YouCompli

FEBRUARY 13, 2024

I recently attended the 2024 Health Care Compliance Association (HCCA) Managed Care Conference, and it was great to attend sessions and network with professionals and exhibitors from across the country. I can summarize these in three themes – the ABC’s, if you will, of integrating AI into your compliance strategy.

Compliance 52

Compliance Due Diligence Compliance Officers Governance 52

AIHC

OCTOBER 20, 2023

Part 1 in a Series of Leadership Articles on Value-Based Care Written by Joanne Byron, LPN, BS, CCA, CIFHA, CHA, COCAS, CORCM, CHCO, OHCC, CMDP, ICDCT-CM/PCS ​ Edited by Julie Rickman , MBA, CHC, CHPC, CHCO ​ This article is the first in a series sponsored by the American Institute of Healthcare Compliance (AIHC) Volunteer Education Committee.

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

MedTrainer

SEPTEMBER 20, 2023

Microlearning reduces overload and improves focus for learners by breaking complex topics into bite-sized, easily digestible modules. In short-staffed healthcare environments, microlearning becomes a valuable resource for time-crunched professionals who need to upskill and educate themselves quickly and efficiently.

Compliance 98

Compliance HIPAA Informed Consent Compliance Officers 98

Healthcare IT Today

JUNE 29, 2023

Below is what they had to share on this topic! When done right, revenue integrity management supports the delivery of high-quality care, enabling providers to reinvest in staff, infrastructure, and technology, and ultimately improve patient outcomes. These models require providers to eliminate: Fragmented care that drives up costs.

Doctors 89

Doctors Hospitals Health Outcomes Nurses 89

Medisys Compliance

DECEMBER 5, 2022

Outsourced Onshore Billing: In the United States, medical billing services account for 6.5% If you’re not familiar, hybrid billing is when a practice uses both onshore and offshore resources to carry out different activities. You might be more accountable and open if you keep track of your finances in person.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Medical Billing Medical Billing Services Doctors 69

AIHC

SEPTEMBER 5, 2023

If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic. Treating substance use disorders via telehealth requires expertise and training in addiction care.

Telemedicine 59

Telemedicine COVID-19 Compliance Informed Consent 59

C&M Health Law

DECEMBER 18, 2023

The GCPG provides updated descriptions of the seven elements of an effective compliance program that health care entities have long relied upon. Health care entities should review this updated guidance and evaluate whether their organization should make changes to their compliance program consistent with the updates.

Compliance 52

Compliance Compliance Officers Governance Overpayments 52

Compliancy Group

DECEMBER 28, 2023

With the ever-evolving challenges faced by healthcare workers, it becomes imperative to prioritize safety measures and create an environment that fosters secure and efficient care delivery. This is where Compliancy Group steps in as an invaluable resource. Non-compliance can result in penalties or fines. Learn More! ×

Compliance 52

Compliance Regulatory Compliance 52

YouCompli

APRIL 12, 2023

This article will focus on two of the topics she addressed in the DOJ Evaluation of Corporate Compliance Programs (ECCP) released in March. These topics are incentives within healthcare compliance as well as compensation structure and consequence management. Are there financial penalties for misconduct?

Compliance 52

Compliance Compliance Officers Hospitals 52

American Medical Compliance

DECEMBER 27, 2023

The Health Insurance Portability and Accountability Act (HIPAA) has been a cornerstone in safeguarding patient information for nearly three decades. ” This course is specifically tailored to educate healthcare providers (HCP) and management on how to be compliant with the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 66

HIPAA Compliance Telemedicine Health Insurance 66

HIT Consultant

FEBRUARY 7, 2024

It was the topic of countless articles, reports and even court cases. Because every touch negatively impacts margin and with the continuing growth in costs to deliver care and the declining reimbursement every penny counts. Matt Seefeld, EVP of MedEvolve Artificial intelligence (AI) dominated the headlines in 2023.

Hospitals 59

Hospitals 59

Medisys Compliance

DECEMBER 27, 2022

health care billing regulations and guidelines. You have the option to expand into additional international markets and gain access to high-quality resources from all over the world. Offshoring is a common topic of conversation everywhere. Monitoring patient accounts with overdue bills. Take calls about patient billing.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medical Billing Services Governance 98

AIHC

APRIL 25, 2022

Health care providers need to look toward long-term telehealth policies, ensure compliance and realize there is remaining work to be done. Those reporting a decrease in use since first offering it, now indicate doing a mix of in-person and virtual care. Mobile Device Management ?

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

HIT Consultant

OCTOBER 14, 2021

“The explosion of telehealth will certainly be a hot topic at HLTH. We’re looking forward to hearing about the acceleration of technology-driven performance and accountability in healthcare. Providers need more supportive resources to be successful in more meaningful and broadly distributed risk models.

COVID-19 95

COVID-19 FDA Medicare Medicare 95

MedTrainer

APRIL 27, 2023

Patients want to receive care from an organization that cares about the delivery of that care. Most healthcare organizations have a piecemeal approach to compliance training — one that involves disparate channels, resources, and timelines. What are the Benefits of Using Compliance Training Software?

Compliance 40

Compliance HIPAA Regulations Compliance 40

MedTrainer

FEBRUARY 1, 2024

Maybe infection control procedures aren’t being followed or employees need a bit more training on certain topics. Identifying and addressing red flags promptly is crucial in maintaining the integrity of the healthcare system and providing quality care to patients.

Compliance 52

Compliance Compliance Officers Fraud HIPAA 52

Healthcare IT Today

JANUARY 26, 2023

These ongoing and usually incurable diseases account for more than 80% of hospital admissions, 90% of prescriptions filled, and 75% of all physician’s visits. Mapping out Challenges Recently, I joined a working group on this very topic. The personas ranged from public health analysts to care coordinators.

Public Health 59

Public Health Governance Hospitals Doctors 59

Healthcare IT News - Telehealth

DECEMBER 31, 2020

"Doctors and nurses are overwhelmed with surging patient loads, yet we continue to add fuel to their frustrations by forcing them to use inefficient technologies that add to their workloads and interfere with direct patient care," said Laureau. Now the question is, what's next ?

COVID-19 218

COVID-19 Nurses Telemedicine Doctors 218

HIT Consultant

JANUARY 24, 2024

Extracts and correlates insights across dimensions, like intents, keywords, sentiment and specific topics. Maintain oversight with an executive privacy officer and cross-disciplinary team accountable for ensuring responsible data practices across the analysis pipeline, insight use and stakeholder reporting of findings.

Governance 52

Governance HIPAA Compliance 52

Health Care Law Brief

JULY 25, 2023

Specifically, OIG signaled that “unconscionable or one-sided business terms for the access, exchange, or use of EHI, or the licensing of an interoperability element” may rise to the level of information blocking if the conduct “impedes a provider’s ability to care for patients.” [4]

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

MedTrainer

OCTOBER 4, 2023

Corporate compliance training helps healthcare organizations balance the need to provide top-notch care with adhering to a plethora of regulations. While it does take more time and resources to determine which roles need which trainings, in many cases you can reduce the number of courses required.

Compliance 52

Compliance Regulatory Compliance ADA Informed Consent 52

YouCompli

JULY 27, 2022

The 1996 Caremark case highlights the duty of care owed by a board in fulfilling its compliance oversight obligations. Are they accountants, lawyers, doctors, or CEOs? Solicit committee feedback regularly and attempt to get information about which topics are likely to be discussed in depth during the meeting.

Compliance Officers 52

Compliance Officers Compliance Fraud Doctors 52

YouCompli

APRIL 26, 2023

Positive cultures that help organizations manage and control risk are created when compliance officers embrace metrics, build relationships, emphasize education, and connect their work to better patient care. If there’s an issue, it’s often because employees have not been given the right information, resources, or skills.

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 52

Healthcare IT News - Telehealth

MAY 7, 2021

"At Sanford Health, the largest rural health system in the country, our leaders have always recognized the importance and the power of data, but the COVID-19 pandemic revealed the meaningful benefits of investing in the resources and infrastructure needed for a strong data analytics department," she said. As of April 19, 2021, St.

COVID-19 216

COVID-19 COVID-19 Vaccine Hospitals FDA 216

Dot Compliance

OCTOBER 17, 2022

When people ask about the 8 key principles of Quality Management, they often mistake this for other quality topics and they also ask the following questions: What are the 8 Key Principles of Quality Control? Manage processes by defining roles and making sure your resources are being used effectively. What are the 7 principles of QMS?

Compliance 52

Compliance Governance 52

C&M Health Law

FEBRUARY 3, 2022

The stated goal of TEFCA is to develop uniform policies and technical requirements to scale health information exchange nationwide and ensure that HINs, health care providers, health plans, individuals, and other stakeholders can access real-time, interoperable health information. Health Care Operations. Public Health.

Governance 52

Governance Public Health 52

CMS.gov

AUGUST 23, 2018

Person-Centered Strategies: Health Savings Accounts. Affordable Care Act. Person-Centered Strategies: Health Savings Accounts. Millions of Americans enjoy the flexibility, lower premiums, and tax advantages of enrolling in a Health Savings Account (HSA) through their jobs. Jeremy.Booth@c…. Thu, 08/23/2018 - 12:29.

Health Insurance 42

Health Insurance Medicare Medicare 42

AIHC

JUNE 14, 2023

The question remains, how will the use of AI be regulated for health care use? The approach the FDA is proposing in this draft guidance would put safe and effective advancements in the hands of health care providers and users faster, increasing the pace of medical device innovation in the United States and enabling more personalized medicine.

FDA 45

FDA HIPAA Compliance Regulatory Compliance 45

AIHC

FEBRUARY 15, 2023

This can be extremely difficult for leaders in today’s health care environment. The terms leadership and management tend to be used interchangeably, but they are not the same, although health care leaders must have strong management skills. Increasing your resilience is easier said than done, especially post COVID.

Compliance 52

Compliance Nurses Medicaid Medicaid 52

Hall Render

JANUARY 11, 2023

Among other issues, developers and providers of mobile health apps should consider the following: Reimbursement – An increasing number of health care payors are reimbursing for certain digital health technology services. Other Resources.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Hall Render

JULY 14, 2023

Table B2: Utilization of Visits per 30-day Periods of Care by Home Health Discipline, CYs 2018-2022 Discipline CY 2018 (Simulated) CY 2019 (Simulated) CY 2020 CY 2021 CY 2022 Skilled Nursing 4.53 Unfortunately, the home health cost report data does not appear to reflect the reality of inflation and wage pressures in health care.

Medicare 52

Medicare Medicare Payment Systems Governance 52

CMS.gov

MARCH 14, 2019

We also made a commitment to balancing this state flexibility alongside strong accountability for program outcomes and financial integrity. I’ve heard the derisive comments from those in the health policy stratosphere that prefer centralized government command and control of health care in America. Good Ideas Must Be Evaluated.

Medicaid 31

Medicaid Medicaid Governance Medicare 31

CMS.gov

MARCH 6, 2013

Did you know that the United States spends more than $150 billion annually on health care administration, and for the average physician, two-thirds of a full time employee is needed to carry out billing and insurance related tasks? You can also use the official HIMSS hashtag #HIMSS13 to join in on all conference related topics.

ACA 30

ACA HIPAA Medicaid Medicaid 30

CMS.gov

APRIL 15, 2019

CMS is charged with developing and enforcing quality and safety standards across the nation’s health care system, a responsibility we consider a sacred trust. This duty is especially important when it comes to the care provided for some of the most vulnerable in our society, Americans residing in nursing homes. Nursing facilities.

Nursing Homes 51

Nursing Homes Nurses Compliance Medicare 51

Healthcare IT Today

JANUARY 2, 2023

As we kick off a new year, I thought it would be fun to take a quick look back at some of the top resources, articles, videos, and podcasts we shared in 2022. Most Visited Healthcare IT Resource Pages. These resources are a lot of work to create and update, but we know that you all love them since you visit them a lot.

Electronic Medical Records 78

Electronic Medical Records HIPAA Hospitals 78

Pharmacy Law Blog

FEBRUARY 13, 2018

This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. This decision has the effect of making it more difficult for law enforcement authorities to swoop in and seize all assets of a suspect, effectively depriving them of the resources to even hire an attorney (which is a common tactic in such cases).

Fraud 40

Fraud Medicare Medicare Governance 40

Healthcare IT Today

JANUARY 10, 2024

One moment no one is talking about something, the next it is the hottest topic of the year. Or reversely, one moment we’re all talking about one topic, and the next we’ve left that topic in the dust as we all moved on to something new. That is exactly what we did at the recent CHIME23 Conference.

Hospitals 87

Hospitals Ransomware Nurses 87