Healthcare IT Today

MARCH 27, 2025

With only 6% of organizations having fully operationalized responsible AI frameworks , the healthcare industry must take a measured approach to ensure AI integration aligns with patient safety and regulatory compliance.

Governance 60

Governance Compliance HIPAA Regulatory Compliance 60

Healthcare IT Today

DECEMBER 26, 2024

Recent incidents involving fake video calls and voice cloning demonstrate the technology’s potential for sophisticated fraud. Patient-centric access controls enabling granular data privacy protections will also be key to maintaining trust and regulatory compliance.

US Department of Health and Human Services 90

US Department of Health and Human Services Ransomware Compliance Hospitals 90

Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. What Is the National Practitioner Data Bank (NPDB)?

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

Compliancy Group

OCTOBER 16, 2024

There’s a significant connection between healthcare compliance and risk management. Compliance officers must thoroughly understand both concepts to protect their organizations and the patients they serve. Risk management refers to identifying, avoiding, and mitigating the factors contributing to healthcare non-compliance.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Such an ongoing auditing system is crucial to a healthcare organization’s compliance program.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

MedTrainer

JANUARY 31, 2024

Certified Professional Compliance Officer (CPCO): The CPCO certification is offered by the American Academy of Professional Coders and is tailored to professionals who manage and lead compliance programs. Certified Medical Compliance Officer (CMCO): The CMCO certification is offered by the Practice Management Institute.

Compliance 52

Compliance Compliance Officers Fraud HIPAA 52

MedTrainer

JULY 29, 2024

Corporate compliance training software is vital to tailoring programs to staff, departments, and locations. Corporate compliance training software helps healthcare executives and compliance officers mitigate legal and financial risks while fostering a culture of ethical behavior.

Compliance 52

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

MedTrainer

SEPTEMBER 8, 2023

Certified Professional Compliance Officer (CPCO): The CPCO certification is offered by the American Academy of Professional Coders and is tailored to professionals who manage and lead compliance programs. Certified Medical Compliance Officer (CMCO): The CMCO certification is offered by the Practice Management Institute.

Compliance 52

Compliance Compliance Officers HIPAA Regulatory Compliance 52

Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The GCPG further explains how to implement these elements.

Compliance 52

Compliance Due Diligence Fraud Governance 52

YouCompli

MAY 25, 2022

Just look at the rampant, unreported fraud that took down Enron in the early 2000s. In both cases, the alleged fraud could not have gotten as far as they did in an organization that valued regulatory compliance and ethical behavior. Definition of compliance culture in healthcare.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

MedTrainer

FEBRUARY 1, 2024

A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

MedTrainer

AUGUST 30, 2023

Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. These include laws related to insurance, healthcare privacy (HIPAA), billing practices, and fraud and abuse prevention. Quality of Care Standards. MedTrainer is an all-in-one platform that helps them do it efficiently.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

JANUARY 26, 2024

Ways Compliance Can Decrease Revenue Fines and Penalties: Compliance with federal, state, and local regulations is essential to avoid fines, penalties, and legal liabilities. Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JULY 25, 2024

Because enterprise healthcare organizations may employ hundreds or thousands of people, having a HIPAA compliance checklist helps to effectively manage the complexities of protecting patient information, reducing the risk of violations, and maintaining a culture of compliance throughout the organization. What Is HIPAA?

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

Compliancy Group

SEPTEMBER 20, 2023

By investing in healthcare compliance readiness, organizations can mitigate: Fraud Data Breaches Non-Compliance Penalties Anticipating Future Requirements: Being Aware & Prepared One key aspect of healthcare compliance readiness is proactively anticipating future requirements.

Compliance 52

Compliance Regulatory Compliance Compliance Officers Fraud 52

Hall Render

NOVEMBER 25, 2024

Quality of Care and Quality of Life OIG identified that beyond the Requirements of Participation for Long Term Care Facilities in 42 CFR 483 , the failure to provide quality care and promote quality of life poses a risk of fraud and abuse for nursing facilities. Compliance Officer Experience. Competency-Based Training.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

MedTrainer

JULY 31, 2024

A well-executed GRC strategy using healthcare compliance management software enables organizations to improve patient safety outcomes by proactively identifying and mitigating potential risks.

Governance 52

Governance Compliance HIPAA Regulatory Compliance 52

Healthcare Law Today

DECEMBER 12, 2022

Maureen has extensive experience handling malicious insider matters ranging from employee fraud, embezzlement, and misappropriation to breaches of non-solicitation, non-compete and confidentiality agreements. But more recently, both the Department of Justice and the Office of Inspector General at HHS have engaged in. Mark Josephs.

Telemedicine 49

Telemedicine Fraud Governance Compliance 49

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52