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.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

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

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

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.

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Compliance Regulatory Compliance Fraud Regulations Compliance 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.

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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?

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 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

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

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

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 100

Records Management Regulatory Compliance Compliance HIPAA 100

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.

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Compliance Regulatory Compliance Governance Fraud 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

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Findings from OIG audits can identify compliance areas needing improvement.

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Compliance Officers Compliance Medicare Medicare 52

MedTrainer

NOVEMBER 2, 2023

This critical responsibility rests on the shoulders of the healthcare compliance officer. Read on if you’ve ever wondered about the unsung heroes as we answer the question: What does a compliance officer do in healthcare? What Is the Primary Role of a Compliance Officer in Healthcare?

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Compliance Officers Compliance HIPAA Regulatory Compliance 52

Compliancy Group

SEPTEMBER 20, 2023

As the healthcare industry rapidly evolves, healthcare compliance readiness has become a critical concern for organizations across the landscape. With regulations continuously changing and new risks emerging, healthcare providers need to prioritize their approach to healthcare compliance monitoring. Please Wait. Success!

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Compliance Regulatory Compliance Compliance Officers Fraud 52

MedTrainer

SEPTEMBER 8, 2023

Healthcare compliance professionals play a pivotal role in ensuring the integrity of healthcare operations, safeguarding patient well-being and upholding legal obligations. With the increasing complexity of regulations, a certification in healthcare compliance is emerging as a valuable asset for professionals in the field.

Compliance 52

Compliance Compliance Officers HIPAA Regulatory Compliance 52

YouCompli

MAY 25, 2022

Anstine, JD is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog. This post establishes a working definition of compliance culture and puts it in the context of overall healthcare priorities. Definition of compliance culture in healthcare.

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Compliance Compliance Officers Fraud Regulatory Compliance 52

HIT Consultant

JANUARY 3, 2023

But they have also expanded the attack surface at these organizations and increased the level of risk and vulnerabilities that could result in direct loss of proprietary information, direct financial damage including theft and fraud, and potential loss of life (in addition to regulatory fines and brand damage) the healthcare sector faces.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

Compliancy Group

JANUARY 17, 2024

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.

US Department of Health and Human Services 52

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

Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare compliance? What is GRC in Healthcare?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

Compliancy Group

OCTOBER 17, 2023

With the healthcare industry constantly transforming and adapting, managing risks has become a critical aspect of ensuring patient safety, organizational resilience, and regulatory compliance. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.” Please Wait. Please Wait.

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Regulatory Compliance Compliance Malpractice Fraud 52

Total Medical ComplianceHIPAA

JANUARY 11, 2024

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. Regulatory Compliance: HIPAA mandates the protection of patient information and the prevention of fraudulent practices. HIPAA stands as a beacon of privacy and security standards within the industry.

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HIPAA Regulatory Compliance Malpractice Compliance 52

Health Care Law Brief

OCTOBER 18, 2023

Consistent with and as has been elaborated in its 2014 Special Fraud Alert , OIG reasoned that such arrangements may implicate and potentially violate the AKS by “disguising” remuneration for FHCP business through the payment of amounts purportedly related to non-FHCP ( e.g. , commercial) business. .

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HIT Consultant

FEBRUARY 9, 2023

A lack of regulatory compliance, network and technical vulnerabilities, unencrypted information, unsecured mobile devices, and weak credentials all play a part in putting a healthcare organization at risk for a data breach. Paul Banco, CEO of etherFAX    How secure is your data? How Can a Data Breach Be Prevented?

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Regulatory Compliance Due Diligence Compliance Compliance Framework 52

Healthcare IT Today

JUNE 29, 2023

Each ASC is responsible for ensuring that they are in compliance with the numerous statutes and regulations that are in place at both the state and federal levels. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. ASC billing compliance has many benefits.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Verisys

NOVEMBER 30, 2022

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Excluded from one means excluded from all, and the fines for non-compliance will likely be in the hundreds of thousands. How many data sources is your organization monitoring?

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Regulatory Compliance Medicare Medicare Medicaid 52

Health Care Law Brief

JUNE 2, 2022

In addition, the PHE fueled a boom in the number of direct-to-consumer (“DTC”) telehealth platforms, many of which have relied upon COVID-19 regulatory waivers to launch and operate in multiple states across the nation. How will data be used for marketing, in compliance with applicable laws, including HIPAA? Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

HIT Consultant

MAY 4, 2023

But with so many competing training programs — everything from HIPAA and regulatory compliance to handwashing and job-specific training — it’s difficult to break through the noise and gain traction. Some healthcare organizations are minimally training their staff for compliance, hoping it will be sufficient.

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Hospitals Regulatory Compliance HIPAA Compliance 97

Innovaare Compliance

JUNE 8, 2023

Review your financial arrangements: Make sure that your financial arrangements with providers are in compliance with CMS regulations. Some of the key changes include: Increased focus on quality: CMS will be increasing its focus on quality in its audits. CMS will be looking for evidence that these arrangements are fair and reasonable.

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Medicaid Medicaid Medicare Medicare 52

Health Care Law Brief

JUNE 24, 2022

Consequently, covered entities must assess the potential risks and vulnerabilities of using such technologies to ensure compliance with HIPAA Security Rule Requirements. The first settlement under the Civil Cyber-Fraud Initiative occurred in March 2022—against a health care entity. Special thanks to summer associate, Michael J.

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Health Law Advisor

JULY 14, 2023

EBG works closely, under attorney-client privilege, with organizations to conduct risk assessments and to identify recognized security practices that may bolster practical security and improve compliance defensibility.

Regulatory Compliance 52

Regulatory Compliance Fraud Compliance Governance 52

Healthcare Law Today

DECEMBER 12, 2022

He advises entrepreneurial health care providers and technology companies on business arrangements, compliance, and corporate matters in telemedicine, digital health, remote patient monitoring, and click-and-mortar services. I’m currently Deputy General Counsel of LifeMD, a growing telemedicine company.

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Health Care Law Brief

APRIL 11, 2022

Notwithstanding these streams of remuneration taking the form of cash equivalents and not being protected by an AKS regulatory safe harbor or by an exception to the Beneficiary Inducements CMP, the OIG still concluded that the Arrangement presented a minimal risk of fraud and abuse based on a totality of the underlying facts and circumstances.

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Fraud Medicare Medicare Compliance 52

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.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Health Care Law Brief

FEBRUARY 7, 2022

It is unclear, however, whether this new regulatory framework will ultimately benefit requestors. at 1368 (emphasis added). However, OIG’s sentiment may presume too much. First, OIG appears to presuppose that any conduct under investigation by DOJ—by virtue of it being under investigation—is problematic.

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Fraud Governance Compliance Regulatory Compliance 52

Florida Health Care Law Firm

MARCH 9, 2022

A pharmacist should evaluate each prescription, focus on regulatory compliance, and only dispense a prescription written for a legitimate medical purpose and pursuant to a valid prescriber-patient relationship.

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Regulatory Compliance Compliance Doctors Fraud 40