Compliancy Group

AUGUST 2, 2023

As the healthcare industry grows and changes, organizations face increasing challenges regarding compliance and risk management. Healthcare GRC (Governance, Risk, and Compliance) is a crucial framework that helps healthcare providers navigate these complexities effectively.

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Verisys

JANUARY 8, 2024

A healthcare compliance audit is a thorough review and examination of an organization’s adherence to regulatory guidelines. This type of audit is essential in the healthcare industry for several reasons: Regulatory Compliance It ensures that the healthcare organization complies with various federal and state laws and regulations.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

HIT Consultant

MAY 4, 2023

Don Kelly, Manager of the Virtual Information Security Program at Fortified Health Security It’s a fact: More than 80% of data breaches involve a human in some way. The “grooming” process can take weeks, underscoring the lengths hackers will go to steal information.

Hospitals 97

Hospitals Regulatory Compliance HIPAA Compliance 97

Innovaare Compliance

JUNE 8, 2023

These changes, which went into effect on January 1, 2023, are designed to ensure health plans are accurately reporting their costs and that they are not overcharging the government. Plans will be required to provide more information about their quality improvement activities.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

JANUARY 3, 2023

Department of Health and Human Services Office of Information Security noted in a 2022 report on health sector cybersecurity, that threat actors continue to evolve and become more sophisticated and effective in their attacks. The Challenges to Meeting Compliance Regulations.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

MedTrainer

NOVEMBER 2, 2023

Most compliance officers possess a bachelor’s degree, often in healthcare administration, law, or a related field. Additionally, hands-on experience in healthcare or regulatory compliance provides a foundation for this role. What Are the Key Laws and Regulations a Healthcare Compliance Officer Must Be Familiar With?

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

Health Law Advisor

JULY 14, 2023

The following summarizes some of the key initiatives included in the Implementation Plan that will directly impact critical infrastructure organizations , including healthcare, energy, manufacturing, information technology and financial services.

Regulatory Compliance 52

Regulatory Compliance Fraud Compliance Governance 52

Health Care Law Brief

FEBRUARY 7, 2022

Within the current regulatory framework, a requestor seeking an advisory opinion receives notice of OIG’s formal declination to accept the request for an advisory opinion. However, when such notice is provided, OIG does not appear to have any obligation or responsibility to inform the requestor why. at Part 1008, in passim.

Fraud 52

Fraud Governance Compliance Regulatory Compliance 52

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. The ASCA Medicare Rate Calculator displays national and local payment rates, as well as a chart comparing the rates charged by ASCs and HOPDs for the same surgical procedures, and additional information.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Healthcare Law Today

DECEMBER 12, 2022

In this episode of Health Care Law Today, Nate Lacktman and Maureen Stewart are joined by Mark Josephs, Deputy General Counsel of LifeMD to discuss the current regulatory and legal environment for telemedicine companies regarding online subscription services, and the recent investigations by the federal government of these services.

Telemedicine 49

Telemedicine Fraud Governance Compliance 49

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

Health Care Law Brief

JULY 21, 2022

On July 20, 2022, the Office of Inspector General for the Department of Health and Human Services (“ OIG ”) issued a special fraud alert (“ Alert ”) advising “practitioners to exercise caution when entering into arrangements with purported telemedicine companies.” OIG Flags Seven Characteristics of Telehealth Fraud.

Fraud 52

Fraud Telemedicine COVID-19 Governance 52

MedTrainer

AUGUST 30, 2023

Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. MCOs must adhere to federal (Medicare) and state (Medicaid) laws and regulations governing the healthcare industry. Risk management is a crucial aspect of healthcare compliance, including for MCOs.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

AUGUST 2, 2023

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Health Care Law Brief

MARCH 8, 2022

Under both options, the Direct Contracting Entity’s (DCE) Participating Providers must have held at least 25% of the governing board voting rights. Reviewing marketing materials regularly to ensure information on the ACO REACH Model is accurate and beneficiaries understand their rights and freedom of choice.

Medicare 52

Medicare Medicare Fraud Compliance 52

Drug & Device Law

DECEMBER 29, 2023

2023) (federal government may unilaterally obtain dismissal of FCA claims, and calling the constitutionality of the FCA’s private enforcement mechanism into question) ( here ); Quishenberry v. 2023) ( Buckman preemption barred MDL asserting fraud on EPA), cert. In 2023, these include United States ex rel. Polansky v. 3d 239 (Cal.

FDA 105

FDA US Department of Health and Human Services COVID-19 Informed Consent 105