Verisys

DECEMBER 10, 2024

The best resource for monthly healthcare regulatory compliance updates. HHS Telemedicine Temporary Rule Extension Nursing Licensure Compact: The NLC has a new website: www.nursecompact.com. It contains information for nurses, employers, and nursing students, and graduates. Act 2017-76) and 4005 of our rules.

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

Med-Net Compliance

AUGUST 18, 2022

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 Discussion Points: Review your policies and procedures for operating an effective compliance and ethics program to ensure that identifying and reporting of false claims is included. The provider has agreed to pay $5,591,044.66

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Nursing Homes US Department of Health and Human Services Nurses Medicare 59

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?

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

Med-Net Compliance

JUNE 22, 2022

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Issue: Legitimate vaccination cards are being stolen from healthcare facilities and then used in a fraudulent manner. Participating in the fraud can result in the person(s) being prosecuted.

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COVID-19 Vaccine COVID-19 Fraud US Department of Health and Human Services 59

Verisys

FEBRUARY 6, 2025

What Is Nurse Credentialing? Nurse credentialing is a crucial process in healthcare that ensures nurses have the qualifications, skills, and experience to provide safe and effective patient care. The primary purpose of nurse credentialing is to protect patients and maintain the integrity of healthcare organizations.

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Nurses US Department of Health and Human Services Licensing Regulatory Compliance 52

Healthcare IT Today

AUGUST 28, 2023

Stephen Sofoul, SVP, Data & Decision Science Services at MultiPlan A critical challenge lies in the shortage of experienced financial analysts or data analysts capable of effectively analyzing the wealth of information that the healthcare industry holds. However, with healthcare being ever-evolving our regulations are also ever evolving.

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US Department of Health and Human Services Telemedicine Hospitals Compliance 124

Healthcare IT Today

NOVEMBER 14, 2023

Even when digital tools are utilized, it’s not uncommon for provider network teams to use a combination of siloed point solutions, disparate spreadsheets, and a series of complex process steps for keeping status information up to date in multiple disconnected systems. This affects not only how patient data is handled, but also provider data.

US Department of Health and Human Services 118

US Department of Health and Human Services Licensing Nurses Compliance 118

Med-Net Compliance

OCTOBER 26, 2022

The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Hospitals 59

YouCompli

NOVEMBER 30, 2022

How to use the SBAR Framework. The same tool nurses use to communicate about health emergencies – can help you secure investment in your compliance department. . Over the past few years, I’ve helped many of our clients demonstrate the value of investing in compliance with an?SBAR. Assessment?.

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

HIPAA Journal

APRIL 30, 2025

The implication of this requirement if finalized – is that covered entities will only be permitted to contract services from business associates that can demonstrate compliance with HIPAA. Despite the variety of compliance requirements, some areas of HIPAA compliance are common to all business associates.

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HIPAA Compliance US Department of Health and Human Services Medical Billing Services 52

HIT Consultant

DECEMBER 11, 2023

Hospitals, which keep us healthy and safe, share the responsibility for keeping the earth healthy and safe. The combined health sectors of the US, Australia, England, and Canada produce a staggering 748 million metric tons of carbon dioxide annually. And there’s plenty to minimize. Hospitals also produce a lot of waste.

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US Department of Health and Human Services Hospitals COVID-19 Public Health 105

Healthcare Compliance Blog

APRIL 26, 2022

The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Voluntary Compliance: OIG has several self-disclosure processes to report fraud in HHS programs.

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US Department of Health and Human Services Fraud Compliance Medicaid 59

Healthcare IT Today

MAY 30, 2024

Layering AI on top of CCTA can enable health systems to use cath labs for intervention – rather than diagnostics – which could dramatically reduce a backlog of procedures, optimize resources, and streamline efficiency in cardiac care. healthcare industry.

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US Department of Health and Human Services Hospitals Nurses Patient Satisfaction 131

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

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US Department of Health and Human Services Nurses Hospitals Telemedicine 97

Verisys

DECEMBER 12, 2023

– The best resource for monthly healthcare regulatory compliance updates. US S3193 DEA: The DEA and Department of Health and Human Services (HHS) has announced the extension of current telemedicine flexibilities through December 31, 2024. This bill is currently in committee.

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

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This includes recommending compliance programs or trainings for staff.

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US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This includes recommending compliance programs or trainings for staff.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

YouCompli

NOVEMBER 18, 2023

Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations.

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

Healthcare IT Today

SEPTEMBER 17, 2024

An ongoing lawsuit between two health IT companies raises questions that call for more discussion. has led independent observers to predict a shake-up in health care and the potential for future lawsuits. Department of Health & Human Services should be applied. PointClickCare Technologies, Inc. )

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US Department of Health and Human Services Nurses Health Care Reform Hospitals 73

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced. This also may indicate possible abuse.

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US Department of Health and Human Services Fraud Medicaid Medicaid 59

Med-Net Compliance

OCTOBER 19, 2022

The settlement resolves allegations that between 2013 and 2020, the company paid remuneration to its home health medical directors in Oklahoma and Texas for the purpose of inducing referrals of Medicare and TRICARE home health patients. The corporate officers were previously the CEO and COO of the company.

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US Department of Health and Human Services Medicare Medicare Medicaid 59

Provider Trust

MARCH 13, 2023

Between 2016 and 2021, over 7,600 fake diplomas were sold to nursing students who used the fraudulent degrees to qualify for the National Council Licensure Exam (NCLEX). In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX. They just paid the amount.”

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Fraud US Department of Health and Human Services Licensing Nurses 52

MedTrainer

FEBRUARY 29, 2024

The World Health Organization (WHO) defines a near miss as “an error that has the potential to cause an adverse event [patient harm] but fails to do so because of chance or because it is intercepted.” They shuffle out of their room and a nurse notices the patient is wearing socks on a slippery floor. What is a Near-Miss Event?

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US Department of Health and Human Services Compliance Nurses World Health 52

Healthcare IT Today

SEPTEMBER 13, 2024

Collaborating with ethical hackers can help the healthcare sector prevent cyberattacks before they occur, ultimately safeguarding sensitive patient data, medical devices, and health delivery infrastructure. Despite our focus on security and privacy, cyber threats are continuously increasing in both number and severity.

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US Department of Health and Human Services Ransomware Compliance Governance 121

Healthcare Compliance Blog

MARCH 24, 2022

Writing in their latest quarterly newsletter, the US Department of Health and Human Services’ Office for Civil Rights (OCR) reported that the number of hacking or IT incidents which led to ePHI data breaches increased 45% from 2019 to 2020. Phishing attacks are one of the most common types of cyberattacks.

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US Department of Health and Human Services HIPAA Ransomware Compliance 59

Med-Net Compliance

JULY 21, 2022

A nursing and rehab center in North Carolina is being investigated by the State Agency after a resident accidently set herself on fire in her room. The local police department reported that a woman at the nursing home was connected to an oxygen tank and tried to smoke a cigarette, causing a burst of flames that badly burned her.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 59

YouCompli

DECEMBER 7, 2022

Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.

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Fraud US Department of Health and Human Services Compliance Medicaid 52

Healthcare Compliance Blog

APRIL 11, 2022

million individuals, reported to the US Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) data breach portal so far in 2022. A recent report revealed that ransomware, double extortion, and software vulnerability exploits were increasingly used rather than traditional data encryption.

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US Department of Health and Human Services HIPAA Ransomware Nurses 59

Healthcare Compliance Blog

APRIL 25, 2022

Healthcare data breaches that affect greater than 500 individuals are required to be reported to the US Department of Health and Human Services’ Office for Civil Rights (OCR) within 60 days of discovery. All staff must fully understand how they can help safeguard protected health information (PHI).

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US Department of Health and Human Services HIPAA Nurses 59

YouCompli

NOVEMBER 16, 2022

Strengthen your listening skills to improve your effectiveness as a healthcare compliance officer. Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. According to betterup.com, discriminative listening is a skill all humans are born with.

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

Med-Net Compliance

JULY 25, 2022

The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) announced the resolution of eleven investigations in its Health Insurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.

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HIPAA US Department of Health and Human Services Nursing Homes Nurses 59

Hall Render

APRIL 3, 2023

With yet another criminal wage-fixing indictment filed this week, the Antitrust Division of the Department of Justice (“DOJ”) signaled its continued commitment to prosecuting anticompetitive conduct affecting the U.S. labor markets, including within the health care industry.

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US Department of Health and Human Services Nurses Compliance 40

Healthcare IT Today

DECEMBER 27, 2024

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions !

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US Department of Health and Human Services Hospitals Nurses Compliance 58

Healthcare IT News - Telehealth

MARCH 26, 2021

creating all kinds of chaos for CIOs and other health IT leaders to contend with. These executives include: Lisa Grisim, RN, vice president and associate CIO, Stanford Children's Health, Palo Alto, California. ( @LisaGrisim ). This latest feature story has a special focus: children's hospitals. Adaptive and agile teamwork.

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US Department of Health and Human Services Hospitals COVID-19 Telemedicine 203

Healthcare IT Today

MAY 10, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. That’s easier said than done. The Changing Landscape for Revenue Integrity How has revenue integrity changed over the years?

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US Department of Health and Human Services Hospitals Nurses Compliance 114

HIT Consultant

MAY 13, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, CHFP, Sr. That’s easier said than done.

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US Department of Health and Human Services Hospitals Nurses Compliance 105

Healthcare IT News - Telehealth

MAY 21, 2021

Lord knows that through the bedlam of the past year-plus, there have been countless lessons to be learned in healthcare and health IT. They are: Andrew Buscemi, director of information technology at Holyoke Health Center in Holyoke, Massachusetts. ( @HolyokeHealth ). But they've also been dreaming up creative solutions.

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