AIHC

MARCH 31, 2025

The Physician Payments Sunshine Act, commonly known as the Sunshine Act, was enacted to enhance transparency in the financial relationships between healthcare providers and manufacturers of drugs, medical devices, biologicals, and medical supplies. Compliance officers can reference the Affordable Care Act, Public Law 111-148, PUBL148.PS

Compliance 64

Compliance COVID-19 Compliance Officers Medicaid 64

Healthcare IT Today

JULY 15, 2024

The following is a guest article by Heather Randall, PhD, Chief Compliance Officer at TrustCommerce Regardless of whether the information is clinical, financial, or demographic, patients are increasingly worried about the possibility that their personal data could be compromised.

Compliance 129

Compliance Payment Systems Compliance Officers Hospitals 129

YouCompli

FEBRUARY 22, 2023

This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). However, there are certain circumstances when Medicare, for example, will reimburse additional amounts beyond the prospective payment rate.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Hall Render

NOVEMBER 25, 2024

This list of risk areas is not exhaustive and includes: SNF Prospective Payment System Value-Based Payment Models and Programs Medicare Advantage and Medicaid Managed Care Medicare Part D Medicare Health Plan Enrollment for Nursing Facility Residents 3. Compliance Officer Experience. Competency-Based Training.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

MedTrainer

JANUARY 12, 2024

Compliance evolved to include performance reporting and quality metrics. MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Compliance 52

Compliance HIPAA Telemedicine ACA 52