Provider Trust

JULY 8, 2022

ProviderTrust previously collaborated with an NPDB expert, Alex Fisher (Attorney, Frost, Brown, Todd), in a webinar. For more information, view the webinar on demand. Below are the significant laws and regulations that govern NPDB operations: NPDB Regulations. Healthcare Legislation & Regulations. NPDB Eligible Entities.

Licensing 52

Licensing Malpractice Fraud Compliance 52

MedTrainer

MARCH 14, 2024

As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Whether it’s government regulation or healthcare facility requirements is a matter.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

OCTOBER 23, 2023

Who Governs Healthcare Compliance? Centers for Medicare and Medicaid (CMS) : Evaluates providers’ adherence to state/federal regulations and guidelines at both the individual and organizational levels. As healthcare evolves, so do these standards, which increases challenges for healthcare organizations.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit. What is Insurance Credentialing?

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

MedTrainer

OCTOBER 16, 2023

Hear from a compliance veteran in this webinar: Identifying Compliance Priorities To Make a Big Impact What Are the Key Healthcare Compliance Regulations? Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Register for the webinar here. Below are additional details about the updates, including effective dates and implementation timelines.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

Verisys

DECEMBER 23, 2021

Provider enrollment is the application process by which a practitioner is approved to seek reimbursement from government and/or third-party payers or seek admitting privileges at a hospital. It includes: The provider enrollment process for various government health plans. Steps to successful enrollment. New regulatory requirements.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

C&M Health Law

MARCH 15, 2022

With a stronger emphasis on provider-led organizations as model participants, participating providers or their proxies must hold at least 75% control of each ACO’s governing body, compared to only 25% in the GPDC. We will continue to monitor updates and developments relating to the new model.

Medicare 52

Medicare Medicare Governance Compliance 52

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.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

AIHC

NOVEMBER 3, 2021

The government HIPAA privacy/security enforcement agency is the Office for Civil Rights (OCR). Information Access Management and Access Control are two HIPAA Security Rule standards that govern access to ePHI. Million Civil Money Penalty against Jackson Health System for HIPAA Violations [link] OCR Imposes a $1.6

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Healthcare Law Blog

SEPTEMBER 13, 2022

The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments and participating in Centers for Medicare and Medicaid Services (CMS) programs to provide medical screening, treatment and transfer for patients with emergency medical conditions (EMCs) or women in labor. [1] Sheppard Mullin Webinar. [3]

Hospitals 98

Hospitals Governance Medical Personnel Medicaid 98

Health Populi

OCTOBER 16, 2022

of Care pointed out in a webinar collaboration on October 12. For health policy, the state action for the 2022 midterms will be on abortion and reproductive health access along with Medicaid expansion (with the Affordable Care Act now safe from Republicans’ long-promised repeal that never happened…for the time being, anyway).

Medicare 68

Medicare Medicare Medicaid Medicaid 68