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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HIPAA Journal

NOVEMBER 17, 2022

HIPAA Journal is conducting interviews with healthcare professionals and service providers to find out more about their compliance journeys, how the HIPAA Rules have affected their working lives, and the successes and challenges they have faced with HIPAA compliance. Tell the readers about your career in the healthcare industry.

Governance 96

Governance HIPAA Compliance Nursing Homes 96

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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Compliance Officers Compliance Licensing Governance 52

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

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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Governance Compliance Nursing Homes Medicaid 52

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

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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Governance Medicaid Medicaid Medicare 52

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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Compliance Officers Compliance Due Diligence Governance 52

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.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Regulations Compliance 52

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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Regulatory Compliance Compliance Compliance Officers HIPAA 52

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)

Compliance 52

Compliance Compliance Officers Governance Overpayment 52

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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Compliance Overpayment Overpayments Compliance Officers 52

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.

Compliance 114

Compliance Governance Compliance Officers Records Management 114

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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COVID-19 Vaccine COVID-19 Nursing Homes Compliance Officers 52

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.

Regulatory Compliance 80

Regulatory Compliance Compliance Compliance Officers Health Insurance 80

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.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

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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Compliance Officers Compliance Malpractice Governance 52

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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Nurses Compliance Nursing Homes Compliance Officers 52

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

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.

Compliance 52

Compliance Compliance Officers Fraud Health Insurance 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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Compliance Compliance Officers Compliance Framework Hospitals 59

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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Compliance Officers Compliance Telemedicine COVID-19 52

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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Compliance Compliance Officers ADA Governance 52

Healthcare IT Today

MARCH 19, 2024

However, informaticists aren’t typically the people who will implement, use, or govern AI systems. Finally, the compliance officers responsible for patient safety and regulatory adherence must assess the system as it’s being designed. They must provide input before an AI system is implemented.

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Department of Veterans Affairs Compliance Officers HIPAA Governance 130

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.

Compliance 52

Compliance Compliance Officers Governance Medicaid 52

YouCompli

MAY 24, 2023

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. Routine occurrences – and a potential compliance issue if it looks like financial kickbacks are involved. In this case, a laboratory settled allegations by paying the government millions of dollars.

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Compliance Officers Compliance Doctors Due Diligence 52

Healthcare Compliance Blog

FEBRUARY 15, 2022

Congress strengthened the False Claims Act by increasing incentives for whistleblowers to file lawsuits alleging false claims on behalf of the government. If the government prevails in a qui tam action, the whistleblower, also known as the relator, typically receives a portion of the recovery ranging between 15% and 30%.

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Fraud Governance Compliance Medicare 59

Compliancy Group

SEPTEMBER 16, 2024

Office of Inspector General (OIG) enforces the General Compliance Program Guidance. This comprehensive document governs patient care, worker safety, and privacy and confidentiality of protected health information (PHI). Compliance officers have access to more information about their responsibilities and roles.

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Compliance Compliance Officers Fraud Electronic Medical Records 52

MedTrainer

JULY 12, 2024

For example, CHC holders must show they can “define the scope of compliance program consistent with current industry standards” and “verify the governing board understands its responsibility as it relates to the compliance program and culture,” among other vital duties.

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Compliance Compliance Officers Governance 52

Total HIPAA

OCTOBER 3, 2023

You can advertise your strong HIPAA compliance approach and likely gain a stronger customer base as well as improved client relationships through having a strong culture of compliance that all employees can speak to. In fact, a level of vigilance is required from a good compliance officer. What is the Alternative?

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Compliance Due Diligence HIPAA Compliance Officers 98

MedTrainer

JULY 13, 2023

Laws Are Behind the Technology Governing bodies are racing to keep up with the AI evolution, but very few have released policies to help guide compliance professionals. Maintaining Healthcare Compliance As Technology Evolves As a healthcare compliance officer, you’re in a tough position.

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Compliance Compliance Officers FDA Governance 52

MedTrainer

NOVEMBER 14, 2023

Becoming certified in healthcare compliance is not just some letters after your name; it validates your expertise and dedication to upholding the laws, regulations, and ethical standards that govern healthcare practices. Those with the CHC are well-prepared to tackle the intricate compliance issues that arise in healthcare.

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Compliance Compliance Officers HIPAA Governance 52

Healthcare Compliance Blog

APRIL 26, 2022

The HHS-OIG Compliance Education webpage containing the above listed resources can be accessed at Compliance | Office of Inspector General | Government Oversight | U.S. Routine audits should be conducted of monetary transactions, with the results reported to the compliance and ethics committee and the governing body.

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US Department of Health and Human Services Fraud Compliance Medicaid 59

MedTrainer

OCTOBER 23, 2023

In this blog post, we will explain healthcare compliance, shine light on its significance, and share best practices within the industry. Who Governs Healthcare Compliance? Technology is sure to play a critical role in the future of healthcare compliance. Learn more about how MedTrainer can streamline your compliance.

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Compliance Compliance Officers Fraud Governance 52

AIHC

SEPTEMBER 25, 2024

Reviewing the Office of Inspector General's (OIG) enforcement actions is important for compliance officers because it can help them understand the OIG's focus and priorities, and how to comply with federal health care laws and regulations. Government agencies expect your organization to stay informed.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

MedTrainer

DECEMBER 7, 2023

All healthcare organizations, along with their providers and compliance officers, must understand the requirements of each regulatory state agency that provides oversight. This article offers a summary of essential aspects of healthcare compliance specific to Hawaii.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

AIHC

MAY 31, 2022

When the federal government covers items or services rendered to Medicare and Medicaid beneficiaries, the federal fraud and abuse laws apply. Government programs, such as the Centers for Medicare & Medicaid Services (CMS), find the investment in their audit and monitoring programs are effective.

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Fraud Compliance Officers Compliance Medicare 52