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What is a Healthcare Compliance Officer?

Verisys

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. Creating a culture of compliance.

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Interview: Caroline Cook, Privacy Consultant, GDH Government Consulting Services

HIPAA Journal

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.

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A Guide to the National Practitioner Data Bank (NPDB)

Verisys

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.

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Compliance officer effectiveness takes a special blend of skills 

YouCompli

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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What Is Provider Credentialing and Why It Matters in Healthcare

Verisys

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.

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Why Provider Data Quality Matters in Healthcare

Verisys

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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How a Government Shutdown Impacts Your Healthcare Business

MedTrainer

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?