AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

HIT Consultant

APRIL 19, 2024

Medicare providers in hospitals and skilled nursing facilities (SNFs) are adjusting to new split/shared services documentation and billing regulations rolled out by the Centers for Medicare and Medicaid Services (CMS) as part of the 2024 Medicare Physician Fee Schedule (MPFS) final rule.

Nurses 102

Nurses Medicare Medicare Medicaid 102

Verisys

FEBRUARY 8, 2024

– The best resource for monthly healthcare regulatory compliance updates. The updated rules are effective January 2, 2024. NLC Final Rules Effective 1/2/2024 A new rule included in the Nurse Licensure Compact update affects nurses moving residence from one compact state to another compact state. Effective January 2, 2024.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Healthcare IT Today

JANUARY 8, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. It is key for pharmaceutical companies to recognize that efficiency does not override compliance, patient safety or regulatory standards. Dave Latshaw, CEO at BioPhy 1.

Pharmaceutical Industry 93

Pharmaceutical Industry Due Diligence Compliance Regulatory Compliance 93

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line. Morgenstern.

US Department of Health and Human Services 100

US Department of Health and Human Services Nurses Hospitals Telemedicine 100

Verisys

OCTOBER 8, 2024

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: October 2024 Overlook: Licensure Compacts Other Legislation Board Updates Interstate Medical Licensure Compact (IMLC): Pennsylvania has reached a partial implementation of the Interstate Medical Licensure Compact.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Verisys

OCTOBER 8, 2024

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: October 2024 Overlook: Licensure Compacts Other Legislation Board Updates Interstate Medical Licensure Compact (IMLC): Pennsylvania has reached a partial implementation of the Interstate Medical Licensure Compact.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Healthcare IT Today

MARCH 9, 2024

The latest in our Healthcare Regulatory Talk series comes from Dr. Nick Barger at DrFirst, who explained how EHR vendors should approach compliance with algorithm transparency requirements in the HTI-1 Final Rule. Dina raised $7 million in Series B funding ; the company supports network management for Medicare Advantage and Managed Medicaid.

Medicaid 96

Medicaid Medicaid Medicare Medicare 96

Medisys Compliance

AUGUST 21, 2024

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. These changes affect coding, reimbursement, and compliance requirements, making it essential for providers to stay informed to maximize reimbursement and avoid penalties.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicaid Medicaid 59

Healthcare IT Today

FEBRUARY 25, 2024

Reps Mike Kelly (R-PA) and Bill Foster (D-IL) introduced the Patient Matching and Transparency in Certified Health IT (MATCH IT) Act of 2024 , which would standardize the way demographic information is entered into certified health IT products and ensure more precise patient matches.

Telemedicine 95

Telemedicine Compliance FDA Hospitals 95

Innovaare Compliance

DECEMBER 11, 2023

Before the Medicare Advantage Open Enrollment Period (MA OEP) [1] begins on January 1, 2024, Medicare Advantage Organizations (MAOs) still have time to review if they are completely ready for a new contract year. This HIPAA Compliance Checklist is published and updated annually as a tool for organizations to prepare for the upcoming year.

Medicare 52

Medicare Medicare Compliance Medicaid 52

AIHC

NOVEMBER 12, 2024

Written by Gabriella Neff, RHIA, CHA, CHC, CHRC, CHPC This past year, in 2024, revisions were made to clarify hospital guidelines related to informed consent specifically addressing UIEs (unconsented intimate exams) to patients while under anesthesia. April 1, 2024. April 1, 2024. April 1, 2024. April 3, 2024.

Informed Consent 98

Informed Consent HIPAA Compliance Hospitals 98

Innovaare Compliance

DECEMBER 25, 2023

Summary of the HPMS Memo Generated by USHER (Inovaare’s AI-powered Compliance Assistant) The Centers for Medicare and Medicaid Services (CMS) issued a memorandum detailing several announcements relating to its 2024 CMS program audit. Prepare for both routine and focused audits to be conducted in 2024 by CMS.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Medisys Compliance

MARCH 7, 2024

In 2024, the AMA introduced 349 changes to the CPT code set, comprising 230 new codes, 49 deletions, and 70 revisions. Staying abreast of these 2024 CPT code updates is essential for healthcare professionals to ensure precise coding and proper financial reimbursement.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Compliancy Group

OCTOBER 28, 2024

Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

Healthicity

OCTOBER 8, 2024

Stay ahead of compliance risks with these September 2024 OIG Work Plan updates including FDA safety signals, Medicaid MLRs, & hospital price transparency.

FDA 52

FDA Medicaid Medicaid Compliance 52

Healthcare IT Today

NOVEMBER 12, 2024

Best Positioned to Deliver Transformative Technology that Accelerates the Industry’s Evolution and its Ability to Improve Health Outcomes HHAeXchange , a leader in homecare management solutions for providers, caregivers, managed care organizations (MCOs), and state Medicaid programs, today announced that it has acquired Sandata Technologies.

Medicaid 114

Medicaid Medicaid Health Outcomes Compliance 114

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. We are not slowing down,” Tripathi stated in March 2024.

Compliance 124

Compliance Medicaid Medicaid Medicare 124

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. Understanding these updates is crucial for behavioral health providers to ensure compliance, maximize reimbursements, and continue delivering high-quality care.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Compliancy Group

MAY 15, 2024

As we move deeper into 2024, hospitals must increasingly focus on compliance with regulations set forth by the Office of Inspector General (OIG). This guide outlines the OIG’s hospital compliance priorities and provides actionable advice on ensuring your hospital meets these rigorous standards.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

Verisys

FEBRUARY 9, 2024

January 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 The post January 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024.

Payment Systems 97

Payment Systems Public Health Medicare Medicare 97

Medisys Compliance

JULY 23, 2024

Introduction Radiation oncology billing is a complex and evolving field that requires specialized knowledge to ensure accurate reimbursement and compliance with regulatory standards. As we move into 2024, providers need to be aware of several important updates and changes in radiation oncology billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Compliancy Group

DECEMBER 20, 2024

In 2024, the Department of Health and Human Services (HHS) Office for Civil Rights announced a series of enforcement actions against entities that violated, or potentially violated, one or more HIPAA rules. This HIPAA 2024 Year in Review article discusses these actions. The $950,000 settlement agreement subjects HVHS to a 3-year CAP.

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Ransomware HIPAA Fraud Electronic Medical Records 52

Healthicity

MAY 7, 2024

The OIG's April 2024 Work Plan updates feature crucial audits in Medicaid payments, pharmacy benefit management, & peripheral vascular procedures.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

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. Privacy and security – Compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient privacy and data security is crucial.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

Innovaare Compliance

JANUARY 19, 2024

1] Focused audits will be limited in scope and duration and will only test the Compliance Program Effectiveness (CPE) and Organization Determinations, Appeals, and Grievances (ODAG) program areas during focused audits. Audit notification will begin in January 2024. The post 2024 CMS Program and Focus Audits: Are You Prepared?

Medicare 52

Medicare Medicare Compliance Medicaid 52

Compliancy Group

APRIL 17, 2024

OIG Medicare compliance audits help ensure that hospitals, clinics, and other medical facilities use program funds efficiently and in accordance with federal and state laws. Findings from OIG audits can identify compliance areas needing improvement. They also help the DHHS improve its operations and program administration.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

Provider Trust

APRIL 18, 2024

This comprehensive program provides healthcare organizations across the continuum of care a roadmap to implement top-tier compliance standards by addressing key population monitoring gaps, prioritizing financial efficiencies, and upholding community healthcare and success.

Compliance 52

Compliance Licensing Fraud Medicaid 52

Medisys Compliance

APRIL 23, 2024

This comprehensive guide explores the key medical billing best practices for 2024, empowering healthcare providers to optimize their revenue cycle and minimize administrative burdens. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

FEBRUARY 9, 2024

Several significant updates affecting wound care billing took effect in January 2024. Here’s a breakdown of three key wound care billing updates for 2024 that you need to know: 3 Key Wound Care Billing Updates for 2024 1. This change aims to improve transparency and ensure appropriate reimbursement for these devices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

HIT Consultant

FEBRUARY 5, 2024

Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system. 8: Failing to take peer review activity seriously.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Healthcare IT Today

JULY 5, 2024

ensure compliance, streamline billing, and optimize workforce management. ensure compliance, streamline billing, and optimize workforce management. The homecare industry continues to experience rapid growth , and is expected to increase from $100 billion in 2024 to $176 billion by 2032. Originally announced June 18th, 2024

Medicaid 78

Medicaid Medicaid Compliance Health Outcomes 78

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

Compliancy Group

AUGUST 26, 2024

Multiple regulatory risks are arising as we head toward the next quarter of 2024. This wide range of factors directly affects compliance workflows and the success of your compliance efforts. With consistent change, healthcare professionals are turning to compliance automation software for operations.

Compliance 52

Compliance HIPAA Medicare Medicare 52

Provider Trust

JANUARY 25, 2024

Though HHS has made efforts to address the challenges outlined in this year’s report, there are still many opportunities for improvement in 2024. We’ve broken down the report’s primary themes and how they affect healthcare organizations moving forward in 2024. With Medicaid, the challenges are equally formidable.

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Fraud Medicaid Medicaid Medicare 52