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"Our combined efforts are expected to demonstrate how best to advance our nation’s technical infrastructure to enable SDOH interoperability as supported by ONC’s United States Core Data for Interoperability (USCDI) Version 2," ONC authors Ryan Argentieri, Samantha Meklir and Jawanna Henry wrote in ONC's HealthITbuzz blog.
by Tara Sklar Because I believe strongly in the benefits of telehealth, I have obtained licenses in six states through the Interstate Medical Licensure Compact. Like the IMLC and current state telehealth registration models, the IMTRC would include physician registration requirements as well as a governing body to oversee compliance.
Instead, it requires that physicians be licensed in the state where their patient is located to provide care. They can pursue additional licenses , which can be a costly and onerous process, or try to find an applicable exception to state licensing requirements, which may not exist or come with compliance challenges.
Licensure actions Disciplinary actions from state medical boards, like suspensions or revoked licenses. Exclusions from Medicare and Medicaid Instances where a provider has been banned from participating in government-funded healthcare programs. Civil judgments Lawsuits that reveal unethical behavior or misconduct.
All parties must adhere to both federal and state laws, including those set by governing bodies, and follow ethical standards that safeguard the well-being of patients. The primary governing bodies that set healthcare compliance standards include: The U.S.
It explains how conditions, forces, and systems, including poverty, discrimination, underlying health disparities, and governance, not only shape daily life but also vulnerability to climate-induced disasters (Figure 1). Source: Jim Evans via Creative Commons License.) Governments are often falling short of this vision.
License verification, especially nursing license verification, is essential to ensuring that only the most qualified practitioners are seeing your patients. Additionally, of all licensed RNs, 84.5% Additionally, of all licensed RNs, 84.5% License Verification Is Incredibly Complex. with more than 3.8
Credentialing involves a detailed review of a provider’s qualifications, including their: Education Work experience Certifications Licenses Professional standing This process ensures that patients see professionals who are properly trained and certified to provide the level of care they require.
In this blog, I will discuss the impact of a criminal charge on a Florida licensed health care professional. How Does a Plea of Nolo Contendere Affect Licensed Health Professionals? Additionally, the chapter of Florida Statutes that governs each type of health professional usually contains similar provisions.
While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. This blog post explains the impact for organizational operations in the event of a shutdown, and what healthcare leaders can expect based on previous years. What Is a Government Shutdown?
Under Florida’s new Prescription Drug Reform Act, PBMs must be licensed as an insurance administrator (also known as a third-party administrator, or TPA). Under this new law, any entity that wishes to provide PBM services after January 1, 2024, must be licensed as a TPA. The TPA license application is available here.
Board Certified by The Florida Bar in Health Law In representing nurses and other licensed health professionals, we constantly discuss positive drug screenings, usually from employer-ordered drug testing, with our clients. By George F. Indest III, J.D.,
Nurses have their own credentials, including verifying their nursing license, specialized certifications, and continuing education credits. Healthcare license verification and monitoring systems play a crucial role in ensuring nurses maintain up-to-date credentials while reducing administrative burdens.
For example, requiring all names to follow a “Last Name, First Name” format and license numbers to be entered uniformly can prevent mismatches. Failure to comply with these standards can lead to fines and may even jeopardize an organizations ability to operate.
Healthcare organizations’ increased reliance on telemedicine has led to new technological risks for the entire healthcare industry but especially for governance, risk management, and compliance (GRC) programs, creating a need for improved vigilance over data security.
Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.].
Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.].
The DEA’s administrative action against Truepill is what first prompted me to write this blog post. By the way, the DEA alleges that Truepill has violated the Controlled Substances Act by exceeding the 90-day supply limits and/or filling scripts written by prescribers who did not possess the proper state licensing.
Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.
Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.
Software can send reminders when a license is going to expire or when recredentialing is imminent. Reminders/Notifications Instantly see when licenses are expiring via automatic notifications starting 180 days from recredentialing. DEA and select state license verifications can be automatically completed and monitored.
Healthcare training requirements are specified by the federal government, state governments, sometimes city governments and accrediting bodies. In this article, I’ll share insight into how MedTrainer’s learning team keeps up with healthcare training requirements, and offer some suggestions if you’re creating content yourself.
Original source data is more difficult to access, there are more licensed professionals, and verification timelines are getting tighter. In this blog post, Ill lay out the new standard and explain in detail the challenges and trends that are forcing the change. Its forcing a new standard of PSV credentialing.
However, in all states, the NSA governs disputes relating to air ambulance services, not state law. Federal law governs disputes relating to out-of-network services provided by air ambulance providers. Background of the NSA. Thus, the DMHC confirmed, this legal framework qualifies as “specified State law” under the NSA.
Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. Indest III, J.D., In many cases, the individuals involved [.]
Hospitals and Clinics: Healthcare facilities, including hospitals, outpatient clinics and diagnostic labs may be required to provide a COI to governing authorities to verify insurance coverage to mitigate malpractice risk. It is central to credentialing, certifying that providers are licensed to provide care, and securing institutions.
Healthcare training requirements are specified by the federal government, state governments, sometimes city governments and accrediting bodies. In this article, I’ll share insight into how MedTrainer’s learning team keeps up with healthcare training requirements, and offer some suggestions if you’re creating content yourself.
In this blog, we’ll discuss the two processes and key differences between provider enrollment and credentialing. Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. So, what is the difference between provider enrollment and credentialing?
In fact, in 2024, Congress passed the MATE Act , requiring an additional eight hours of training for DEA-licensed practitioners to help them screen more people for substance use disorders, treat pain appropriately, prevent substance abuse, and engage in life-saving interventions. What Are Controlled Dangerous Substances?
The federal judge refused the dismissal on the grounds that the government had sufficiently backed its allegations against both the company and its owner. The government had also adequately backed its allegations that RS knew it had been overpaid but had made no attempt to refund the difference to Tricare, according to the judge.
Credentialing management helps organizations maintain compliance with regulatory standards set by accrediting bodies, government agencies, and industry regulators. Licenses Report that tracks licenses that require continuing education or refreshers. Enhanced Patient Safety. Risk Mitigation. Alignment With Payer Requirements.
In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation.
Whether anticipated or spontaneous, healthcare inspections by governing agencies can be one of the most nerve-racking experiences for healthcare and compliance professionals. Surviving an OSHA inspection is serious business. The stakes are high, with an organization’s financial health, reputation, and overall legitimacy on the line.
HEDIS works as a government rating tool. The HEDIS audit is performed by an NCQA licensed organization and addresses six elements, according to NCQA. After data has been collected and submitted to the National Committee for Quality Assurance (NCQA), health plans receive a score. What is a HEDIS audit? Sampling methods and procedures.
Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.
Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.
Documentation of SkillBridge enrollment must be provided and board licensing requirements must be met. OH SB 28 Virginia: The Virginia Department of Professional and Occupational Regulation and the Department of Health Professions has made several updates to the legislation governing health professionals.
Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding letter of qualification can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.
Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.
Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.
Alabama: Renewals for pharmacist licenses are active. Please ensure that the pharmacist license and controlled substance (if needed) permit are renewed and in your possession prior to January 1, 2023. AL BoP License Renewal . . License Verification Site. . License Verification Site. . California: .
Document Expiration Notifications Tracking license expiration dates for every provider and sending reminder after reminder until they renew is a perfect job for technology. A human needs to verify the license and enter the expiration date, but software can — and should — take it from here! See how much time you can save.
In this blog, we’ll look at the unique aspects of HRSA credentialing requirements and why many community health centers, FQHCs , and look-alikes use credentialing software to prepare for a successful on-site visit. Government-issued picture identification. Keeping these straight in a very fast-paced healthcare environment is tough!
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