn More × Rated #1 on G2 for Healthcare Compliance Find Out More!

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers Fraud 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.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers HIPAA 52

Total Medical Compliance Resources

NOVEMBER 11, 2024

Total Medical Compliance is excited to announce the launch of its new suite of online courses designed to enhance the skills and knowledge of healthcare professionals. link] HIPAA Fraud, Waste, and Abuse Awareness Course $30.00 Our new online course on HIPAA regulations equips employees to combat fraud, waste, and abuse in healthcare.

ADA 59

ADA HIPAA Compliance Fraud 59

Healthcare IT Today

DECEMBER 21, 2023

The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers. If healthcare providers fail to comply, the consequences can be costly.

Records Management 124

Records Management Regulatory Compliance Compliance HIPAA 124

American Medical Compliance

FEBRUARY 9, 2024

Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority.

Compliance Officers 102

Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

HIT Consultant

JANUARY 12, 2025

AI-generated identity fraud, including deepfakes, and other sophisticated tactics are making traditional security systems obsolete. In retail, e-commerce platforms deploy facial recognition alongside behavioral biometrics to reduce fraud during online purchases, providing a seamless yet secure shopping experience.

Fraud 64

Fraud Regulatory Compliance Ransomware Compliance 64

MedTrainer

MAY 12, 2021

The Hidden Benefits of Regulatory Compliance in Healthcare. With its maddening complexities and time- and resource-consuming demands, regulatory compliance is thought to be the plague of any thriving business. But what is compliance in healthcare? Fact: Regulatory Compliance in Healthcare is an Advantage.

Regulatory Compliance 40

Regulatory Compliance Compliance HIPAA Medical Personnel 40

MedTrainer

JANUARY 21, 2025

Todays healthcare organizations face mounting pressures to keep impeccable compliance records while managing increasingly complex operations. Proactivity in the form of continuous OIG exclusion list monitoring is key to minimizing risk, maintaining compliance, and avoiding costly mistakes.

Compliance 52

Compliance Fraud Regulatory Compliance Medicare 52

Medisys Compliance

MARCH 31, 2025

Accurate and efficient Medicare billing is not merely about receiving timely payments; it forms the base for financial stability, regulatory compliance, and ultimately, the ability to continue providing quality patient care. Practices must be vigilant in preventing Medicare fraud, waste, and abuse (FWA).

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Compliancy Group

JUNE 13, 2024

Data privacy is only part of Office of the Inspector General (OIG) compliance. Since the start of the data privacy rule in 2003 alone, there have been at least 350,000 Health Insurance Portability and Accountability Act complaints with 1,188 compliance reviews. While these compliance programs are voluntary, they are essential.

Compliance 59

Compliance Fraud Regulatory Compliance Health Insurance 59

Healthcare IT Today

DECEMBER 26, 2024

Check out our community’s Healthcare Cybersecurity predictions: Bill Murphy, Director of Security and Compliance at LeanTaaS As we enter 2025, AI is revolutionizing cyber threats in concerning ways. Recent incidents involving fake video calls and voice cloning demonstrate the technology’s potential for sophisticated fraud.

US Department of Health and Human Services 90

US Department of Health and Human Services Ransomware Compliance Hospitals 90

Healthcare IT Today

MARCH 27, 2025

With only 6% of organizations having fully operationalized responsible AI frameworks , the healthcare industry must take a measured approach to ensure AI integration aligns with patient safety and regulatory compliance.

Governance 60

Governance Compliance HIPAA Regulatory Compliance 60

Healthcare Blog

JANUARY 19, 2025

However, the success of swing bed programs hinges on strict adherence to Medicare Swing Bed Rules , a set of regulations established by the Centers for Medicare & Medicaid Services (CMS) to ensure compliance and optimize patient care. Compliance with Medicare Swing Bed Rules is non-negotiable for CAHs operating these programs.

Medicare 52

Medicare Medicare Compliance Nurses 52

Verisys

DECEMBER 29, 2024

Healthcare organizations and insurance companies rely on credentialing to ensure patient safety, regulatory compliance, and minimize liability risks. This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

Compliancy Group

JULY 17, 2023

In today’s ever-evolving healthcare landscape, it’s crucial for organizations to prioritize compliance with various regulations and standards. These services encompass comprehensive healthcare compliance programs and plans supported by cutting-edge technology solutions aimed at achieving optimal healthcare regulatory compliance.

Compliance 52

Compliance Regulatory Compliance Fraud Regulations Compliance 52

Compliancy Group

OCTOBER 16, 2024

There’s a significant connection between healthcare compliance and risk management. Compliance officers must thoroughly understand both concepts to protect their organizations and the patients they serve. We’ll discuss how regulatory compliance enables proper risk management and how risk assessment advances healthcare compliance.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Compliancy Group

MAY 15, 2024

As we move deeper into 2024, hospitals must increasingly focus on compliance with regulations set forth by the Office of Inspector General (OIG). This guide outlines the OIG’s hospital compliance priorities and provides actionable advice on ensuring your hospital meets these rigorous standards.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

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?

Compliance 52

Compliance US Department of Health and Human Services Regulatory Compliance Compliance Officers 52

Compliancy Group

OCTOBER 4, 2024

Despite your best efforts in meeting healthcare compliance requirements, errors may still occur. Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. What is an Audit in Healthcare?

Compliance Officers 59

Compliance Officers Compliance Regulatory Compliance Fraud 59

Compliancy Group

JANUARY 22, 2024

Critical Components of a Healthcare Compliance Audit Checklist There are several necessary components in a comprehensive healthcare compliance audit checklist that help maintain adherence to regulatory standards. Modernize Your Compliance Using automated compliance software compliance is a breeze.

Compliance 52

Compliance Fraud Regulatory Compliance HIPAA 52

Compliancy Group

APRIL 8, 2024

Patient safety and regulatory compliance are paramount, and healthcare organizations face numerous challenges in effectively managing their operations. The complex nature of the healthcare industry calls for a robust framework to ensure governance, mitigate risks, and maintain compliance with various regulations.

Governance 52

Governance Compliance Regulatory Compliance Fraud 52

MedTrainer

FEBRUARY 1, 2024

A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

MedTrainer

JULY 25, 2024

Adhering to the Health Insurance Portability and Accountability Act (HIPAA) standards is crucial to uphold compliance and regulatory requirements for any health organization. HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud. What Is HIPAA?

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

Compliancy Group

AUGUST 2, 2023

As the healthcare industry grows and changes, organizations face increasing challenges regarding compliance and risk management. Healthcare GRC (Governance, Risk, and Compliance) is a crucial framework that helps healthcare providers navigate these complexities effectively. Please Wait.

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Verisys

JANUARY 8, 2024

A healthcare compliance audit is a thorough review and examination of an organization’s adherence to regulatory guidelines. This type of audit is essential in the healthcare industry for several reasons: Regulatory Compliance It ensures that the healthcare organization complies with various federal and state laws and regulations.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

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.

Compliance 52

Compliance Compliance Officers Fraud HIPAA 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?

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

HIT Consultant

JULY 25, 2024

However, according to Astra, some of the most commonly suggested are: HITRUST CSF – a gold standard in data security for organizations dealing with protected health information (PHI), the HITRUST Framework is a comprehensive, scalable, reliable, and efficient framework for risk management and regulatory compliance.

Compliance 111

Compliance HIPAA Regulatory Compliance Ransomware 111

Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The DOJ Announcement stresses the importance of investing in strong compliance programs for both the buyers and sellers in business transactions.

Compliance 52

Compliance Due Diligence Fraud Governance 52

Compliancy Group

JANUARY 23, 2024

A well-crafted compliance plan is a roadmap for healthcare organizations to navigate regulatory requirements while upholding ethical practices. Let’s explore the key components and steps to write an effective healthcare compliance plan. Various laws, regulations, and industry standards govern this sector. The primary goal?

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. What Is the National Practitioner Data Bank (NPDB)?

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

Compliancy Group

OCTOBER 2, 2023

In the fast-paced world of healthcare, compliance reporting plays a vital role in ensuring accountability and transparency. This article will explore the significance of compliance reporting in healthcare and how it helps organizations maintain data integrity and mitigate risks. What is Compliance Reporting in Healthcare?

Compliance 52

Compliance Regulatory Compliance Fraud Health Insurance 52

Health Care Law Brief

FEBRUARY 7, 2024

Department of Health and Human Services Office of Inspector General’s (OIG) core responsibility is to promote efficiency and economy in myriad programs by eliminating fraud, waste and abuse. Copyright 2024 Compliance Today , a publication of the Health Care Compliance Association (HCCA).

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Compliance Fraud Regulatory Compliance 52