YouCompli

JANUARY 18, 2023

Featured speakers : Eric Gold , Chief, Massachusetts Attorney General’s Office Healthcare Division; Jennifer Goldstein , Managing Attorney, Medicaid Fraud Division, Massachusetts Attorney General’s Office; and Steven Sharobem , Assistant US Attorney, District of Massachusetts. Moderated by David S.

Fraud 52

Fraud COVID-19 Compliance Medicaid 52

MedTrainer

JANUARY 10, 2024

It may seem a little early to do some spring cleaning, but not when it comes to compliance! It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. The OIG is making major investments to systematically detect and prosecute fraud.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

Medisys Compliance

JANUARY 30, 2023

Medical billing companies and healthcare providers that participate in these programs must comply with a variety of regulations, including billing and coding guidelines, documentation requirements, and fraud and abuse laws. We work closely with our clients to ensure that their systems and processes are in compliance with these regulations.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Compliancy Group

FEBRUARY 26, 2024

A comprehensive hospital compliance work plan is pivotal for achieving these objectives. Hospital compliance officers, c-suite executives, and other decision-makers must constantly stay abreast of the latest developments in healthcare compliance. On November 6, 2023, the Office of Inspector General (OIG) of the U.S.

Compliance 52

Compliance US Department of Health and Human Services Hospitals Compliance Officers 52

Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The DOJ Announcement stresses the importance of investing in strong compliance programs for both the buyers and sellers in business transactions.

Compliance 52

Compliance Due Diligence Fraud Governance 52

MedTrainer

JANUARY 31, 2024

Who started the first healthcare compliance program? It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. However, it wasn’t until the mid-20th century that healthcare compliance regulations and programs began. What is Healthcare Compliance?

Compliance 52

Compliance Fraud Governance ACA 52

Healthcare Law Today

FEBRUARY 3, 2023

Director of Policy & Regulatory Affairs, Homeward Cecily Harris, Deputy General Counsel, Wheel Telemedicine Fraud & Abuse Enforcement Foley Partner Lisa Noller, Chair of the firm’s Government Enforcement & Investigations Practice will join a fireside chat on telemedicine fraud & abuse enforcement trends.

Telemedicine 83

Telemedicine Fraud Compliance Officers Compliance 83

Health Law Advisor

AUGUST 25, 2023

These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. The regulations were finalized in December 2022, with an effective date of March 28, 2023, and an enforcement moratorium that has just ended.

Compliance 52

Compliance Overpayment Overpayments Compliance Officers 52

Hall Render

NOVEMBER 10, 2023

On November 6, 2023, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

Healthcare Blog

NOVEMBER 9, 2023

A well-implemented compliance program enhances patient care by emphasizing ethical procedures, confidentiality, and data protection. It assists in identifying and addressing any concerns early on, lowering the likelihood of fraud, waste, and abuse. link] OIG General Compliance Program Guidance. November 2023, [link] U.S.

Compliance 88

Compliance Compliance Officers ACA Patient Satisfaction 88

Verisys

MAY 3, 2023

Healthcare entities, especially those that receive funding from Medicaid or Medicare, must meet compliance standards set forth by the Office of Inspector General (OIG). These standards help mitigate an organization’s risk by preventing waste, fraud, and abuse. Measuring effectiveness: Who is your designated compliance officer?

Compliance 52

Compliance Compliance Officers ADA Governance 52

MedTrainer

SEPTEMBER 10, 2024

This program tracks training and adherence to healthcare industry-specific rules and regulations, like HIPAA (Healthcare Insurance Portability and Accountability Act) , and anti-kickback, fraud, waste, and abuse regulations.

Compliance 52

Compliance Compliance Officers HIPAA Medicare 52

C&M Health Law

DECEMBER 18, 2023

The Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) published the General Compliance Program Guidance (GCPG) on November 6, 2023. The GCPG provides updated descriptions of the seven elements of an effective compliance program that health care entities have long relied upon.

Compliance 52

Compliance Compliance Officers Governance Overpayment 52

HIPAA Journal

JANUARY 30, 2023

These groups cover privacy and HIPAA compliance best practices, HIPAA breach trends, and HIPAA enforcement initiatives and breach trends. This will be followed by the preconference basic training day on March 2, 2023.

US Department of Health and Human Services 85

US Department of Health and Human Services HIPAA Compliance Medicaid 85

Healthcare Law Blog

FEBRUARY 3, 2023

Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

Medicaid 52

Medicaid Medicaid Compliance Overpayment 52

MedTrainer

FEBRUARY 12, 2024

We’ll also highlight tools to streamline compliance processes and reduce the risk of potential legal and financial judgments. Remain Aware of Evolving Compliance Laws As you well know, compliance regulations are constantly being adjusted. MedTrainer makes it easy to connect corporate compliance policies to training.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

AIHC

MAY 7, 2024

Payers are already implementing AI as a solution to deny inappropriately coded claims and detect potential fraud and abuse. References AIHC Auditing for Compliance - Basics of RCA and HFMEA are taught in the AIHC online Certified Healthcare Auditor (CHA) program Ahmed. What do scrubbers do in revenue cycle management? ProPublica.

Compliance 52

Compliance Compliance Officers Fraud Doctors 52

Provider Trust

FEBRUARY 3, 2023

In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. According to a January 2023 Washington Post article , nurses across California, Oregon, Michigan, and Minnesota have also threatened to protest or have already gone on employment strike.

Compliance 52

Compliance Fraud Nurses Telemedicine 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. I am a Certified Internal Healthcare Fraud Auditor (CIFHA).

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. I am a Certified Internal Healthcare Fraud Auditor (CIFHA).

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

MARCH 31, 2023

in Financing for Medical Office Building in Utica, New York Jacobi hospital saw 20% of its nurses quit in 2022. County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. buys industrial property in Rancho Cordova for $5.12

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

MARCH 24, 2023

hospitals spent $1.5B on temporary labor in 2022 Mass. Luke’s Health System rolls out Meditech’s ‘smart’ pump integration DOJ dismisses appeal challenging UnitedHealth-Change Healthcare’s $7.8B Reeves’ desk. Here’s what they are.

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

AUGUST 26, 2024

AG says they have buyer for Sharon Regional Medical Center Pregnancy-related deaths in Pennsylvania rose by almost 80% in one year, new data shows New court documents suggest potential fraud in Pennsylvania health facilities RHODE ISLAND Lifespan in position to acquire two Steward hospitals; Mass.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 23, 2024

AG says they have buyer for Sharon Regional Medical Center Pregnancy-related deaths in Pennsylvania rose by almost 80% in one year, new data shows New court documents suggest potential fraud in Pennsylvania health facilities RHODE ISLAND Lifespan in position to acquire two Steward hospitals; Mass.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40