MedTrainer

OCTOBER 16, 2023

Enter the Healthcare Compliance Officer — a role of paramount importance, ensuring that healthcare organizations operate within legal and ethical boundaries. Use this checklist on how to shine in your new compliance role when you’re ready to take the leap and apply or accept a position! What Is a Healthcare Compliance Officer?

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Total Medical ComplianceHIPAA

MARCH 14, 2024

Healthcare regulations are continuously changing making the role of a HIPAA Compliance Officer paramount. Key Responsibilities The duties of a HIPAA compliance officer vary depending on the size and scope of the organization’s compliance program. Monitoring the effectiveness of corrective action plans.

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YouCompli

JUNE 8, 2022

Sharon Parsley, JD, MBA, CHC, CHRC , is a health law attorney, compliance officer, author, speaker, investigator, and problem solver. She has nearly 20 years of healthcare compliance and legal leadership experience, and she believes that mentorship and on-the-job training are critical to compliance professional success.

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Healthcare IT Today

MARCH 27, 2025

The Risks: Ethics, Bias, and Compliance Challenges AI’s role in healthcare is evolving, but so are its associated challenges. Without strict governance, AI tools could inadvertently violate HIPAA and other healthcare privacy laws, placing patient confidentiality at riskmissteps that are not easily forgiven.

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Compliancy Group

OCTOBER 28, 2024

Per the OIG program guidance for nursing facilities, nursing homes must check for redundancies to ensure that beneficiaries don’t “supplement” what they receive from the federal government. However, in smaller facilities with staffing challenges, a compliance officer may need to fulfill other roles.

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Compliancy Group

NOVEMBER 6, 2024

With workforce compliance software and other digital tools, organizations can centralize and streamline their compliance activities, making it easier for employees to stay informed and actively maintain the highest healthcare standards.

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YouCompli

NOVEMBER 18, 2023

In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations. You know that your oncology department does a lot of industry sponsored phase 3 research and perhaps some phase 1 and 2 government-funded research.

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YouCompli

JANUARY 28, 2025

Think about your organization as the big top, and all of the responsibilities you have as the compliance officer are your chainsaws! In healthcare, the stakes are incredibly high, with strict regulations and standards that must be followed to ensure patient safety, privacy, and regulatory compliance.

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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. The integration of GRC programs in healthcare has been significantly bolstered by technological advancements.

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Governance Compliance HIPAA Regulatory Compliance 52

YouCompli

JANUARY 15, 2025

For example, are factors like workload, operational complexities, lack of awareness, or unclear policies driving the lapse in compliance? In a book called Humanizing Rules, former regulator and compliance officer/author Christian Hunt points out that if one person breaks a rule, youve got a people problem.

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Compliancy Group

DECEMBER 23, 2024

It also helps you maintain your credibility with government agencies and the public. How Software Helps You Monitor the FDA Debarment List for Clinical Trials Having access to the FDA debarment database is helpful, but monitoring this list is one of the many tasks and responsibilities of compliance officers.

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FDA Compliance Compliance Officers HIPAA 52

MedTrainer

NOVEMBER 14, 2023

While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. Compliance officers, human resource leaders, credentialing teams, and administrators are all asking themselves these critical questions. What Is a Government Shutdown?

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Health Law Advisor

OCTOBER 5, 2022

Thus, she emphasized that “if a cooperating company discovers hot documents or evidence [during a government investigation], its first reaction should be to notify the prosecutors.”. that the compliance program is “reasonably designed and implemented.”.

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MedTrainer

JANUARY 30, 2024

What types of healthcare facilities are required by the government to have a compliance program? In this blog, we’ll outline what types of healthcare facilities are required by the government to have a compliance program and why compliance is crucial for both healthcare organizations and the agencies that support them.

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Compliancy Group

MARCH 12, 2025

With such a wide range of potential noncompliance incidents, more compliance officers are exploring ways to combat these penalties so they can respond proactively instead of reactively. The False Claims Act prohibits the knowing submission of a false or fraudulent claim to the federal government.

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Verisys

APRIL 3, 2025

Exclusions from Medicare and Medicaid Instances where a provider has been banned from participating in government-funded healthcare programs. Compliance and Legal Considerations The NPDB is governed by strict federal regulations that impact both healthcare organizations and individual providers.

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Healthcare Blog

APRIL 7, 2025

Some systems are designed exclusively for compliance officers, while others (like MCN Solutions) are built for the entire organizationgiving HR, IT, risk management, and leadership teams shared access to the tools they need. Why is it Important for Your Facility to Have Healthcare Compliance Software? Why choose MCN?

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Compliancy Group

JANUARY 16, 2024

Let’s dive right into the significance behind these solutions, emphasizing the role of the Compliance Officers (COs) in reporting to the Board of Directors and the importance of compliance training for the Board. This open line of communication fosters a culture of accountability throughout the organization.

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Verisys

MARCH 6, 2025

Healthcare executives and compliance officers must consistently update and verify provider data to enhance patient care, adhere to regulatory standards, and streamline administrative tasks. Similarly, insurance companies that process thousands of claims daily require up-to-date provider information to avoid claims delays and denials.

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Verisys

MARCH 6, 2025

Healthcare administrators and compliance officers must be prepared to navigate these obstacles to maintain a seamless, efficient process. This process helps guarantee that providers stay in line with state and federal regulations, keeping healthcare organizations in good standing with insurers, regulators, and other key players.

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MedTrainer

FEBRUARY 27, 2025

As a healthcare compliance officer, I have to ensure our governing board is not only informed about compliance matters but also actively engaged even when it competes with other priorities for attention. Only 14.6% Patti shared practical strategies for balancing strategic oversight with operational details.

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C&M Health Law

DECEMBER 18, 2023

Compliance policies should be developed under the direction and supervision of the compliance officer and compliance committee and should address the implementation and operation of an entity’s compliance program and processes. OIG’s updated take on the seven elements is briefly summarized below. (1)

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Health Law Advisor

AUGUST 25, 2023

In July 2022, the New York State Office of the Medicaid Inspector General (“OMIG”) proposed extensive modifications to the regulatory requirements governing compliance programs for entities receiving “significant” Medicaid revenue (increased by these regulations from a threshold of $500,000 to $1 million).

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Healthcare IT Today

MARCH 15, 2023

The number of stakeholders in charge of this field has multiplied (CIO, CDO, CTO, business leaders, records manager, data protection officer, compliance officer, office manager, etc.) and they must all operate from one information security framework that ensures compliance, protection and interoperability.

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Healthcare Blog

DECEMBER 29, 2024

Get it wrong and it could have a critical impact compliance issues, trouble safeguarding patient safety, and an increase in organizational risk. Contracts govern relationships with vendors, suppliers, service providers, and staff. They often must be forwarded to legal teams, compliance officers, and executive leadership.

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Compliance Regulatory Compliance HIPAA Governance 52

YouCompli

AUGUST 2, 2022

Healthcare compliance history has shown that when the government disperses significant funds, audits and enforcement associated with the disbursement of those funds will shortly follow. The Federal government spent unprecedented trillions of dollars throughout the COVID public health emergency (PHE). MorseLife agreed to pay $1.75

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Healthcare IT Today

DECEMBER 26, 2024

Kel Pults, DHA, MSN, RN-BC, NREMT, Chief Clinical Officer and VP Government Strategy at MediQuant In 2025, healthcare organizations are likely to significantly increase budgets for cybersecurity and infrastructure projects in response to the large breaches of recent years.

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MedTrainer

AUGUST 9, 2023

Be proactive and view a checklist of the “Top Compliance Risks That Should Be Shared With Your Governing Body.” How Does Healthcare Risk Management Software Help Organizations Identify and Mitigate Risks? Risk managers and compliance officers can define specific metrics, parameters, and data points to be included in the reports.

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MedTrainer

JANUARY 26, 2024

In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates. What is Healthcare Compliance? These certificates validate their expertise in monitoring and ensuring compliance within their institutions.

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Compliancy Group

APRIL 17, 2024

For example, the OIG has focused on billing and coding, quality of care, data security and privacy, and Medicare compliance. Compliance officers and other healthcare leaders should stay updated on these focus areas and be able to anticipate annual changes in audit policy.

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Compliancy Group

MAY 9, 2024

More compliance officers are prioritizing a solution that helps reduce this type of strain: GRC automation. Centralizing your Governance, Risk, and Compliance (GRC) processes is a simple way to streamline your compliance efforts. This is why compliance officers are prioritizing GRC automation.

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Healthcare Blog

NOVEMBER 13, 2024

They come from a variety of sources, including federal, state, and local governments. Continuous Education to Engage Employees in the Compliance Process Incorporating ongoing compliance education is a crucial part of effective regulatory change management. Regulations can change quickly.

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MedTrainer

APRIL 16, 2024

Healthcare compliance auditing software helps compliance managers prepare their organization for an audit. As the regulatory landscape evolves, having robust healthcare compliance software to ensure you’re audit-ready will become increasingly important for compliance officers in 2024.

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Compliance Compliance Officers Regulatory Compliance Governance 52

Compliancy Group

APRIL 24, 2024

Why Compliance Monitoring Matters Healthcare regulations are continually evolving. Staying ahead means understanding these regulations and actively monitoring compliance across all levels of an organization. From hiring and safety to data governance, it all matters.

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YouCompli

JUNE 29, 2022

With it, compliance officers have guided their healthcare organizations in complying with changing documentation, coding, and confidentiality requirements. As virtual care requirements for telehealth evolve, we explore how compliance officers can support patient care and help their organizations stay up to date.

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Verisys

MAY 3, 2023

For guidance on your specific healthcare industry segment, see OIG’s compliance program guidance documents. What is an effective healthcare compliance program? Designate an employee as the compliance officer and form a compliance committee. Measuring effectiveness: Who is your designated compliance officer?

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MedTrainer

APRIL 22, 2024

A healthcare compliance committee is a cross-functional team that monitors compliance at a strategic level. An influential healthcare compliance committee supports the compliance officer in promoting ethical practices, mitigating risks, and advising on compliance program operations.

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