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.

Compliance 147

Compliance 147

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

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.

Compliance 110

Compliance Compliance Officers Fraud HIPAA 110

Bill of Health

NOVEMBER 7, 2023

Better still would be for both these instruments to include separate articles that directly address human rights, incorporating and stating states’ express commitment to the Principles – though a human rights article included in the pandemic treaty’s initial draft was since removed.

COVID-19 289

COVID-19 Public Health World Health Governance 289

Healthcare IT Today

NOVEMBER 30, 2023

The following is a guest article by Boris Dzhingarov. This information must be protected to avoid any legal implications and ensure compliance with privacy regulatory laws, like the Health Insurance Portability and Accountability Act (HIPAA). Let’s discuss the topic in detail. What is HIPAA? healthcare legislation.

Compliance 128

Compliance HIPAA Health Insurance Hospitals 128

Electronic Health Reporter

MARCH 25, 2024

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

Compliance 91

Compliance 91

Electronic Health Reporter

DECEMBER 15, 2020

This article is copyrighted strictly for Electronic Health Reporter. Motivating healthcare workers to follow proper hand hygiene compliance guidelines is the number one way to reduce the spread of infections in hospitals, according to both the Center for […]. Illegal copying is prohibited.

Compliance 171

Compliance Hospitals 171

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.

Fraud 94

Fraud Compliance Compliance Officers Licensing 94

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.

HIPAA 87

HIPAA Compliance 87

Healthcare IT Today

APRIL 11, 2024

The following is a guest article by Jon Stewart, Co-Founder and President at ZenSource Historically, the terms “patient data,” “open-source,” and “healthcare CMS” might have seemed incongruous. Regularly review and update your security policies and procedures to ensure compliance with applicable regulations and standards.

Compliance 124

Compliance Health Insurance HIPAA 124

MRO Compliance

JUNE 5, 2023

Innovation Between Payers and Providers June 5, 2023 Healthcare Innovation Sanket Baralay, Chief Innovation Officer at MRO, and Matthew Raynor, Group Publisher at Healthcare Innovation, discuss the ongoing challenges between payers and providers, especially when it comes to reimbursement and compliance. View Full Article

Compliance 130

Compliance 130

Healthcare IT Today

DECEMBER 2, 2024

The following is a guest article by Emmanuelle Hose, Global Vice President of Industry Solutions at Rimini Street The use of AI in the healthcare market is booming , having reached $22,449.3 Are there standardized protocols for data collection that ensure compliance with regulations such as HIPAA? annually through 2030.

Regulatory Compliance 121

Regulatory Compliance Compliance HIPAA Governance 121

MRO Compliance

JANUARY 20, 2023

2023 forecast: Balancing patient privacy and data sharing January 19, 2023 Healthcare IT News Harmonizing HIPAA with interoperability, third-party compliance and data usability are among the priorities this year for Rita Bowen, a member of the Sequoia Project board of directors and MRO vice president. View Full Article

HIPAA 130

HIPAA Compliance 130

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.

Compliance 72

Compliance Due Diligence Hospitals Regulatory Compliance 72

MRO Compliance

FEBRUARY 28, 2023

Only with such a focus can they deliver programs and services that are essential for coordinating internal efforts to maintain operational efficiency, compliance and optimal payment. View Full Article For this reason, few finance or revenue cycle leaders would discount its importance as a function.

Hospitals 130

Hospitals Compliance 130

MRO Compliance

FEBRUARY 15, 2023

Information Blocking: Leading the World in Patient Access: Two Insights Post Data Liberation Day February 15, 2023 For The Record October 6, 2022, marked the formal enforcement and compliance deadline for the United States health care industry to provide patients with access to their electronic health information (EHI). View Full Article

Compliance 130

Compliance 130

Bill of Health

NOVEMBER 28, 2023

containing the infectious disease outbreak), against the short-, medium- and long-term impact of such measures on children’s enjoyment and realization of rights, namely the right to development (Article 6(2)), the right to education (Article 28) and the right to play (Article 31). Similarly, Principle 6.1

Public Health 189

Public Health COVID-19 COVID-19 Vaccine State Policy 189

MRO Compliance

OCTOBER 15, 2024

Find out in this NCQA feature article by MRO’s Vice President of Product Management, Yana Ankudinova. View Full Article  But what does this really mean, and how do health care organizations go beyond just “managing” data to truly optimizing it for data exchange while increasing its quality?

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147

Healthcare IT Today

FEBRUARY 27, 2024

The following is a guest article by Dan O’Connor, Vice President of Service Desk at HCTec The healthcare industry has quickly evolved to be very data-driven, and the role of IT has become essential in the patient delivery experience. Compliance and Security Compliance and security should be of the highest prioritization.

Compliance 126

Compliance Regulations Compliance Hospitals 126

Medisys Compliance

NOVEMBER 26, 2024

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. As healthcare providers navigate the complexities of SNF billing, maintaining compliance is essential to avoid penalties, denials, and financial losses.

Compliance 52

Compliance Medical Billing Outsourcing Medicare Medicare 52

MRO Compliance

NOVEMBER 29, 2023

View Full Article  They have developed a new solution that caters to this payer-provider interface. By bridging this data gap, MRO aims to enhance trust between providers and payers.

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182

Bill of Health

OCTOBER 14, 2022

However, these agencies typically lacked the necessary resources to monitor compliance, much less enforce mandates. This blog post is excerpted and adapted from his article, Responsive Analysis: Public Health Federalism and Tort Reform in the U.S. In response to the COVID-19 pandemic, U.S.

COVID-19 325

COVID-19 Public Health Elder Care Governance 325

Healthcare IT Today

JULY 16, 2024

The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article is the fourth in the Healthcare Regulatory Talk series. Preparing for the new standards now and understanding how they fit into the broader regulatory roadmap will position you well for future compliance.

Compliance 124

Compliance Medicaid Medicaid Medicare 124

MRO Compliance

NOVEMBER 22, 2024

View Full Article  Plus, there’s a complex maze of national and state laws which govern when and how healthcare data can and should be shared. Healthcare IT Today’s John Lynn dove into the topic at the AHIMA 2024 National Conference with MRO Chief Product Officer, Mo Weitnauer.

Governance 147

Governance 147

Healthcare IT Today

MARCH 4, 2024

The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article is the third in the Healthcare Regulatory Talk series. It’s no surprise that HTI-1’s first deadline in a four-year compliance timeline supports the ONC’s most ambitious regulatory action in more than a decade.

Compliance 131

Compliance Hospitals 131

Healthcare IT News - Telehealth

JUNE 9, 2022

Although not intended to be a comprehensive guide, this article will highlight the regulatory issues that non-physician service providers need to be aware of as they seek to provide telehealth services in Japan. engaging a qualified general compliance manager for marketing). License and approval. 145 of 1960, as amended) (PMD Act).

Licensing 165

Licensing Telemedicine Governance Compliance 165

Healthcare IT Today

DECEMBER 21, 2023

The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers.

Records Management 128

Records Management Regulatory Compliance Compliance HIPAA 128

Electronic Health Reporter

MARCH 19, 2021

This article is copyrighted strictly for Electronic Health Reporter. The article How To Optimize Your Healthcare Practice with Advanced Technology Solutions appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Terrence D. Sims, president of strategic growth and marketing, Raintree Systems.

COVID-19 172

COVID-19 Compliance 172

Healthcare IT Today

NOVEMBER 13, 2023

The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article kicks off the Healthcare Regulatory Talk series. Some key HTI-1 compliance deadlines require action before the end of 2024.To There’s no time to waste.

Compliance 132

Compliance Doctors Hospitals 132

Medical Gas Compliance

JANUARY 2, 2024

Compliance requires that accredited personnel, usually a third party specializing in medical compliance, conduct all repairs, maintenance, and inspections. This article only covers some requirements of NFPA 99 and should not replace the official NFPA 99 Healthcare Facilities Code.)

Compliance 92

Compliance Hospitals 92

Medisys Compliance

MARCH 5, 2024

This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing. Compliance Risks: Cardiologists must stay abreast of evolving regulatory requirements and compliance standards to avoid penalties or audits related to fraudulent billing practices.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

MRO Compliance

FEBRUARY 21, 2024

View Full Article  While the vision of seamless data exchange promises improved patient care and streamlined operations, the journey is not without its hurdles. Here we explore the three main interoperability challenges that continue to shape the narrative in healthcare.

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130

Healthcare IT Today

DECEMBER 11, 2024

The following is a guest article by Tim Armstrong, Head of Product Management at Retarus Throughout the healthcare industrys digital transformation revolution, fax servers have remained a staple due to their reliability, interoperability, and regulatory necessity. The high costs of maintaining on-premises fax servers, averaging $6.9

Compliance 75

Compliance HIPAA Regulatory Compliance Hospitals 75

HIPAA Journal

APRIL 26, 2024

The Society of Corporate Compliance and Ethics (SCCE) has recently accredited ComplianceJunction’s ‘HIPAA Training for Organizations’ training course. The CCB is an independent body that recognizes individuals with competence in the practice of compliance and ethics.

HIPAA 108

HIPAA Compliance Health Insurance 108

MRO Compliance

AUGUST 2, 2022

This article lays out upcoming applicability dates and provides valuable insights for how HI professionals across domains can add their voices and expertise to the interoperability conversation. View Full Article. Several interoperability milestones are planned for 2022 that HI professionals should know.

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130

AIHC

NOVEMBER 12, 2024

This article addresses how these privacy rights extend beyond rules designated under HIPAA and States passing rules banning unauthorized pelvic exams. These revisions resulted from recent articles, media reports, and concerns from nurses, some physicians, and medical students opposing these exams. [3],[4]

Informed Consent 98

Informed Consent HIPAA Compliance Hospitals 98

MRO Compliance

JANUARY 25, 2023

This Journal of AHIMA article is an important launch point for anyone involved in HIM and coding audits. Report quarterly to the executive leaders (compliance leaders, CMOs, and finance leaders) to maintain executive support and engagement. To read our full article, visit the Journal of AHIMA.

Compliance 130

Compliance Hospitals 130