Verisys

FEBRUARY 1, 2022

Providers also need an NPI prior to enrolling in Medicare. In July 1993, the Centers for Medicare and Medicaid Services ( CMS ) undertook a project to develop a healthcare provider identification system to meet the needs of the Medicare and Medicaid programs and the needs of a national identification system for all providers.

Fraud 52

Fraud Medicare Medicare HIPAA 52

HIPAA Journal

JANUARY 30, 2023

Tennant, MA The full schedule for the event can be downloaded here – HIPAA Summit Schedule (PDF). The pre-conference basic training day is included in the basic HIPAA Summit registration and includes 8 training sessions, followed by a HIPAA Workforce Training Faculty Q&A.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

MedTrainer

FEBRUARY 7, 2025

Regular audits from regulatory bodies such as the Centers for Medicare & Medicaid Services (CMS) or the Health Resources and Services Administration (HRSA) are a necessary part of operating in the healthcare industry. Office of Inspector General (OIG): conducts audits to identify and prevent fraud, waste, and abuse in healthcare programs.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

Verisys

DECEMBER 29, 2024

The Centers for Medicare & Medicaid Services (CMS) oversees the issuance and regulation of NPI numbers, ensuring providers meet accountability standards. This requirement improves the efficiency and quality of Medicare, Medicaid, and other state and federally funded healthcare programs.

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

MedTrainer

JANUARY 30, 2024

The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS). Download Now The post Healthcare Compliance Certification Is Within Your Reach appeared first on MedTrainer.

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

Licensing 52

Licensing Fraud Compliance Nurses 52

Healthcare Law Blog

AUGUST 11, 2022

The FQHC served predominantly low-income individuals [3] including Medicare and Medicaid beneficiaries and offered telehealth services to its patients through a telehealth application, which could be downloaded onto a smartphone. . The Arrangement. OIG Analysis. The Federal Anti-Kickback Statute.

Medicare 52

Medicare Medicare COVID-19 Medicaid 52

Health Care Law Brief

APRIL 11, 2022

Adherence is often tracked and confirmed by those that provide the incentive payment through digital health technologies—including apps that can be downloaded to the patient’s smart phone or that are already downloaded to a smart phone provided to the patient as part of a CM program. The OIG highlighted four specific reasons.

Fraud 52

Fraud Medicare Medicare Compliance 52

MedTrainer

JULY 30, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 11, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JULY 29, 2024

Regulatory compliance includes legal mandates directed by both federal and state governing bodies, including the Occupational Safety and Health Administration ( OSHA ), Centers for Medicare & Medicaid Services ( CMS ), Health Resources & Services Administration ( HRSA ), and the Office of Inspector General ( OIG ) of the U.S.

Compliance 52

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

MedTrainer

JULY 31, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 11, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JUNE 10, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance Licensing HIPAA Compliance Framework 52

MedTrainer

JUNE 10, 2024

Download this guide to calculate your potential savings. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Automatic Tracking: Since healthcare organizations must be able to show regulatory and accreditation agencies proof of course completion, automated tracking is critical.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

CMS.gov

JUNE 20, 2018

Fraud, waste, & abuse. Over the past year, the Centers for Medicare & Medicaid Services (CMS) has engaged with the provider community in a discussion about regulatory burden issues. Medicare’s regulations must support this close collaboration. The RFI can be downloaded from the Federal Register at: [link]. Seema Verma.

Medicare 30

Medicare Medicare Fraud Medicaid 30

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Look for these 10 attributes in a credentialing specialist.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

FEBRUARY 28, 2025

Office of Inspector General ( OIG ): Audits healthcare programs to detect and prevent fraud, waste, and abuse. Centers for Medicare & Medicaid Services (CMS): Focuses on claims accuracy, so billing and coding align with regulations to prevent improper payments.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

FEBRUARY 24, 2025

Office of Inspector General ( OIG ): Audits healthcare programs to detect and prevent fraud, waste, and abuse. Centers for Medicare & Medicaid Services (CMS): Focuses on claims accuracy, so billing and coding align with regulations to prevent improper payments.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

Verisys

DECEMBER 5, 2023

The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

AIHC

APRIL 10, 2024

Does your organization have materials for patient education and risks of identity theft and medical fraud? Are there internal office policies regarding no downloading from unknown web pages? Yes, there are patients that will use someone else’s medical card for services. Are they reporting risks to management?

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

MedTrainer

FEBRUARY 27, 2024

The Code of Federal Regulations ( Section 484.80 ) provides the qualification guidelines for home health aides.

Compliance 52

Compliance HIPAA Fraud Licensing 52

AIHC

APRIL 10, 2024

Does your organization have materials for patient education and risks of identity theft and medical fraud? Are there internal office policies regarding no downloading from unknown web pages? Yes, there are patients that will use someone else’s medical card for services. Are they reporting risks to management?

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

In health systems relying on insurance, these include budget and enrollment model forecasting, fraud detection, and waste reduction. They can also proactively identify fraud, waste and abuse within telehealth programs using machine learning models trained to detect financial and transactional anomalies. In the U.S.,

COVID-19 218

COVID-19 Telemedicine Doctors Hospitals 218

Healthcare IT Today

NOVEMBER 22, 2023

A payer such as Medicare could just put a card on its web site for each patient to download. Once you have a card, uploading a URL or QR code to a web site should take no more effort than typing in your Medicare number. Medicare uses Blue Button 2.0 that could be the foundation for digital insurance cards. Version 2.0

Department of Veterans Affairs 132

Department of Veterans Affairs Medicare Medicare COVID-19 132

YouCompli

MARCH 18, 2025

The HHS OIG is tasked with overseeing and ensuring the integrity of various health-related programs, including Medicare and Medicaid, and ensuring that organizations, such as pharmaceutical companies, comply with federal regulations.

Compliance 52

Compliance Compliance Officers Public Health Doctors 52

MedTrainer

JANUARY 10, 2024

The OIG is making major investments to systematically detect and prosecute fraud. In this guidance it’s clear the OIG expects healthcare organizations and suppliers to understand their role and responsibilities to fight fraud, waste, and abuse. Download a toolkit with everything you need to know about USP <800> compliance.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

MedTrainer

NOVEMBER 15, 2023

Download Now Governing Bodies That Require Healthcare Compliance Frameworks Sticking with the college program analogy, let’s lay out some of the “classes,” or governing bodies, required to earn your “degree” in compliance. Get everything you need to know about the 9 compliance reports you can't live without.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Hall Render

JUNE 21, 2024

To Settle Telehealth Fraud Accusations State Health Dept, Hospital Association Honor Yale New Haven Hospital D.C. Supreme Court weighs future of ER abortions Flinn Foundation report identifies bioscience growth areas for Phoenix metro Medical center office building in Chandler sells for $7.3

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 4, 2022

Medicare patients win the right to appeal gap in nursing home coverage. Medicare patients win the right to appeal gap in nursing home coverage. Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme. Digital vaccine cards now available for download in Nevada. CONNECTICUT.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40