YouCompli

OCTOBER 16, 2024

Radiology services can be accompanied by some unique compliance challenges that do not always exist with other types of health care services. The following tips can help compliance professionals as they develop strategies to monitor compliance associated with typical radiology services. Any claim billed with ICD-10 code R51.9

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Compliance Medicare Medicare Hospitals 52

Healthcare IT Today

JULY 15, 2024

The following is a guest article by Heather Randall, PhD, Chief Compliance Officer at TrustCommerce Regardless of whether the information is clinical, financial, or demographic, patients are increasingly worried about the possibility that their personal data could be compromised.

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Compliance Payment Systems Compliance Officers Hospitals 123

Electronic Health Reporter

DECEMBER 7, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Crucial Lessons From Past HIPAA Non-Compliance Cases appeared first on electronichealthreporter.com. Illegal copying is prohibited. The Healthcare Insurance Portability and Accountability Act (HIPAA) was adopted in 1996.

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HIPAA Compliance 163

MRO Compliance

OCTOBER 17, 2024

Internal audits and monitoring are essential practices to ensure coding and billing compliance, protect revenue, and defend against payer audits and clinical denials.

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Compliance 147

Electronic Health Reporter

JANUARY 15, 2021

This article is copyrighted strictly for Electronic Health Reporter. And in 2021, the focus on compliance is expected to increase. The article Challenges of Maintaining HIPAA Compliance: 9 Pain Points appeared first on electronichealthreporter.com. Illegal copying is prohibited.

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HIPAA Compliance Health Insurance 136

Healthcare IT Today

DECEMBER 13, 2023

The following is a guest article by Dotty Bollinger, JD, Healthcare Compliance Consultant, Compliancy Group The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) reached a settlement with Doctors’ Management Services after the healthcare vendor succumbed to a ransomware attack.

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Compliance Ransomware Regulatory Compliance HIPAA 119

Electronic Health Reporter

APRIL 8, 2020

This article is copyrighted strictly for Electronic Health Reporter. There are several regulatory compliance requirements that healthcare organizations must follow. The article Regulatory Compliance For Healthcare Organizations appeared first on electronichealthreporter.com. Illegal copying is prohibited.

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Regulatory Compliance Compliance HIPAA Health Insurance 132

Electronic Health Reporter

MARCH 25, 2024

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

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Compliance 91

Healthcare IT Today

NOVEMBER 1, 2024

The following is a guest article by Ismail Moola, Co-Founder and CEO at TimeSmart.AI The Role of AI in Physician Payments In healthcare, operational efficiency and contract compliance are paramount. There are several compliance issues that healthcare organizations must avoid when it comes to physician compensation plans.

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Compliance Due Diligence Hospitals Regulatory Compliance 63

MedTrainer

MAY 3, 2024

Non-compliance with these regulations can result in jail time, large fines, and even loss of license. Keeping compliance and fraud prevention top of mind can help to protect both your organization and its staff. Here are four ways healthcare compliance software simplifies fraud prevention: 1.

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Fraud Compliance Compliance Officers Licensing 94

Electronic Health Reporter

AUGUST 24, 2021

This article is copyrighted strictly for Electronic Health Reporter. The article Smile CDR Finalizes 20 US Payers’ Compliance with CMS Interoperability and Patient Access Final Rule appeared first on electronichealthreporter.com. Illegal copying is prohibited. payer databases.

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Compliance 170

YouCompli

OCTOBER 9, 2024

Similar to a football coach, a Compliance Officer is accountable to the organizational leadership and Board for the effectiveness of the compliance program. As the Fourth Quarter approaches, compliance program initiatives must be evaluated before the “final whistle” at the end of the year.

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Compliance Compliance Officers HIPAA 52

HIPAA Journal

APRIL 5, 2024

Standards relevant to HIPAA compliance for email appear throughout the HIPAA Administrative Simplification Regulations – from the applicability and preemption standards of Part 160 (the General Requirements) to the privacy, security, and breach notification standards of Part 164.

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HIPAA Compliance 88

Compliancy Group

JULY 10, 2024

Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the compliance officer. What Does a Compliance Officer Do?

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Compliance Officers Compliance Fraud Electronic Medical Records 64

MedTrainer

AUGUST 9, 2024

Establishing measurable compliance objectives enables organizations to track their progress, identify areas for improvement, and mitigate risks before they escalate into significant issues. But how do you write healthcare compliance goals that accomplish this? We’ll tackle that question and more in this article.

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Compliance HIPAA Governance Health Insurance 52

MedTrainer

AUGUST 9, 2024

Healthcare organization leaders must balance the need for greater operational efficiency while reducing costs and minimizing compliance risk. This isn’t easy in a regulation-heavy industry where non-compliance can lead to severe penalties, including fines and legal actions.

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Compliance Governance Compliance Officers HIPAA 52

MedTrainer

APRIL 16, 2024

In healthcare, maintaining regulatory compliance is crucial for providing quality patient care and avoiding costly penalties. Healthcare compliance auditing software helps compliance managers prepare their organization for an audit. What is Healthcare Compliance Auditing Software?

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Compliance Compliance Officers Regulatory Compliance Governance 52

YouCompli

SEPTEMBER 18, 2024

When conducting their periodic risk assessments, most compliance professionals use the OIG’s Work Plan or recent DOJ enforcement actions to help determine how best to deploy time and resources on auditing and monitoring efforts. You can use this information to create your own checklist for compliance audits or proactive monitoring.

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Compliance Medicare Medicare Medicaid 52

MedTrainer

APRIL 22, 2024

Creating and using a supplier compliance checklist ensures vendors meet regulatory requirements and are trusted partners in managing sensitive information. In this article, I’ll discuss why supplier compliance is as critical as legal and regulatory adherence for healthcare organization employees.

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Compliance HIPAA Licensing Fraud 52

MedTrainer

JULY 29, 2024

Healthcare compliance is complicated for organizations of any size. However, the complexities grow exponentially for large or enterprise organizations with hundreds or thousands of employees who must complete and pass rigorous compliance training. What Is Corporate Compliance Training?

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

Medisys Compliance

FEBRUARY 27, 2024

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

MedTrainer

JULY 3, 2024

Determining the necessary compliance training and ensuring your staff stays ahead of these requirements can be complex without comprehensive home health training. In this article, we’ll explore the requirements for home health training and ideas for simplifying its delivery.

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Compliance HIPAA Fraud Health Insurance 52

Hall Render

NOVEMBER 1, 2024

As such, providers should prioritize billing compliance. Practical Takeaways Ensure billing practices align with compliance standards : Physicians, particularly in addiction treatment, should prioritize compliance by verifying that all billing accurately reflects services rendered.

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Fraud Compliance Medicaid Medicaid 40

Electronic Health Reporter

JANUARY 12, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article Eliminating Revenue Leakage and Compliance Risk With A Unified Approach To Revenue Integrity appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Ritesh Ramesh, chief operating officer, Hayes Management.

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Compliance Hospitals 133

HIPAA Journal

MARCH 30, 2023

The seven elements of a compliance program are integrated processes organizations in all industries can adopt to help them develop a culture of compliance in the workplace. While the seven elements of a compliance program apply to all industries, they originated in the healthcare industry in the 1990s.

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Compliance Compliance Officers Fraud HIPAA 111

MedTrainer

FEBRUARY 7, 2024

The complex world of healthcare compliance demands a clear understanding of responsibilities. For those new to the role of compliance officer, the question often arises: “Who is responsible for compliance in healthcare?” Who is Responsible for Compliance in Healthcare?

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Compliance Compliance Officers Health Insurance Medicaid 52

MedTrainer

JULY 11, 2024

Maintaining regulatory compliance has never been easy, and the pace of change isn’t slowing. In this article, I will share the impact of change on regulatory compliance and a few strategies to reduce disruption. Let’s start by defining regulatory compliance. What Is Regulatory Compliance?

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Regulatory Compliance Compliance Compliance Officers Hospitals 52

MedTrainer

JUNE 4, 2024

Maintaining compliance in hospitals, health centers, and other clinically based pharmacies goes beyond the handling, dispensing, and prescribing of drugs. Pharmacy compliance rules require staff to properly manage electronic prescriptions, maintain mandatory licenses, and complete continuing education (CE) courses.

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Compliance Licensing Governance FDA 52

MedTrainer

JULY 8, 2024

However, staffing challenges and limited resources may make adhering to compliance rules difficult without physician office training programs. In this article, we’ll explore the requirements for physician office training and ideas for simplifying its delivery.

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Compliance HIPAA Fraud Health Insurance 52

MedTrainer

JULY 31, 2024

Healthcare organizations of all sizes and types are increasingly adopting governance, risk, and compliance (GRC) frameworks to address the industry’s complex regulatory landscape and evolving challenges. Implementing GRC for healthcare has substantial benefits for healthcare leaders. What Is Healthcare GRC?

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Governance Compliance HIPAA Regulatory Compliance 52

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.

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Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Compliancy Group

JUNE 15, 2022

A recent survey of Compliance Officers reveals more than half feel their mental health has been negatively affected by their jobs. Sponsored by Corporate Compliance Insights, the survey is one of the first in recent years to examine workplace stress and its role on employees. Compliancy Group can help! Learn More!

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Compliance Officers Compliance US Department of Health and Human Services HIPAA 98

MedTrainer

MAY 28, 2024

This Catch-22 creates challenges in ensuring compliance and accountability in healthcare. In this article, we will explore the challenges of accountability in healthcare and how organizations can effectively develop strategies to manage this intricate dance of responsibility. Why Is Accountability in Healthcare Challenging?

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Compliance Compliance Officers 52

MedTrainer

NOVEMBER 6, 2023

As a leader in public health initiatives, compliance in Washington state can involve more regulations and additional grant funding, which both require diligence by compliance professionals. This article provides an overview of key factors you’ll want to know about healthcare compliance in Washington.

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Compliance Licensing Public Health Governance 52

MedTrainer

MAY 21, 2024

With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care. Training requirements vary by role and specific healthcare setting.

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Compliance Medicaid Medicaid HIPAA 52

MedTrainer

JULY 5, 2024

Healthcare compliance is a cornerstone of organizational integrity and operational efficiency. For board members steering healthcare institutions, understanding and prioritizing compliance is not merely a legal obligation but can also double as a strategic imperative.

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Compliance Governance Regulatory Compliance Hospitals 52

MedTrainer

MAY 20, 2024

Understanding the differences in these requirements can ensure staff are taking the most relevant courses to maintain regulatory and accreditation compliance. In this article, we’ll explore the requirements for FQHC training and ways to simplify training delivery. However, meeting FQHC requirements is not as easy as it sounds!

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Compliance HIPAA Health Insurance Medicaid 52