Compliancy Group

JANUARY 17, 2024

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. HIPAA violations alone are incredibly costly to health providers.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Regulatory Compliance Regulations Compliance 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. 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

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage.

Compliance 52

Compliance Medicare Medicare Medical Billing 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

HIT Consultant

FEBRUARY 16, 2023

Facilitating this compliance comes with a high cost. million annually on administrative activities to support regulatory compliance. Even with significant investments in administration to support compliance, overwhelmed providers can inadvertently leave gaps in security, access and credentialing systems.

Compliance 52

Compliance Hospitals Regulatory Compliance COVID-19 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

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

Health Care Law Brief

JUNE 2, 2022

Similarly, with respect to Medicare, Congress extended certain Medicare telehealth flexibilities for 151 days following the conclusion of the PHE, as part of the Fiscal Year 2022 Omnibus appropriations bill. If so, at what point during the consumer’s interaction with the platform is the data generated governed exclusively by HIPAA?

Public Health 52

Public Health Compliance COVID-19 Licensing 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

MedTrainer

AUGUST 30, 2023

Medicare Advantage (Part C). Medicare Advantage plans are managed care plans offered by private insurance companies as an alternative to traditional Medicare (Parts A and B). Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. Quality of Care Standards.

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

AIHC

NOVEMBER 3, 2023

The HIPAA Privacy Rule generally prohibits the use or disclosure of protected health information except in the circumstances set out in the regulations. Read more about current regulatory oversight on the AIHC blog: Who Regulates Healthcare AI?

Department of Veterans Affairs 59

Department of Veterans Affairs Hospitals Compliance Nurses 59

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

Healthcare IT Today

DECEMBER 20, 2023

Compliance and Privacy Regulations : The healthcare industry is subject to strict regulations such as HIPAA in the US, and GDPR in Europe. With the goal to have all Medicare payments processed through value-based care by 2030, the clock is ticking for providers to manage these data challenges head-on.

Compliance 89

Compliance Regulatory Compliance COVID-19 Hospitals 89

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