Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Generally, compliance officers ensure that OIG internal monitoring and auditing.

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Compliance Officers Compliance Medicare Medicare 52

Verisys

JANUARY 8, 2024

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 with state-specific healthcare laws and regulations is also assessed.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

MedTrainer

JANUARY 26, 2024

To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance? Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

AUGUST 30, 2023

Let’s explore what it means for an MCO to coordinate care for members, and the compliance implications that come with this healthcare services model. A Managed Care Organization (MCO) is a type of healthcare delivery system that coordinates and manages healthcare services for its members. Point of Service (POS).

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

HIT Consultant

JANUARY 3, 2023

With the advent of ransomware-as-a-service combined with a lack of resources to investigate attacks in-house for healthcare organizations, elaborate and devastating cyber attacks against healthcare, specifically through business communication channels are likely to increase in scale and sophistication. .

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

Innovaare Compliance

JUNE 8, 2023

The Centers for Medicare & Medicaid Services (CMS) has released new audit protocol changes for Medicare and Medicaid plans. 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.

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Medicaid Medicaid Medicare Medicare 52

HIT Consultant

MAY 4, 2023

But with so many competing training programs — everything from HIPAA and regulatory compliance to handwashing and job-specific training — it’s difficult to break through the noise and gain traction. By partnering with healthcare organizations through a host of managed service offerings and technical security solutions.

Hospitals 97

Hospitals Regulatory Compliance HIPAA Compliance 97

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. July 1- Sept. The federal fiscal year runs October 1 – September 30.)

Regulatory Compliance 52

Regulatory Compliance Fraud Compliance Governance 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.

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Compliance Officers Compliance HIPAA Regulatory Compliance 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

Florida Health Care Law Firm

DECEMBER 2, 2021

On November 8, 2021, The Department of Health & Human Services (HHS), Office of Inspector General (OIG) released a revised and renamed Provider Self-Disclosure Protocol (SDP), now known as the “Health Care Fraud Self Disclosure “protocol. The OIG recognized that there are benefits to disclose potential fraud.

Overpayments 40

Overpayments Overpayment Fraud Medicare 40

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. Assess the Technology Used In today’s digital healthcare environment, cloud-based services are the gold standard.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Health Care Law Brief

JUNE 2, 2022

Moreover, allegations of improper care or non-compliance with applicable law may even spur ancillary service providers to cease doing business with the platforms, particularly where the ancillary providers receive prescriptions or orders resulting from telehealth encounters. Variety of Risks Present in Telehealth Arrangements.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Compliance Requirements for ASC Billing ASCs can face serious penalties for not complying with regulatory changes. Audits, fines, repayment demands, and government program suspensions are enforcement actions.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Health Care Law Brief

MARCH 8, 2022

On February 24, 2022, the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), announced the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, which will begin January 1, 2023, and replace the Global and Professional Direct Contracting (GPDC) Model.

Medicare 52

Medicare Medicare Fraud Compliance 52

Health Care Law Brief

APRIL 11, 2022

When there is the potential for patients to receive items and services payable by Federal health care programs (FHCPs), CM incentives are subject to scrutiny under the Federal anti-kickback statute (AKS) and the Beneficiary Inducements CMP.

Fraud 52

Fraud Medicare Medicare Compliance 52

Health Care Law Brief

FEBRUARY 7, 2022

On January 11, 2022, the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) issued, without an opportunity for public notice and comment, [1] a Final Rule, amending its internal process for accepting and issuing advisory opinions. Department of Health and Human Services (hhs.gov). 11, 2022).

Fraud 52

Fraud Governance Compliance Regulatory 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. United States Department of Health and Human Services , 58 F.4th

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