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What’s Your Approach to CMS Compliance Requirements?

Compliancy Group

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.

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Navigating the Maze of Who Regulates Healthcare Compliance

MedTrainer

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.

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The History of Healthcare Compliance

MedTrainer

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.

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4 Trusted HIPAA Compliance Resources Online

Compliancy Group

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.

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Why Do Healthcare Facilities Use Corporate Compliance Programs?

MedTrainer

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.

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The OIG Work Plan Decoded

Compliancy Group

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.

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Strengthening Healthcare Compliance: The Importance of Utilizing Compliance Checklists

MedTrainer

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.