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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. name, phone number).

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Managing Healthcare Compliance in the District of Columbia

MedTrainer

Managing compliance in the District of Columbia, often referred to as Washington, D.C., Regulations in the district encompass diverse healthcare areas, including patient privacy and data security, Medicaid and Medicare compliance, health insurance marketplaces, and scope of practice for healthcare professionals.

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Managing Healthcare Compliance in Idaho

MedTrainer

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

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How to Build Better Relationships with the Health Insurance & Payer Communities

HIT Consultant

Jessica Badichek, Chief Informatics and Compliance Officer, MediTelecare. Payers and insurance providers want better patient outcomes due to the high cost of poor health, while health providers want to ensure their patients aren’t overlooked and are appropriately cared for.

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CMS’ Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs

Healthcare Law Blog

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 billion in healthcare fraud judgments and settlements.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

This policy improves coverage and helps reduce churn , which is associated with poor health outcomes. Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

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