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.

Compliance 52

Compliance Licensing Doctors Malpractice 52

Healthcare IT Today

DECEMBER 20, 2022

Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors. Mike Semel is the President and Chief Compliance Officer at Semel Consulting.

HIPAA 107

HIPAA Nurses Licensing Compliance 107

HIPAA Journal

JULY 15, 2023

Element 2: The Roles of HIPAA Compliance Officers It is interesting that the HHS’ Office of Inspector General placed this “tip” in second place after the development of policies and procedures. However, there is quite a lot more involved in being a compliance officer. Responding to queries, issues, complaints, etc.

HIPAA 98

HIPAA Compliance Compliance Officers Licensing 98

MedTrainer

MAY 3, 2024

Non-compliance with these regulations can result in jail time, large fines, and even loss of license. Keeping compliance and fraud prevention top of mind can help to protect both your organization and its staff. For those who are not, there are five main federal laws they are likely violating related to healthcare fraud.

Fraud 94

Fraud Compliance Compliance Officers Licensing 94

Verisys

MARCH 6, 2025

Enhancing Data Accuracy and Reporting Maintaining detailed records is essential for regulatory compliance, but even minor documentation errors can result in missing provider details or negatively impact patient care.

Compliance 52

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

YouCompli

APRIL 27, 2022

As more healthcare professionals obtain licensure under compacts, compliance officers need to be aware of interstate licensure requirements – and their effects on patient care. The compact enables nurses to provide nursing services to patients located in other NLC states via telehealth without obtaining additional licenses.

Compliance Officers 52

Compliance Officers Licensing Nurses Compliance 52

Provider Trust

MARCH 13, 2023

State licensing boards nationwide have annulled the licenses of dozens of nurses who obtained fake degrees and used them to gain or secure employment. In Delaware, 26 nursing licenses were revoked when the nurses’ credentials were tied to the scheme. ProviderTrust recommends conducting license verification monthly.

Fraud 52

Fraud US Department of Health and Human Services Licensing Nurses 52

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.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

HIPAA Journal

DECEMBER 30, 2022

The account contained sensitive information such as names, addresses, Social Security numbers, dates of birth, driver’s license numbers, medical treatment information, and some financial information. An individual will be designated as having overall control of the information security program and a HIPAA compliance officer will be appointed.

HIPAA 96

HIPAA Compliance Compliance Officers Licensing 96

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. Regulations Unique to Hawaii To meet the standards of healthcare compliance in Hawaii , there are a few additional regulations.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Prevent Fraud by Verifying Licenses Routinely. This should become an integral part of the license verification process.

Nurses 52

Nurses Licensing Fraud Medicaid 52

MedTrainer

DECEMBER 7, 2023

The Idaho State Board of Medicine within the Division Of Occupational And Professional Licenses (DOPL) is a regulatory body responsible for licensing and overseeing medical professionals in Idaho, ensuring they meet the required standards for safe and ethical practice.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 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. Register for online training to certify in various areas of compliance.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

Provider Trust

JULY 26, 2022

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. The Importance of Conducting License Verification and Monitoring. According to the U.S.

Licensing 52

Licensing Fraud Compliance Nurses 52

YouCompli

DECEMBER 19, 2023

Compliance Officer (page 38) : The OIG clarifies that compliance officers “have sufficient stature within the entity to interact as an equal of other senior leaders of the entity.” Effective communication and collaboration between compliance and legal is the key to a successful outcome.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

YouCompli

NOVEMBER 29, 2023

“As previous OIG compliance guidance(s) are retired to ‘archival’ status, we all should recognize that the original guidance may have been the most important document ever written for healthcare compliance professionals.” — Roy Snell In 1998, the Office of Inspector General (OIG) issued its first General Compliance Program Guidance (GCPG).

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

DECEMBER 4, 2023

The Kentucky Board of Medical Licensure (KBML) is responsible for regulating and licensing medical professionals in Kentucky, ensuring that they meet the necessary standards for safe and ethical practice. Healthcare leaders and compliance officers should refer to CHFS for guidance and specific compliance information.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

AUGUST 21, 2024

Stack CE for Certification Renewal with Required Training Some clinical staff, such as medical assistants and direct care personnel may not be licensed, but they are certified.

Compliance 94

Compliance Licensing Nurses Compliance Officers 94

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

MAY 31, 2024

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.

Compliance 98

Compliance Licensing Governance Compliance Officers 98

MedTrainer

MAY 22, 2024

Controlled dangerous substances (CDS) have extremely strict compliance regulations due to the high potential of abuse associated with them. Any healthcare practitioner looking to prescribe controlled dangerous substances must obtain a DEA number, also called a license, from the U.S. Most states mandate annual renewal of CDS licenses.

Compliance 52

Compliance Licensing Doctors Hospitals 52

MedTrainer

DECEMBER 7, 2023

The Maine Board of Licensure in Medicine is a regulatory authority responsible for licensing and overseeing the professional conduct of physicians and physician assistants in Maine, ensuring the highest standards of medical practice and patient care.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 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.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Governance 52

MedTrainer

AUGUST 2, 2023

The requirements for CE vary depending on the profession and may be mandated by licensing boards or professional organizations. Search by state and license type. CE is a broad term for any continuing education that’s done in pursuit of skill development in a person’s respective field. Continuing Medical Education (CME).

Licensing 80

Licensing Nurses Compliance Doctors 80

Provider Trust

MAY 16, 2024

Earning the HITRUST r2 certification has been an important long-term initiative to demonstrate ProviderTrust’s commitment to security, and we’re proud to announce this achievement,” said Donna Thiel, ProviderTrust’s chief compliance officer.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

Provider Trust

MAY 16, 2024

Earning the HITRUST r2 certification has been an important long-term initiative to demonstrate ProviderTrust’s commitment to security, and we’re proud to announce this achievement,” said Donna Thiel, ProviderTrust’s chief compliance officer.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

MedTrainer

DECEMBER 7, 2023

The Rhode Island Executive Office of Health and Human Services (EOHHS) oversees the state’s integrated health and human services system, focusing on providing a range of services from healthcare to assistance for families and individuals in need.

Compliance 52

Compliance Licensing Compliance Officers Nurses 52

MedTrainer

JUNE 4, 2024

Maintaining compliance in hospitals, health centers, and other clinically based pharmacies goes beyond the handling, dispensing, and prescribing of drugs. Pharmacy compliance rules require staff to properly manage electronic prescriptions, maintain mandatory licenses, and complete continuing education (CE) courses.

Compliance 52

Compliance Licensing Governance FDA 52

MedTrainer

AUGUST 31, 2023

Non-compliance can lead to severe consequences, such as legal penalties, fines, exclusion from government programs, loss of licenses, and even criminal charges for individuals knowingly involved in violations. What Is a Compliance Officer?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Provider Trust

MAY 9, 2024

But it siloed us and created a lot of duplicative work,” said the organization’s Corporate Compliance Officer. “We grew up doing what had to be done. The laws have come so fast and so furiously. Partnering with ProviderTrust allowed the client to automate their exclusion monitoring and primary source verification processes fully.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

MedTrainer

FEBRUARY 16, 2023

As a compliance officer, you have to ensure these new employees are fully compliant, which involves mandatory training, policy acknowledgments, and credentialing. An all-in-one compliance platform simplifies the process by grouping policies and training for electronic acknowledgment and automatic reminders.

Compliance 98

Compliance Nurses Compliance Officers Licensing 98

MedTrainer

NOVEMBER 28, 2023

Healthcare providers, organizations, and compliance officers in Michigan State need to be aware of their state-specific laws and regulations in order to navigate compliance successfully. This rigorous procedure not only maintains high-quality healthcare standards but also protects public health and safety.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

HIPAA Journal

APRIL 19, 2024

What Are The Benefits Of Healthcare Compliance Software? For a chief compliance officer the benefits of using healthcare compliance software are: 1. This increased visibility enhances the chief compliance officer’s ability to effectively oversee compliance efforts across the organization.

Compliance 52

Compliance Compliance Officers Regulatory Compliance HIPAA 52

MedTrainer

MARCH 28, 2024

Healthcare Compliance Complexities The first healthcare compliance programs began in the early 20th century as a response to concerns about the quality of care provided by medical practitioners. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

MedTrainer

JULY 28, 2023

Licenses Report Maintain an up-to-date record of providers’ licenses and qualifications that require continuing education and refreshers, such as medical, board-certification, first aid, restraint, de-escalation strategy, and more. Run exclusion checks regularly and document the results.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Provider Trust

JULY 25, 2022

Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

AIHC

SEPTEMBER 18, 2024

The Compliance Training Challenge You are working against “Here we go, again” attitude. Influence others to follow your lead in building a culture of compliance Influence is not the same as manipulation, so don’t get confused. To be an effective compliance officer, you must achieve cultural intelligence.

Compliance 52

Compliance Compliance Officers Licensing HIPAA 52