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

MedTrainer

MARCH 12, 2024

Legal Implications: The landscape of medical malpractice and legal liability is intrinsically linked to reporting. Technology can make it much easier for employees to maintain compliance. Explore how MedTrainer’s all-in-one platform can support your culture of compliance today. appeared first on MedTrainer.

Compliance 52

Compliance Malpractice Governance HIPAA 52

Medisys Compliance

MARCH 21, 2023

By verifying a doctor’s credentials, insurance companies can mitigate the risk of malpractice claims and ensure patient safety. Compliance with regulatory standards: Credentialing is a necessary component of complying with state and federal regulatory requirements.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

McBrayer Law Blog

SEPTEMBER 19, 2022

As medspas have generated billions in revenue annually across the country and involve several types of healthcare and cosmetology professionals, it is critical for healthcare professionals offering services at a medspa to understand their specific obligations to maintain compliance with the law and prioritize patient safety.

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Malpractice Nurses Licensing Compliance 52

McGuire Wood

FEBRUARY 3, 2023

Adjuvant.Health , which was formed by the partner physicians and executive team of Allied Physicians Group in 2018, provides a range of consulting services in areas including accounting, financials, analytical and quality reporting, malpractice management, compliance, technology and human resources.

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Malpractice Compliance 52

MedTrainer

JULY 10, 2023

That’s why medical credentialing is such a crucial part of compliance for healthcare organizations and the providers working within them. It’s an absolutely essential part of compliance management. There are numerous important objectives behind the process of medical credentialing — many of them rooted in compliance.

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Malpractice Compliance Licensing Hospitals 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. Something is wrong with your submission.

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Regulatory Compliance Compliance Malpractice Fraud 52

Verisys

AUGUST 17, 2023

Compliance with regulatory standards Compliance with regulatory standards from CMS or other regulatory-setting bodies should be non-negotiable. Mitigating liability and legal risks Malpractice claims and legal disputes can financially and emotionally drain healthcare providers and organizations.

Malpractice 52

Malpractice Licensing Compliance Medicaid 52

Compliancy Group

DECEMBER 27, 2023

Financial Stability When risks go unmanaged, they often lead to costly lawsuits or malpractice claims against healthcare providers. Compliancy Group Helps with Risk Management Strategies in Healthcare Compliancy Group is a leading compliance solution provider that assists healthcare organizations in effectively managing risks.

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Compliance Malpractice Health Insurance HIPAA 52

Bill of Health

OCTOBER 14, 2022

However, these agencies typically lacked the necessary resources to monitor compliance, much less enforce mandates. An additional thirteen lawsuits, a mix of medical malpractice and wrongful death claims, were filed against health care providers. In response to the COVID-19 pandemic, U.S.

COVID-19 322

COVID-19 Public Health Elder Care Governance 322

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. This is done to ensure compliance with regulations, identify areas for improvement, and assess program effectiveness.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

APRIL 11, 2024

Incident reporting is essential to maintain a healthcare organization’s compliance with state and federal regulations and reveal what are the main types of healthcare incidents. billion in malpractice costs and almost 2,000 preventable deaths. MedTrainer offers all the functions listed above in an all-in-one compliance solution.

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Compliance Informed Consent Malpractice Hospitals 52

Verisys

JULY 20, 2023

This creates the potential for adverse patient outcomes, leading to expensive malpractice lawsuits. Final thoughts Although provider credentialing may be tedious, the process safeguards healthcare facilities against risk and non-compliance. Mistake No. Mistake No. Contact us to learn more.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 52

MedTrainer

JULY 10, 2023

That’s why medical credentialing is such a crucial part of compliance for healthcare organizations and the providers working within them. It’s an absolutely essential part of compliance management. There are numerous important objectives behind the process of medical credentialing — many of them rooted in compliance.

Malpractice 40

Malpractice Compliance Licensing Hospitals 40

MedTrainer

FEBRUARY 5, 2024

Provider enrollment confirms the healthcare provider meets and maintains certain compliance standards for the insurance or payer network. The employer may also review any pending and past medical malpractice cases or disciplinary actions. Verify Compliance: Each involves verifying a provider has met compliance standards.

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Licensing Governance Compliance Fraud 52

MedTrainer

JULY 10, 2023

Malpractice history. Investigation of any malpractice claims or disciplinary actions filed against the physician, including settlements or judgments. Legal and regulatory compliance. Compliance with credentialing standards is essential for healthcare organizations to receive reimbursement and meet regulatory obligations.

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Malpractice Licensing Compliance Regulatory Compliance 40

Provider Trust

JULY 8, 2022

Department of Health and Human Services (HHS) and contains medical malpractice payments and adverse action reports on healthcare professionals. The New Standard in Compliance Intelligence. The new standard in Compliance Intelligence includes NPDB monitoring. For more information, view the webinar on demand.

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Licensing Malpractice Fraud Compliance 52

MedTrainer

JUNE 29, 2023

They play a vital role in ensuring regulatory compliance, patient safety, and general risk mitigation. That said, organizations that are large enough to appoint a full-time CRO commonly have the same level of demand for risk management and compliance. Compliance and regulatory oversight. Insurance and claims management.

Regulatory Compliance 52

Regulatory Compliance Compliance Malpractice 52

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services.

Telemedicine 59

Telemedicine COVID-19 Compliance Informed Consent 59

MedTrainer

APRIL 18, 2024

This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation. Navigating Appeals and Disputes: In some cases, behavioral health providers may encounter claim denials, audits, or disputes with Medicare regarding reimbursement or compliance issues.

Medicare 52

Medicare Medicare Licensing Compliance 52

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Meets compliance standards: Both processes verify a provider has met compliance standards. Look for these 10 attributes in a credentialing specialist.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Verisys

JANUARY 19, 2022

According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Checks credentialing for Health Insurance Portability and Accountability Act (HIPAA) compliance. Human Resources. Medical Staffing Services.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Verisys

AUGUST 31, 2023

Here are seven red flags to look out for and the reasons why: Incomplete or inconsistent application: Missing or conflicting data regarding education, training, work history, licensure, or malpractice history might indicate false information or attempts to conceal relevant details.

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Malpractice Fraud Medicaid Medicaid 52

Medisys Compliance

MARCH 27, 2023

Insurance verification: The insurance company verifies that the provider has adequate malpractice insurance coverage. Reduces liability: By verifying a healthcare provider’s credentials, healthcare organizations can reduce their liability in the event of malpractice or other issues.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

MedTrainer

JUNE 6, 2021

When dealing with situations regarding medical malpractice, sharing patient information may help reduce the chances of a case where a healthcare professional could be held liable for mistreatment. Reduction in Liability. 3 Disadvantages of Sharing Patient Information Keeping You Connected and Compliant With MedTrainer.

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Malpractice Regulatory Compliance Compliance Hospitals 40

MedTrainer

NOVEMBER 6, 2023

Legal Compliance: For healthcare professionals, maintaining CPR certification is often a regulatory or job requirement. Legal and Compliance Issues: Healthcare facilities are subject to strict regulations and standards. Non-compliance could lead to loss of accreditation status.

Malpractice 52

Malpractice Compliance Hospitals 52

Provider Trust

APRIL 14, 2023

After all, having the necessary credentials and licenses ensures provider network integrity and compliance, all while helping members receive safe, equitable, high-quality care. In addition, organizations should monitor reports about medical incidents, disciplinary action, and malpractice claims involving their providers.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

Medisys Compliance

OCTOBER 30, 2023

Compliance: Proper credentialing and billing are essential for remaining compliant with state and federal regulations , avoiding legal issues, and protecting the practitioner’s reputation. Financial Stability: Accurate and timely billing is crucial to a solo practitioner’s financial stability.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

MedTrainer

SEPTEMBER 20, 2023

Legal costs, settlements, and increased malpractice insurance premiums can put financial burdens on ASCs found guilty of negligent credentialing. This process should include comprehensive checks of education, training, licensure, malpractice history, and any disciplinary actions. Financial Consequences. Long-Term Consequences.

Malpractice 52

Malpractice Licensing Due Diligence Compliance 52

Compliancy Group

APRIL 11, 2023

Clinical documentation mistakes can lead to declining patient care and a lack of compliance within your practice. It can also prevent you from being adequately reimbursed for services rendered and increase the potential for medical malpractice claims. This helps ensure everyone involved in the patient’s care is held accountable.

HIPAA 52

HIPAA Compliance Malpractice Compliance Officers 52

MedTrainer

APRIL 18, 2024

Credentialing Delays: The credentialing process can be lengthy, often involving gathering and verifying extensive documentation, including education, training, licensure, certifications, malpractice history, and references. Delays in this process can delay providers’ ability to practice in the ASC.

Licensing 52

Licensing Malpractice Compliance 52

MedTrainer

AUGUST 9, 2023

Malpractice Insurance. Providers must show proof of malpractice insurance coverage or liability insurance to begin practicing. When it comes to provider credentialing and other compliance considerations, MedTrainer is your partner for excellence. Work History. References.

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Malpractice Licensing Compliance 52

Health Care Law Brief

JANUARY 6, 2022

malpractice prevention program,” as well as testimony of any person in attendance at such a meeting when a medical or quality assurance review function or medical malpractice prevention program was performed ( see Logue v Velez , 92 NY2d 13, 16-17).

Malpractice 40

Malpractice Public Health Hospitals Regulatory Compliance 40

Hall Render

DECEMBER 12, 2023

CMS stated that this could include any misdemeanor that places the Medicare program or its beneficiaries at immediate risk, such as a malpractice suit that results in a conviction of criminal neglect or misconduct. The stay of enrollment would last no longer than 60 days, and the provider will be given 15 days to submit a rebuttal.

Medicare 40

Medicare Medicare Licensing Malpractice 40

Verisys

DECEMBER 1, 2023

As a CVO that has achieved this certification, Verisys can give partner organizations peace of mind that it is meeting the rigorous compliance standards set forth by NCQA. Verisys is one of only a handful of organizations that are NCQA certified in 11 of 11 credentials verification services.

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Medicaid Medicaid Medicare Medicare 52

AIHC

MARCH 14, 2023

HIPAA Privacy/Security and Compliance Officers and Health Information Management professionals need to know the difference. We also encourage consulting with your malpractice Risk Attorney. If consulting with your malpractice company isn’t an option, it is highly advised to seek legal advice from a HIPAA privacy expert.

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HIPAA Malpractice Public Health Compliance Officers 52

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era. What Additional Information Should I Know for Compliance?

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HIPAA Compliance COVID-19 Compliance Officers 52