Compliancy Group

FEBRUARY 28, 2024

Many industries have compliance rules and regulations to meet and follow, but few would argue that healthcare is one of the most stringent. CMS guidance requires Medicare Advantage Plans to independently audit their compliance program’s effectiveness. Compliance audits aren’t a “one size fits all” process.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

MedTrainer

JANUARY 12, 2024

Here are some of the key organizations involved in regulating healthcare compliance: Centers for Medicare & Medicaid Services (CMS): CMS is a federal agency within the U.S. Department of Health and Human Services responsible for administering and regulating healthcare programs such as Medicare and Medicaid.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

Compliancy Group

FEBRUARY 9, 2023

Close HIPAA Compliance Resources Online: Centers for Medicare and Medicaid Services (CMS) CMS requires healthcare providers who serve Medicare and Medicaid patients to meet HIPAA standards when handling patients’ protected health information (PHI). Find Out More! Please Wait.

HIPAA 52

HIPAA Compliance Regulations Compliance Medicaid 52

MedTrainer

JANUARY 12, 2024

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Compliancy Group

JANUARY 17, 2024

Department of Health and Human Services (HHS), is tasked with combating fraud, waste, and abuse in health programs, ensuring efficiency, and promoting the integrity of HHS programs, including Medicare and Medicaid. A well-designed healthcare compliance platform enables you to stay on track with our various compliance regulations.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Regulatory Compliance Regulations Compliance 52

MedTrainer

FEBRUARY 1, 2024

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. Monitoring and Auditing: Monitor for adherence to policies and regulations.

Compliance 52

Compliance Fraud Regulatory Compliance Regulations 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.

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Compliance Compliance Officers Regulatory Compliance Regulations Compliance 52