Medisys Compliance
JANUARY 16, 2025
The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth. Providers must ensure that these services meet Medicares criteria for medical necessity.
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.
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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. Something is wrong with your submission.
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 evolved to include performance reporting and quality metrics.
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.
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.
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.
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