Remove Article Remove Compliance Remove Medicaid
article thumbnail

Unraveling the Maze: Tackling Out-of-State Medicaid Claims and Credentialing Challenges

Healthcare IT Today

The following is a guest article by Crystal Campbell, Director Out-of-State Medicaid at Aspirion For healthcare providers, managing out-of-state (OOS) Medicaid claims can feel like traversing a regulatory minefield. This variation creates significant hurdles for hospitals treating OOS Medicaid patients.

article thumbnail

Recent Changes in Medicare/Medicaid Billing for Behavioral Health

Medisys Compliance

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Indiana Physician Fraud Conviction Highlights Compliance Risks

Hall Render

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. He was also ordered to pay $557,000 in restitution to Indiana Medicaid and Medicare. As such, providers should prioritize billing compliance.

Fraud 40
article thumbnail

Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

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.

article thumbnail

HITECH Compliance

AIHC

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.

article thumbnail

Corporate Compliance Training Software Is a Necessity

MedTrainer

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?

article thumbnail

How to Use TPE Plans for Compliance Auditing and Monitoring 

YouCompli

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.