MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

AUGUST 31, 2023

Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. What Is HIPAA and How Does It Impact Healthcare Compliance?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 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

MedTrainer

AUGUST 2, 2023

They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS).

Compliance 52

Compliance ACA Medicaid Medicaid 52

MedTrainer

AUGUST 30, 2023

MCOs must adhere to federal (Medicare) and state (Medicaid) laws and regulations governing the healthcare industry. These include laws related to insurance, healthcare privacy (HIPAA), billing practices, and fraud and abuse prevention. Schedule a free demo today and learn how! Quality of Care Standards.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

AUGUST 2, 2023

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. Ubiquitous accessibility — combined with cloud security that’s HIPAA compliant — sets the stage for faster credentialing.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52