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

Verisys

FEBRUARY 14, 2024

This includes clinical risks, financial risks, cybersecurity threats, and compliance risks with laws and regulations such as HIPAA (Health Insurance Portability and Accountability Act) in the United States. For instance, within the realm of healthcare compliance, HIPAA compliance plays a pivotal role.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

MedTrainer

FEBRUARY 1, 2024

Corporate compliance can help to reduce these potential costs by helping companies uphold compliance standards. Meet Government Requirements: Some government programs and payers, such as the Centers for Medicare & Medicaid Services (CMS) , require healthcare facilities to have compliance programs as a condition for participation.

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

Compliancy Group

APRIL 17, 2024

HIPAA : The OIG underscores the importance of data security and privacy compliance, given increased cyberattacks on healthcare organizations. Quality of Care : For the first time, the GCPG recommends that compliance programs implement patient care and safety evaluations. and cybersecurity threats. Medicare Advantage (M.A.):

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. This article will discuss key factors in choosing oncology billing company.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Advises on compliance matters, reviews contracts, and handles regulatory and legal issues. Pros: Legal and regulatory compliance expertise, familiarity with laws and regulations, and trusted legal adviser.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Medisys Compliance

MAY 4, 2023

Regulatory compliance: Oncology practices must comply with various regulatory requirements, including HIPAA, CMS, and payer-specific guidelines. Compliance failures can result in penalties and fines. Insurance denials can be common, requiring appeals and resubmissions.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

MedTrainer

APRIL 20, 2023

Providers need a strong compliance program to inform the creation of compliance checklists. The Seven Core Compliance Program Requirements The Centers for Medicare & Medicaid Services (CMS) criteria promote an effective compliance program in healthcare organizations.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Regulations Compliance 52

Health Care Law Brief

JUNE 2, 2022

Does the state apply different standards, for example, to Medicaid encounters? If so, at what point during the consumer’s interaction with the platform is the data generated governed exclusively by HIPAA? Were patients provided with appropriate consents, including a HIPAA Notice of Privacy Practices?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

MedTrainer

AUGUST 30, 2023

Medicaid Managed Care. Some state Medicaid programs contract with managed care organizations to provide healthcare services to eligible beneficiaries. These plans follow managed care principles to control costs and improve care coordination for Medicaid recipients. Quality of Care Standards. Data Security and Privacy.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

OCTOBER 5, 2023

As a key member of your facility’s healthcare compliance programming, you understand the significance of regulatory compliance and the critical role it plays in ensuring the privacy and security of patient information. Security Rule: The HIPAA Security Rule sets standards for securing electronic PHI (ePHI).

HIPAA 98

HIPAA Compliance Regulatory Compliance ADA 98

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

MedTrainer

AUGUST 2, 2023

Legal and Regulatory Compliance Healthcare facilities and insurance companies are legally obligated to credential providers before allowing them to practice or join their networks. Ubiquitous accessibility — combined with cloud security that’s HIPAA compliant — sets the stage for faster credentialing.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

HIT Consultant

OCTOBER 4, 2021

The Centers for Medicare and Medicaid Services (CMS) strive for innovations in healthcare technologies that drive down costs and improve the patient experience. The API provides access to highly sensitive health information that must be kept confidential under federal and state privacy and security rules, including HIPAA.

Regulatory Compliance 52

Regulatory Compliance Governance Medicaid Medicaid 52