AIHC

APRIL 22, 2025

Atkins, PhD, MSW, LMSW, CPC, CIGE The governments new whistleblower complaint portal launched in April 2025 emphasizes the importance of complying with regulations related to qui tam suits, OCR investigations and protecting the rights of employees submitting a tip or complaint internally or to authorities. The False Claims Act (31 U.S.C.

Compliance 89

Compliance HIPAA Compliance Officers Fraud 89

Healthcare IT Today

JANUARY 13, 2025

Check out our community’s Healthcare Regulations and Healthcare Compliance predictions: Shubh Sinha, CEO at Integral In 2025, compliance will get a seat at the decision-making table. Until now, senior leaders have viewed compliance as a box to check off or, worse, a bottleneck to innovation.

Compliance 97

Compliance Compliance Framework HIPAA Governance 97

Healthcare It News

JANUARY 21, 2025

Develop guiding principles Don’t start your AI project from scratch; instead, build upon your existing privacy, security and compliance frameworks while adding AI-specific considerations. ” Healthcare organizations already have strong foundations in IT governance, privacy, security and user experience.

Compliance Framework 307

Compliance Framework Governance Hospitals Compliance 307

Healthcare Dive

OCTOBER 4, 2024

The CMS fails to check hospitals’ pricing data for accuracy and completeness, raising questions about whether the data can be used as intended to help payers and patients shop for services, according to the government agency.

Hospitals 277

Hospitals Compliance Governance 277

Healthcare Dive

APRIL 11, 2022

Just because HIPAA doesn't require the use of data governance technology doesn't mean you can do without it.

HIPAA 261

HIPAA Compliance Governance 261

Healthcare IT Today

DECEMBER 24, 2024

This can result in situations where you are trying to do something new that will be a great benefit to your organization, staff, and/or patients, but it’s extremely complicated to near impossible to do it while maintaining your compliance with current regulations. Or the complete opposite can happen to you.

Compliance 64

Compliance HIPAA Governance Regulatory Compliance 64

MRO Compliance

MAY 15, 2025

In the healthcare ecosystem, a payer is any entity such as a private insurer or government program, that finances or reimburses the cost of health services. These plans may be administered by private insurers, or government programs. Health plans, offered by these payers, provide specific coverage for various medical needs.

Electronic Medical Records 147

Electronic Medical Records Medicaid Medicaid ACA 147

Healthcare IT Today

APRIL 10, 2025

Department of Health and Human Services (HHS) typically only assesses eight out of 180 HIPAA provisions during audits, leaving hospitals and healthcare organizations exposed to significant compliance and security risks. Other sectors of the government are addressing this issue by adopting more stringent models that HHS should consider.

HIPAA 114

HIPAA Compliance Framework Compliance Governance 114

Bill of Health

DECEMBER 6, 2024

These technologies can act as privacy enhancing techniques (PET) to ensure privacy and compliance with regulations like HIPAA and GDPR. The EU AI Act , proposed EU AI Liability Directive , and laws under the European Strategy for Data , such as the Data Governance Act , may also play roles. The regulatory landscape in the U.S.

FDA 182

FDA Governance Compliance Bioethics 182

Dot Compliance

JUNE 5, 2025

In the life sciences industry, data is central to regulatory compliance, product quality, and patient safety. As organizations continue shifting from paper-based to digital systems, FDA 21 CFR Part 11 remains one of the most important regulations governing how electronic records and signatures are used, stored, and managed.

FDA 52

FDA Compliance Regulatory Compliance Governance 52

Verisys

MARCH 6, 2025

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of safe, effective, and ethical patient care. When healthcare organizations fail to meet compliance standards, the consequences can be severespanning legal and financial realms. What is Non-Compliance in Healthcare?

Compliance 52

Compliance HIPAA Licensing Governance 52

HIT Consultant

NOVEMBER 7, 2024

What You Should Know: – A new report from Barnes & Thornburg reveals that healthcare compliance professionals are facing mounting pressure as they navigate a complex regulatory landscape, increasing cyberattacks, and the rapid adoption of artificial intelligence (AI).

Compliance 52

Compliance Due Diligence Governance Ransomware 52

Healthcare It News

OCTOBER 10, 2024

" Time spent on the EMR, he said, is driven by such factors as specialty, payer expectations, and regulatory compliance. " The Malaysian government, he said, is now focused on getting all stakeholders in the health system together to collaborate on developing standards for digital transformation.

Doctors 272

Doctors Regulatory Compliance Hospitals Nurses 272

YouCompli

OCTOBER 30, 2024

Yet most compliance pros don’t realize there are unique compliance issues involved with research and services in academic settings. One medical school in Texas and its partners recently agreed to pay the government $15 million to settle allegations that teaching physician rules were not met.

Compliance 52

Compliance Governance Medicare Medicare 52

YouCompli

APRIL 9, 2025

As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware of how we do our own work is paramount for an effective compliance program. Incorporating self-awareness into your healthcare compliance program can significantly enhance its effectiveness. If not, why?

Compliance 52

Compliance Compliance Officers Governance Medicare 52

Compliancy Group

NOVEMBER 6, 2024

Unfortunately, the complexity of healthcare compliance makes following the rules and being aware of updates challenging. Workforce compliance management entails implementing policies and procedures that align with these regulations. Staying compliant with healthcare regulations is everyone’s responsibility in the organization.

Compliance 52

Compliance Compliance Officers Fraud Health Insurance 52

YouCompli

MAY 21, 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments. However, according to the Health and Human Services (HHS) Office of Inspector General (OIG), Entities should incorporate patient safety/quality oversight into their compliance programs.

Compliance 52

Compliance Governance Nurses Hospitals 52

Healthcare It News

JUNE 10, 2025

To support members' annual security risk analyses to ensure compliance with HIPAA privacy law, OSIS implemented an automated tool called HIPAA One to increase SRA completion, according to a case study Pappas provided. In the first year, the shared tool achieved an 83.9% improvement in SRA completion and an 11.5%

Hospitals 211

Hospitals Medicaid Medicaid Compliance 211

Compliancy Group

NOVEMBER 5, 2024

The topic: data security – specifically, how the federal government is regulating it, and what resources the federal government has made available for organizations to enhance its data security posture. BCAA determined that the encrypted files affected the protected health information (PHI) of approximately 14,273 patients.

Ransomware 98

Ransomware HIPAA Compliance Governance 98

YouCompli

JANUARY 15, 2025

Within the business of healthcare, we talk a lot about a strong culture of compliance. Typically, such discussion is focused on really committing to compliance throughout all levels of the organization. Below are five strategies to help you align human behavior with your compliance program.

Compliance 52

Compliance Compliance Officers Nurses HIPAA 52

Compliancy Group

NOVEMBER 1, 2024

Anyone in this industry should know the healthcare compliance laws and regulations that guide how they do their jobs and provide quality care. Here’s your healthcare compliance 101 for the critical federal regulations all employees should know.

Compliance 52

Compliance HIPAA Electronic Medical Records Fraud 52

Health Law Attorney

NOVEMBER 22, 2024

On November 20, 2024, the Office of Inspector General (OIG) released its updated Industry-Specific Compliance Program Guidance (ICPG) for nursing facilities, marking an important step in its broader compliance initiative. This shift reflects OIG’s recognition of the direct relationship between care quality and compliance.

Nurses 52

Nurses Compliance Fraud Governance 52

Compliancy Group

JUNE 11, 2025

Healthcare compliance teams understand the importance of regulatory risk management…the real challenge is making it actionable. However, regulatory risk also overlaps with a second category: compliance risk , which refers to failures to meet current legal requirements, industry standards and norms, or internal policies.

Compliance 52

Compliance Regulatory Compliance HIPAA Governance 52

Compliancy Group

APRIL 18, 2025

Healthcare regulatory compliance means healthcare organizations are meeting a wide range of laws and standards that includes everything from billing and safety to data protection and patient rights. This compliance means ensuring patient safety, protecting their privacy, and making sure quality care is delivered. With annual U.S.

Regulatory Compliance 52

Regulatory Compliance Compliance Fraud HIPAA 52

Compliancy Group

OCTOBER 28, 2024

Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

Healthcare IT Today

DECEMBER 2, 2024

This article explores three key steps to help healthcare CIOs and IT leaders unlock AI’s full potential without compromising security, regulatory compliance, or budget integrity. Are there standardized protocols for data collection that ensure compliance with regulations such as HIPAA?

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Regulatory Compliance Compliance HIPAA Governance 117

YouCompli

JUNE 4, 2025

Assertive Communication Skills for Compliance Officers | 8 Steps A career in healthcare compliance can be both exciting and overwhelming. When it comes to the compliance program, effective communication is essential for building strong relationships, resolving conflicts and gaining buy-in.

Compliance Officers 52

Compliance Officers Compliance Governance 52

PowerDMS Compliance

MAY 29, 2025

Running a government entity requires numerous processes. To operate efficiently and effectively, it's important to have the right steps in place.

Governance 52

Governance 52

Dot Compliance

MAY 15, 2025

Beyond functionality, verification plays a key role in regulatory compliance, brand reputation, and market success. Regulatory Compliance : Compliance with strict regulatory requirements, such as FDA, EMA, and Health Canada, is essential for market approval and continued distribution.

Compliance 52

Compliance Regulatory Compliance FDA Governance 52

HIT Consultant

MAY 15, 2025

What You Should Know: – Avanade , a Microsoft solutions provider, and Duke Health announced a strategic partnership to design, build, and implement Avanades Smart AI Governance Engine (SAIGE). SAIGE is designed to fill this critical gap.

Governance 52

Governance Compliance 52

Healthcare IT Today

DECEMBER 10, 2024

It involves a comprehensive approach that integrates strong governance policies, advanced technology, and vigilant human oversight. All hosts will ensure strict security protocols, but compliance standards vary, and its up to the vendor to maintain tight configurations and standards of their own.

Compliance 126

Compliance Due Diligence HIPAA Governance 126

HIT Consultant

OCTOBER 22, 2024

These interpretations have led to the development of detailed guidelines and enforcement actions to ensure compliance. This would directly tie cybersecurity compliance to federal healthcare funding, compelling hospitals and healthcare providers to adopt robust cybersecurity measures.

HIPAA 139

HIPAA Compliance Public Health Medicaid 139

HIT Consultant

JANUARY 9, 2025

The Power of Proprietary Systems: Compliance and Uniformity Veteran data scientists who have spent decades working with SAS will be quick to argue its strengths. Roche has enhanced workflow efficiency by addressing compliance and validation concerns through rigorous internal processes and close collaboration with regulators.

Compliance 52

Compliance Pharmaceutical Industry Licensing Governance 52

Healthcare IT Today

FEBRUARY 24, 2025

Without proper data normalization, deduplication, and governance, AI outputs can become biased or misleading. Interoperability Gaps & Regulatory Compliance New initiatives like TEFCA, FHIR adoption, and evolving payer-provider data exchange mandates are pushing healthcare systems toward more open and interoperable ecosystems.

Regulatory Compliance 104

Regulatory Compliance Governance Compliance Hospitals 104

Healthcare IT Today

JANUARY 7, 2025

Another new requirement is that regulated entities must conduct a compliance audit at least every 12 months to ensure they are compliant with the Security Rule. He is a Certified Security Compliance Specialist (CSCS), a CMMC Certified Assessor (CCA) and wrote the Certified HIPAA Security Professional (CHSP) content for 4Med Pro.

HIPAA 117

HIPAA Compliance Ransomware Governance 117

Verisys

MAY 15, 2025

Without this evaluation, unqualified vendors can infiltrate the healthcare administration, compromise patient care, and cause compliance issues for hospitals. As such, avoidable friction can occur when these vendors fail to live up to compliance standards. Some states also have specific compliance laws.

Compliance 52

Compliance Hospitals Licensing Fraud 52

MRO Compliance

NOVEMBER 13, 2023

the leading clinical data exchange company in healthcare, announced that Adrienne Morrell has joined the company as its new Vice President of Government Affairs. Morrell brings with her more than 25 years of government affairs experience covering both state and federal rulemaking tied to Medicare, Medicaid, commercial insurance and health IT.

Governance 133

Governance Health Insurance Medicaid Medicaid 133