Remove Compliance Officers Remove Medicaid Remove Regulations Compliance
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Strengthening Healthcare Compliance: The Importance of Utilizing Compliance Checklists

MedTrainer

Providers need a strong compliance program to inform the creation of compliance checklists. The Seven Core Compliance Program Requirements The Centers for Medicare & Medicaid Services (CMS) criteria promote an effective compliance program in healthcare organizations.

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Navigating the Maze of Who Regulates Healthcare Compliance

MedTrainer

Here are some of the key organizations involved in regulating healthcare compliance: Centers for Medicare & Medicaid Services (CMS): CMS is a federal agency within the U.S. Department of Health and Human Services responsible for administering and regulating healthcare programs such as Medicare and Medicaid.

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Why Do Healthcare Facilities Use Corporate Compliance Programs?

MedTrainer

Meet Government Requirements: Some government programs and payers, such as the Centers for Medicare & Medicaid Services (CMS) , require healthcare facilities to have compliance programs as a condition for participation. Compliance Officer: Have a designated individual responsible for overseeing the compliance program.

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The History of Healthcare Compliance

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

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Who Audits For Healthcare Compliance?

MedTrainer

A healthcare compliance audit is a systematic and objective evaluation of an organization’s adherence to various regulations, laws, internal policies, and procedures. These audits are often more stringent and can result in fines and other penalties if non-compliance is found.