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What is Non-Compliance in Healthcare?

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Significant fines also can be levied by the Office of Inspector General (OIG) for overbilling Medicare and Medicaid. What is Healthcare Compliance?

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Federal and State Healthcare Compliance Requirements

MedTrainer

Federal healthcare compliance requirements encompass a set of regulations and laws established by various government agencies to ensure certain standards for the healthcare industry at the national level. CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid.

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OIG Advisory Opinion Alert: Yet Another Favorable Decision for Medical Device Manufacturers

Healthcare Law Blog

22-05 , relating to subsidization of certain Medicare cost-sharing obligations in the context of a clinical trial involving medical devices (the “Proposed Arrangement”). IRB approved protocols, enrollment criteria, informed consent process and other rules and regulations governing good clinical trial practice).

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Introduction to Telebehavioral Health

AIHC

Medicare covers many telebehavioral and telemental health services including audio-only services. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession.

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Managing Healthcare Compliance in Idaho

MedTrainer

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. The Act equates virtual care’s standard to in-person care, emphasizing sufficient provider-patient relationships and informed consent.

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List of Documents for Ambulatory Surgery Centers (ASCs)

Medisys Compliance

In this article, we shared list of required documents for ambulatory surgery centers who are beneficiaries of Medicare. Informed consent. The record must contain a tissue diagnosis by a pathologist on any tissues removed during surgery excluding those exempted by the governing body. Any evidence of advance directives.

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Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?

Kaiser Health News

The Centers for Medicare & Medicaid Services has clarified repeatedly over the years that under the preventive services provisions of the ACA, removal of a polyp during a screening colonoscopy is considered an integral part of the procedure and should not change patients’ cost-sharing obligations.

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