Compliancy Group

JANUARY 24, 2022

You may feel the same way about HIPAA after scrolling through the thousand-plus related pages on the Health and Human Services website. It also defines how PHI must be managed by companies that provide services to covered entities ( business associates – BA).

HIPAA 52

HIPAA Due Diligence Compliance Health Insurance 52

Verisys

JULY 27, 2023

And better outcomes affect your bottom line in many ways: Patient safety and satisfaction Higher reimbursement rates Reputational supremacy Physician attraction and retention However, maintaining a dedicated staff of quality providers, support staff, and reputable suppliers of goods and services can be challenging.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Verisys

JULY 5, 2023

Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. A continuous data monitoring program such as Verisys is necessary to meet and exceed state and federal requirements for participation in government-funded programs.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

AIHC

JUNE 6, 2023

Medical coding and billing is a complex process that involves translating healthcare services, diagnoses, and procedures into standardized codes. Beware of new companies offering such services. We can all be hopeful that use of AI will improve disease diagnosis and monitoring, clinical workflow augmentation, and hospital optimization.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Compliancy Group

APRIL 29, 2022

One of the trendy marketing terms being used by equipment and service providers in the security space is “HIPAA Compliant Environment.” That starts by having effective policies and procedures to govern the use and access of PHI within your organization. Do you take the time to do real due diligence on what they deliver?

HIPAA 52

HIPAA Compliance Due Diligence Ransomware 52

Provider Trust

MAY 17, 2022

The answer is simple – a healthcare vendor is defined as any entity or individual that is paid by a healthcare organization for goods or services. Vendor Z provides contract janitorial services. As such, its staff visits on site to perform services and have access to patient rooms, equipment, medications and/or personal items.

Compliance 52

Compliance Medicare Medicare Due Diligence 52

YouCompli

MAY 24, 2023

In simple terms, the law prohibits offering “remuneration” to induce referrals for any item or service payable by Federal healthcare programs. The government contends that over a five-year period, the physician solicited and received prohibited remuneration from a medical device company.

Compliance Officers 52

Compliance Officers Compliance Doctors Due Diligence 52

AIHC

JUNE 6, 2023

Medical coding and billing is a complex process that involves translating healthcare services, diagnoses, and procedures into standardized codes. Beware of new companies offering such services. We can all be hopeful that use of AI will improve disease diagnosis and monitoring, clinical workflow augmentation, and hospital optimization.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Health Law RX

AUGUST 10, 2021

On July 21, 2021, the DOJ announced that the government settled FCA claims against the Alliance Family of Companies, LLC (“Alliance”), a national electroencephalography (“EEG”) diagnostic testing company, and Ancor Holdings LP (“Ancor”), the private equity firm that invested in Alliance.

Due Diligence 40

Due Diligence Compliance Governance Fraud 40

HIT Consultant

OCTOBER 13, 2021

Healthcare entities also have to do due diligence when choosing a partner for building APIs to make sure they have extensive healthcare expertise and are capable of meeting relevant privacy and security standards. As it is said, “you can have security without privacy, but you can’t have privacy without security.”.

Due Diligence 98

Due Diligence Health Insurance HIPAA Governance 98

Health Care Law Brief

NOVEMBER 9, 2021

Surprise medical billing generally occurs when an individual receives an unexpected medical bill from a health care provider or facility after receiving services, where the individual did not understand that the provider or facility was not an “in-network” participating provider or facility under the individual’s Plan.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

Total HIPAA

OCTOBER 3, 2023

Over the years since its inception, HIPAA has been deemed government overreach and even a waste of resources. It’s not enough to simply do what you think is correct based on past experience, if a breach happens and no due diligence is present the consequences are severe.

Compliance 98

Compliance Due Diligence HIPAA Compliance Officers 98

HIT Consultant

DECEMBER 28, 2023

Director of TPRM Strategy Morgan Hague, Manager of IT Risk Management at Meditology Services Leaps in healthcare technology continue to benefit humankind: from the advent of the X-ray in the 19 th century to dialysis, CT, MRI, and other machines in the 20 th century, to a new breadth of digital tools in this era. Britton Burton Sr.

US Department of Health and Human Services 117

US Department of Health and Human Services Due Diligence Regulatory Compliance Compliance 117

HIT Consultant

FEBRUARY 5, 2024

Credentialing mistakes lead to financial losses on provider services, delays in claim reimbursements, fines or penalties, exclusion from federally funded programs, and harm to patients. All certifications and licenses must be verified for every provider who administers services to patients. Mistake No. Mistake No.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

MedTrainer

AUGUST 2, 2023

Insurance Reimbursement Insurance companies — along with government programs like Medicare and Medicaid — require providers to be credentialed to ensure they meet specific standards and qualifications. Selecting a credentialing provider takes a fair amount of due diligence; however, it’s time and energy that pay for themselves in short order.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

AIHC

JUNE 22, 2022

Many facilities and groups who are accredited by an entity, such as JCAHO, AAAHC, AAAASF (just to name a few), are REQUIRED to complete this process for every provider who is rendering services within the group or facility, especially active, licensed, independent practitioners, or LIPs. Prevents Lost Revenue.

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52