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What is GRC in Healthcare?

Verisys

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance?

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What is FACIS and Why is it the Gold Standard

Verisys

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. organizations that receive any funds from Medicare, Medicaid, TRICARE, or other federal programs cannot afford to employ individuals or entities excluded from even one program. Medicare opt out.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Healthcare Compliance Complexities The first healthcare compliance programs began in the early 20th century as a response to concerns about the quality of care provided by medical practitioners. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

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Key Legal Issues Facing Telehealth Platforms, as Compliance Concerns Bubble for Platforms Launched During the Public Health Emergency

Health Care Law Brief

Therefore, a telehealth platform operating in all 50 states will, for example, need to comport with the laws governing corporate formation, provider licensure, scope of practice, and telehealth encounters in all 50 states. Provider Licenses. What types of providers will render care via telehealth? How is this disclosed to consumers?

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What Is Provider Credentialing?

MedTrainer

The organization conducts a thorough review of their application and collects supporting documents, such as transcripts, licenses, and letters of recommendation. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.

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Key Legal Considerations Relating to Ketamine Behavioral Health Platforms

Health Care Law Brief

Notably, ketamine infusions or prescriptions for behavioral health matters are generally not reimbursable by Medicare or other federal health care programs. Such laws and regulations are largely governed at the state level, and there may be (i) considerable variations among state laws and (ii) frequent updates to such laws.

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Artificial Intelligence (AI) and Advancing Quality of Care

AIHC

At the federal level, government agencies are at various stages of adopting ML-based diagnostic tests. Read more about current regulatory oversight on the AIHC blog: Who Regulates Healthcare AI? and provides diagnostic services in support of 9 million enrolled veterans.