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The Physician Payments Sunshine Act – Compliance in a Nutshell                                                                     

AIHC

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

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CAA of 2022 Includes Federal Extension to Telehealth Protections for HDHPs

Compliance Now

Last week, Congress passed the Consolidated Appropriations Act (CAA) of 2022, a $1.5 The 2022 CAA reinstates these telemedicine protections for the period of April 1, 2022, through December 31, 2022. By: Jessica Waltman, Principal, Forward Health Consulting. trillion governmental funding package.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. What States Are Doing Now. Continuity of Coverage.

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Comply with Privacy Rights to Avoid Unconsented Intimate Exams

AIHC

6] The letter also notes that obtaining informed consent for sensitive examinations is the standard of care and that OCR will continue to focus on provider compliance with HIPAA and proper informed consent. About the Author Gabriella Neff , RHIA, CHA, CHC, CHRC, CHPC is a Research Compliance Officer for H. 2022 Jan;52(1):28-31.

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Epic Veterans Launch ProsperityEHR to Tackle Behavioral Health’s Financial Crisis

HIT Consultant

Many still rely on paper, phone, or fax for information exchange, leading to compliance risks, inefficiencies, and barriers to personalized care. Claims denials have increased by 20% since 2023, and 67% of providers report slower reimbursements since 2022. Discussions of Medicaid budget cuts in Washington, DC add further uncertainty.

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Fraud, Waste, and Abuse (FWA) Refresher Training

American Medical Compliance

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. Whether you’re a season professional or new to compliance training, this course will help you navigate FWA-related challenges with confidence and accountability.

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Medicaid Fraud Control Unit’s 2022 Annual Report Key Takeaways

Provider Trust

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

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