Verisys

AUGUST 15, 2024

The best resource for monthly healthcare regulatory compliance updates. VA SB 133 Washington: On January 1, 2026, the Washington Medical Commission will begin issuing licenses for Certified Anesthesiologist Assistants (CAAs). The post August 2024 Regulatory Compliance Updates appeared first on Verisys.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Verisys

AUGUST 15, 2024

– The best resource for monthly healthcare regulatory compliance updates. VA SB 133 Washington: On January 1, 2026, the Washington Medical Commission will begin issuing licenses for Certified Anesthesiologist Assistants (CAAs). The post August 2024 Regulatory Compliance Updates appeared first on Verisys.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

Verisys

AUGUST 15, 2024

– The best resource for monthly healthcare regulatory compliance updates. VA SB 133 Washington: On January 1, 2026, the Washington Medical Commission will begin issuing licenses for Certified Anesthesiologist Assistants (CAAs). The post August 2024 Regulatory Compliance Updates appeared first on Verisys.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

MedTrainer

NOVEMBER 30, 2023

Healthcare compliance in Missouri is uniquely challenging due to state-specific regulations, such as the surgical smoke plume evacuation system requirement. This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of.

Compliance 52

Compliance Compliance Officers Hospitals Public Health 52

Compliancy Group

APRIL 6, 2022

In situations such as these, compliance often falls to the wayside. Achieving and maintaining HIPAA compliance seems like such a huge undertaking when you have other considerations to worry about. Mercer predicts that by 2026, U.S. Hospital HIPAA Compliance. Compliancy Group can help! Hospital Staffing Shortages.

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HIPAA Compliance Hospitals Nurses 52

Total Medical ComplianceHIPAA

MAY 13, 2024

This commitment not only reinforces patient trust but also underscores the ethical imperative of protecting sensitive health information in today’s healthcare reform.

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HIPAA Compliance Public Health 52

HIT Consultant

OCTOBER 6, 2024

For this reason, it is no surprise that Frost & Sullivan projects hybrid deployments to dominate the UC market – 80% by 2026. Because on-prem and private cloud solutions are custom-built, updates can be deployed quickly to ensure compliance with changing regulations or legislation.

Nurses 130

Nurses Compliance Hospitals Doctors 130

Innovaare Compliance

JUNE 28, 2024

Compliance Audits: Regular audits will be conducted to ensure adherence to M3P guidelines, with penalties for non-compliance. Ensure M3P Compliance and Success: Key Strategies While the M3P enhances affordability for beneficiaries, it poses significant operational and financial challenges for plans and PBMs.

Medicare 94

Medicare Medicare Prescription Drug Pricing Compliance 94

Total HIPAA

NOVEMBER 15, 2021

The worldwide Healthcare Cloud Computing industry is projected to expand at a 14 percent annual pace, reaching $40 billion by 2026.¹ Given that data protection is a key component of HIPAA regulations, the issue is whether HIPAA compliance can be achieved using a public cloud provider. HIPAA Regulations: What Do They Require?

HIPAA 52

HIPAA Compliance US Department of Health and Human Services 52

Healthcare IT Today

DECEMBER 11, 2023

It’s no surprise that, according to EMR, the global AI market is expected to reach $6 trillion by 2026. This can be a major risk for an industry like healthcare, where compliance, protocols, and privacy are essential. Yet not all AI is created equal. Generative AI, while powerful, is basically a black box.

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Doctors Compliance Hospitals 114

Healthcare IT Today

MAY 18, 2024

79% of healthcare CIOs plan to implement generative AI by 2026, but 47% of healthcare data is underutilized in decision-making. SaaS compliance software maker RFX Solutions closed $9 million in Series A funding. Project management and systems support roles, plus multiple positions seeking Epic expertise. raised $47.5

Hospitals 94

Hospitals Nurses Governance Compliance 94

HIPAA Journal

MARCH 17, 2023

Considering the Health Insurance Portability and Accountability Act (HIPAA) is now in its third decade, the Privacy Rule took effect 20 years ago, and compliance with the HIPAA Security Rule has been mandatory for 18 years, there have been relatively few financial penalties over the years, with just 130 imposed by OCR to resolve HIPAA violations.

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HIPAA Compliance Health Insurance Governance 105

HIT Consultant

FEBRUARY 9, 2023

While the provisions for the CMS rule would not go into effect until 2026, health plans using manual or partially automated PA processes will need to invest in infrastructure and technology to support this transition well before then.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

HIT Consultant

JANUARY 16, 2025

2025/2026 will see the enormous potential of AI as a decision augmentation of expert humans. Bharath Kakarla, Senior Vice President of Engineering, Intus Care AIs transformative potential, especially with copilot capabilities, is set to reshape healthcare by alleviating critical challenges such as administrative burnout and compliance issues.

Public Health 111

Public Health Due Diligence COVID-19 Doctors 111

Compliancy Group

MAY 22, 2024

The earliest the Final Rule will be enforced against employers is July 20, 2026. The new workplace labeling, hazard communication program, and additional employee training requirements for substances will not be enforced against employers until July 20, 2026. What Does the Final Rule Do?

Compliance 52

Compliance 52

HIT Consultant

AUGUST 23, 2022

With industry leaders focused on compliance, regulation, and security, this understandably makes healthcare leaders hesitant to adopt these technologies. These solutions also provide HIPAA compliance – a growing topic of importance as telehealth and virtual care open even more access points to a user’s digital identity. In the U.S.,

Electronic Medical Records 98

Electronic Medical Records HIPAA Compliance COVID-19 98

Compliancy Group

APRIL 26, 2024

This requirement will not be enforced until February 16, 2026 , at the earliest. The rule is subject to being challenged in court; we will include information regarding legal proceedings in the Compliancy Group blog as this information becomes available. What Else Should I Know About The Final Rule?

HIPAA 59

HIPAA Compliance Health Insurance Public Health 59

Healthcare IT Today

JUNE 7, 2023

Many of our concerns center on the proposed implementation timeframes associated with various concepts included in HTI-1, as well as ONC’s failure to sufficiently consider the burden compliance will place on provider organizations and health IT developers. 31, 2024, compliance timeline is unrealistic.

FDA 97

FDA Compliance Regulatory Compliance Medicaid 97

HIT Consultant

OCTOBER 31, 2023

According to research , the global 5G technology market could expand to $128 billion by 2026. Just as importantly, within a private 5G network, healthcare organizations could more readily ensure that private patient data remains private, as is required for HIPAA compliance.

Hospitals 119

Hospitals Doctors HIPAA Compliance 119

Innovaare Compliance

NOVEMBER 29, 2023

They include: (i) The field “Originally Prescribed Quantity” has been added to enable more accurate identification of incrementally filled Schedule II products and to monitor for compliance. The value reported for PDEs with a DOS before January 1, 2026, must be zero. [9]

Medicare 52

Medicare Medicare Compliance Medicaid 52

Innovaare Compliance

JUNE 27, 2024

Compliance Audits: Regular audits will be conducted to ensure adherence to M3P guidelines, with penalties for non-compliance. Ensure M3P Compliance and Success: Key Strategies While the M3P enhances affordability for beneficiaries, it poses significant operational and financial challenges for plans and PBMs.

Medicare 52

Medicare Medicare Compliance Prescription Drug Pricing 52

HIPAA Journal

SEPTEMBER 10, 2024

The final rules generally apply to group health plans and group health insurance coverage on the first day of the first plan year beginning on or after January 1, 2025, with some requirements applying to the 100 54462 0 54462 0 0 136k 0 --:--:-- --:--:-- --:--:-- 136k first day of the first plan year beginning on or after January 1, 2026.

Health Insurance 74

Health Insurance HIPAA Compliance 74

Innovaare Compliance

JANUARY 15, 2024

CMS will implement negotiated pricing based on maximum fair price (MFP) in 2026 on ten (10) selected drugs. With a team of compliance specialists, Inovaare provides in-depth technical expertise and compliance preparedness evaluation, guidance, and support. Rebates from the selected drugs may change.

Medicare 52

Medicare Medicare Compliance FDA 52

Compliancy Group

MAY 30, 2023

However, this law won’t take effect until January 1, 2026, more than two and a half years after it was signed. HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. The post Indiana Privacy Laws: The Indiana Consumer Data Protection Act appeared first on Compliancy Group.

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HIPAA Compliance Health Insurance Governance 52

Dot Compliance

FEBRUARY 15, 2024

The QMSR enforcement will be effective starting on February 2, 2026, by which date device importers and manufacturers must modify their quality systems in line with the new rules’ requirements. Get Ready for QMSR with Dot Compliance While two years may seem like a long time away, don’t let it sneak up on you. Dot Compliance can help.

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FDA Compliance 52

Healthcare Law Blog

JANUARY 26, 2024

This is a change from the Proposed Rule, which proposed to have the requirement take effect on January 1, 2026. Impacted Payers will be required to submit annual Patient Access API usage data metrics to CMS beginning January 1, 2026. Impacted Payers must implement this requirement by January 1, 2027.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Matt Kinley

OCTOBER 22, 2024

Large health facilities and clinics will see an increase to $23 per hour in 2024, reaching $25 per hour by 2026.Other Enforcement and Penalties for Non-Compliance:- Employers failing to comply with Labor Code Section 226 can face enforcement actions by the Division of Labor Standards Enforcement or private suits for injunctive relief.

Compliance 40

Compliance Hospitals Medicaid Medicaid 40

Hall Render

OCTOBER 18, 2024

Food and Drug Administration (“FDA”) issued two compliance policies that outlined its strategy for enforcing the drug distribution security requirements established by the Drug Supply Chain Security Act (“DSCSA”), which were set to take effect on November 27, 2023. In August 2023, the U.S.

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FDA Compliance Licensing 40

Healthcare Law Blog

MARCH 14, 2024

The Final Rule takes effect on April 16, 2024 and entities must ensure full compliance by February 16, 2026. Additionally, HHS will be developing guidance on compliance with the new Part 2 requirements. Additionally, HHS will be developing guidance on compliance with the new Part 2 requirements.

HIPAA 52

HIPAA Compliance Health Services Administration Public Health 52

Redox

JANUARY 24, 2024

The compliance date remains January 1, 2026, for other portions of the rule, including prior authorization decision timeframes, reasons for denial, and metrics reporting. The final rule states that HHS will not enforce the use of the X12 standard for HIPAA compliance with electronic prior authorization if a FHIR API is used.

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HIPAA Compliance Payment Systems 59

C&M Health Law

DECEMBER 23, 2022

Most of the Proposed Rule’s provisions will be effective on January 1, 2026. The deadline to submit comments is March 13, 2023. Our initial takeaways are summarized below. The below summary does not focus on the Medicaid and Children’s Health Insurance Program (CHIP) Fee for Service (FFS) proposals.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Innovaare Compliance

APRIL 27, 2023

Regulatory changes and allied economics have always influenced ACA flux since its inception The Inflation Reduction Act enabled a continued extension of tax credits for ACA plan purchases till 2026, and includes provisions to offset the enhanced premium rise.

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ACA Medicaid Medicaid Health Outcomes 52

Healthcare Law Blog

DECEMBER 15, 2022

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

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Medicaid Medicaid Medicare Medicare 52

Health Care Law Brief

MARCH 8, 2022

In tandem with these protections, CMS will not allow current DCEs in the GPDC Model to continue participating in the ACO REACH Model unless they can demonstrate a “strong compliance record.” Performance in the ACO REACH Model will span five years through 2026.

Medicare 52

Medicare Medicare Fraud Compliance 52

Redox

NOVEMBER 21, 2023

Small physician practices, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, small rural acute care hospitals, and nonprofit clinics will have until January 2026.

Hospitals 59

Hospitals Nurses Public Health HIPAA 59

Hall Render

SEPTEMBER 20, 2024

Key considerations include (1) whether to retain some portion of ownership in the real estate or other assets of the practice, (2) implications of the FTC’s recent non-compete regulations, (3) state CON or similar transaction approval requirements, (4) compliance with the Corporate Transparency Act and (5) treatment of rollover equity.

Hospitals 40

Hospitals Nurses Compliance 40

Healthcare IT Today

MAY 5, 2023

billion by 2026 , driven in part by direct-to-consumer testing for health risks such as breast cancer and physician orders for prenatal testing, tumor molecular profiling and sequencing to diagnose rare disease. Such scenarios demand vigilance from health plans and new approaches to preventing inappropriate billing before it starts.

Fraud 67

Fraud Medicare Medicare Overpayment 67