Verisys

MAY 3, 2023

For guidance on your specific healthcare industry segment, see OIG’s compliance program guidance documents. What is an effective healthcare compliance program? Designate an employee as the compliance officer and form a compliance committee. Measuring effectiveness: Who is your designated compliance officer?

Compliance 52

Compliance Compliance Officers ADA Governance 52

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching. 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

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

MedTrainer

SEPTEMBER 10, 2024

State and federal governments regularly pass new laws with additional or changed training requirements. Two recent examples are the HIPAA Privacy Act changes in 2024 , which requires training to be completed by December, and the MATE Act passed in 2023 , which includes a one-time eight-hour training requirement.

Compliance 52

Compliance Compliance Officers HIPAA Medicare 52

MedTrainer

JANUARY 31, 2024

Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program? federal government enacted the Federal False Claims Act (FCA) in 1863 during the American Civil War. It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations.

Compliance 52

Compliance Fraud Governance ACA 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

YouCompli

MARCH 22, 2023

For example, the government regularly asserts Medicare claims must be “reasonable and necessary for the diagnosis or treatment of an illness or injury.” The government argued that before ordering definitive UDT, a provider first needs to review the results of the presumptive test. Some were never tested at all.

Overpayments 52

Overpayments Overpayment Compliance Medicare 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

Provider Trust

MARCH 13, 2023

On January 25, 2023, the US Department of Justice joined with the Federal Bureau of Investigation (FBI) and the US Department of Health and Human Services Office of Inspector General (HHS-OIG) to launch a multi-state law enforcement action to apprehend individuals involved in this fraudulent nursing degree scheme.

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

AIHC

JUNE 14, 2024

Understanding Elder Abuse and Financial Exploitation Statutes The federal government, states, commonwealths, territories and the District of Columbia all have laws designed to protect older adults from elder abuse and guide the practice of adult protective services agencies, law enforcement agencies, and others.

Fraud 52

Fraud Elder Abuse Governance Compliance 52

MedTrainer

MARCH 28, 2024

This is one of seven components recommended in the OIG’s compliance guidelines. In large healthcare organizations, a compliance officer is typically responsible, however, in smaller organizations, such as physician practices, a case could be made for the entity’s compliance contact to be in one of several different roles.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

NOVEMBER 30, 2023

This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of. Regulations Unique to Missouri To meet the standards of healthcare compliance in Missouri , there are a few additional regulations.

Compliance 52

Compliance Compliance Officers Hospitals Public Health 52

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. 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 Overpayments 52

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Health Law RX

JANUARY 30, 2024

A failure to maintain an effective compliance program may become particularly problematic for companies with business transactions on the horizon as the government increasingly incentivizes business professionals to give compliance a seat at the deal table.

Compliance 52

Compliance Due Diligence Fraud Governance 52

MedTrainer

JUNE 4, 2024

Pharmacy compliance is adhering to laws, regulations, and professional standards governing pharmacy practice. Pharmacies are governed by federal agencies, including the Drug Enforcement Administration ( DEA ) and the Food and Drug Administration ( FDA ).

Compliance 52

Compliance Licensing Governance FDA 52

AIHC

NOVEMBER 6, 2023

government introduced the 21st Century Cures Act, which builds upon the HITECH Act and aims to promote innovation in HIT and improve patient access to healthcare services. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is the government enforcement agency over both HIPAA and HITECH. In 2020, the U.S.

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

MedTrainer

FEBRUARY 28, 2024

in 2023 — have dramatically turned up the volume on the number of new hires who need to review and acknowledge policies. Start with a document creation tool, such as Microsoft Word, and a draft policy is emailed back and forth between team members, then to the governing board. The continued high levels of staff turnover — 22.7%

Compliance 52

Compliance Governance Compliance Officers 52

AIHC

NOVEMBER 6, 2023

government introduced the 21st Century Cures Act, which builds upon the HITECH Act and aims to promote innovation in HIT and improve patient access to healthcare services. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is the government enforcement agency over both HIPAA and HITECH. In 2020, the U.S.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

MedTrainer

NOVEMBER 29, 2023

For healthcare compliance programs in Indiana to be successful, organizations must have methods in place for tracking and applying regulatory standards, while ensuring all staff are up to date with changes by governing bodies. This article provides an overview of the important aspects to healthcare compliance specific to Indiana State.

Compliance 52

Compliance Licensing Governance Public Health 52

MedTrainer

NOVEMBER 14, 2023

Since staying informed about these differences is crucial for healthcare organizations, details and resources are provided below to help professionals meet the specific compliance standards of Virginia while providing high-quality and legally sound healthcare services.

Compliance 52

Compliance Licensing Governance Hospitals 52

MedTrainer

FEBRUARY 12, 2024

government collected $2.2B How are healthcare organizations ensuring compliance and minimizing exposure risks to false claims? Follow OIG Compliance Program Guidance The OIG offers seven components of a compliance program and following this guidance is the best way to minimize exposure risks.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

MedTrainer

SEPTEMBER 8, 2023

Covenant Healthcare Stark Law Settlement (2023) In 2023, Covenant Healthcare System reached a settlement agreement with the Department of Justice (DOJ) to pay more than $69 million to resolve allegations that it violated Stark Law. Many healthcare facilities rely on reimbursements from government programs such as Medicare and Medicaid.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

NOVEMBER 20, 2023

This article offers a comprehensive guide to essential aspects of healthcare compliance pertinent to Texas. With various departments and divisions, such as the Office of Compliance, the DSHS emphasizes ethics, integrity, and compliance with regulations and policies.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 20, 2023

For successful compliance management, healthcare organizations in Florida should develop a solid system for tracking and understanding any regulatory changes and promptly adjust their policies and procedures. This post offers an overview of must-know compliance requirements for Florida.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Keep scrolling for a summary of the crucial elements of healthcare compliance relevant to North Carolina. Certificate of Need Required The goal of North Carolina’s Certificate of Need (CON) law is to mitigate the rise in healthcare costs through government-imposed limitations on the unnecessary replication of medical facilities.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 5, 2023

This article provides an overview of key factors you’ll want to know about healthcare compliance in Washington. Credentialing Compliance in Colorado The Colorado Medical Board oversees medical credentialing and licensing within the state.

Compliance 52

Compliance Licensing Informed Consent Public Health 52

MedTrainer

DECEMBER 7, 2023

This article delves into the crucial components necessary for maintaining compliance in New Hampshire. Two significant changes were made in 2023. Established under RSA 126-X, the program includes a confidential registry for qualifying patients, caregivers, and medical providers.

Compliance 52

Compliance Licensing Public Health Medicaid 52

American Medical Compliance

FEBRUARY 15, 2023

CMS FWA Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities. This list includes Medicare’s compliance with the rules and regulations governing prescription drug coverage.

Fraud 52

Fraud Medicare Medicare Compliance 52

American Medical Compliance

FEBRUARY 15, 2023

CMS EMS Fraud Waste and Abuse Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities. Prescription Drug Plans (PDP) provides such coverage.

Fraud 52

Fraud Medicare Medicare Compliance 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. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

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. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

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

MedTrainer

NOVEMBER 27, 2023

In September 2023, MedTrainer released an enhanced foldering structure and the availability of multi-signatures in Document & Policy Management , which is part of MedTrainer Compliance. Automate Your Agreement Process Getting multiple signatures on policies and contracts is never easy in a healthcare organization.

Compliance 52

Compliance Governance Compliance Officers 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. in Financing for Medical Office Building in Utica, New York Jacobi hospital saw 20% of its nurses quit in 2022. Mississippi lawmakers approve $104M for hospitals, but is it enough?

US Department of Health and Human Services 40

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

Hall Render

AUGUST 26, 2024

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., governor says deals have been reached to keep some threatened hospitals open Mass General Brigham’s Home Hospital becomes nation’s largest MGB more than doubles home-hospital capacity; now largest in U.S.,

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

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., governor says deals have been reached to keep some threatened hospitals open Mass General Brigham’s Home Hospital becomes nation’s largest MGB more than doubles home-hospital capacity; now largest in U.S.,

US Department of Health and Human Services 40

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