HIT Consultant

JANUARY 9, 2025

The Power of Proprietary Systems: Compliance and Uniformity Veteran data scientists who have spent decades working with SAS will be quick to argue its strengths. While proprietary systems like SAS require hefty licensing fees, open-source tools are, of course, free. And lets not forget costthe real elephant in the room.

Compliance 52

Compliance Pharmaceutical Industry Licensing Governance 52

Medisys Compliance

DECEMBER 24, 2024

However, billing for teletherapy services can be complex, requiring a deep understanding of coding, documentation, and payer-specific policies. Some of the documentation tips for CPT codes include: Include the start and end time of the session. Document that the service was provided via telehealth, including the platform used (e.g.,

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Healthcare It News

AUGUST 9, 2023

What documentation did Google provide hospitals, such as Mayo Clinic, about Med-PaLM 2? Google has not publicly provided documentation on Med-PaLM 2, including refraining from disclosing the contents of the model's training data. How does Google ensure compliance with those terms in the post-deployment context?

Licensing 246

Licensing Hospitals Health Outcomes Governance 246

Hall Render

NOVEMBER 1, 2024

Case documents revealed that Dr. Farley’s billing practices included false claims for extended, complex patient visits that did not occur. Thus, this case serves as a reminder of the potential for severe consequences for health care fraud, including imprisonment, hefty fines and the loss of a medical license.

Fraud 40

Fraud Compliance Medicaid Medicaid 40

Healthcare It News

JUNE 28, 2024

Dr. Josh Reischer is CEO of Health Note, a vendor of a platform that can automate pre-visit documentation and help optimize time spent in the exam room by limiting EHR time. Only one in five physicians say they have enough time to document. Technology makes the mundane better and allows doctors to practice at the top of their license.

Doctors 325

Doctors Licensing Nurses Compliance 325

Healthcare IT News - Telehealth

JANUARY 9, 2023

But even if some important questions about virtual care's staying power have been answered recently , health systems and telehealth startups continue to face major challenges navigating licensing requirements to operate across state lines. Not only does this process create inefficiencies and confusion, but mistakes can be very costly.

Telemedicine 188

Telemedicine Licensing Compliance COVID-19 188

HIT Consultant

MARCH 30, 2025

When staff members spend excessive time investigating and correcting denied claims, it prevents them from performing higher-value tasks and operating at the top of their license. AI offers a path to stabilize operations and increase revenue while allowing staff to operate at the top of their license.

Regulatory Compliance 66

Regulatory Compliance Licensing Health Outcomes Compliance 66

MedTrainer

MARCH 27, 2025

Its often the hidden costs that sneak up with the biggest impact to revenue and compliance. If your billing and coding team is working from inaccurate provider data, they have little chance of accuracy in their work, which increases the likelihood of compliance penalties and denials.

Licensing 52

Licensing Malpractice Compliance 52

MedTrainer

MAY 31, 2024

Healthcare compliance is at a tipping point. To handle the ever-growing workload, healthcare compliance professionals must embrace technology. Automation can reduce the redundant administrative tasks and broken processes that plague compliance — at a significant time and cost savings. What is Healthcare Compliance Automation?

Compliance 98

Compliance Licensing Governance Compliance Officers 98

MedTrainer

MARCH 31, 2025

March 31, 2025 MedTrainer, a leading provider of healthcare workforce compliance and credentialing solutions , is rapidly releasing innovations that are moving its healthcare workforce compliance platform to the top of the provider credentialing market. LAS VEGAS, Nev.,

Compliance 52

Compliance Licensing 52

MedTrainer

MAY 9, 2024

This is the fourth year MedTrainer has been honored for its compliance management solution, along with 2018, 2020, and 2021. The recognition highlights the consistency of MedTrainer’s compliance software solutions for U.S. healthcare organizations. MedTrainer was founded for healthcare organizations; our focus has never wavered.

Compliance 98

Compliance Licensing 98

Healthcare IT Today

DECEMBER 2, 2024

The company will scale development to simplify integrating the patient voice across all healthcare activities, while simultaneously automating the manual burden of security and compliance processes needed in the increasingly complex landscape of health data access. Healthcare organizations face new complexities in data use and licensing.

Licensing 73

Licensing Compliance Governance 73

HIT Consultant

MAY 9, 2022

From documenting clinical care to filing medical claims and registering patients, paper documents have been entrenched in healthcare processes since the inception of modern hospitals. Going digital in healthcare requires the adoption of electronic documents. Healthcare stakeholders have long relied on paper-based processes.

FDA 98

FDA COVID-19 Public Health Compliance 98

Verisys

MARCH 6, 2025

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.

Licensing 52

Licensing Compliance Nurses Malpractice 52

Verisys

DECEMBER 29, 2024

Healthcare organizations and insurance companies rely on credentialing to ensure patient safety, regulatory compliance, and minimize liability risks. Credentialing services perform this verification by contacting primary sources, such as medical schools and licensing boards, to confirm the physician’s education and qualifications.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

MedTrainer

FEBRUARY 27, 2025

If the payer spots a known exclusion or out-of-date license, its a guaranteed denial. For credentialing professionals verifying licenses or exclusions one by one, continuous monitoring is nearly impossible. If a license validation, download license and add to your file. It doesnt take much for a claim to be denied.

Licensing 52

Licensing Compliance Hospitals 52

HIPAA Journal

JULY 15, 2023

We have compiled these HIPAA Compliance Guidelines because HIPAA rules and regulations can be very confusing for healthcare professionals tasked with ensuring HIPAA compliance at their organization. We have slightly amended it to be more relevant to HIPAA compliance in 2023. Designate a Privacy Officer and a Security Officer.

HIPAA 98

HIPAA Compliance Compliance Officers Licensing 98

Verisys

APRIL 3, 2025

Faster onboarding, fewer healthcare compliance risks, and more time spent on patient carenot paperwork. It replaces manual data entry and physical document verification with streamlined digital processes. What does this shift mean for healthcare providers and organizations? Lets dive deeper and break down its key benefits.

Licensing 52

Licensing Malpractice Compliance Nurses 52

Verisys

APRIL 3, 2025

However, the process itself can be complicated and time-consumingand when things go wrong, it can lead to financial setbacks, medical standard compliance issues, and unnecessary stress. Poor communication between departments : Credentialing requires input from many players, including HR, compliance teams, and insurance payers.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Compliance Malpractice 52

MedTrainer

AUGUST 21, 2024

Why Stack CE Courses and Compliance Training? Since the healthcare organization is already providing required compliance training to meet regulatory and accreditation requirements, many are now also offering CEUs for staff. Start with your existing compliance training program since these courses are required.

Compliance 94

Compliance Licensing Nurses Compliance Officers 94

Medisys Compliance

DECEMBER 30, 2024

This article serves as a detailed guide for providers, addressing key aspects of CBT billing to ensure compliance, accuracy, and maximize reimbursement. Obsessive-compulsive disorder Ensure documentation matches the diagnosis and treatment provided. Q4: What are the key documentation requirements for CBT billing? for insomnia.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Dot Compliance

JANUARY 22, 2025

An electronic Quality Management System (eQMS) is a critical tool in this journey, providing a centralized platform for managing quality-related processes, data, and documents. Workflow Automation: Streamline document review, approval, and distribution processes with automated workflows, reducing manual errors and delays.

Compliance 59

Compliance Regulatory Compliance FDA Licensing 59

Verisys

APRIL 2, 2025

How to Acquire a Pharmacy License The process of becoming a licensed pharmacy can be complex even if you have experience, as every state has different documentation requirements. Pharmacies must obtain all the necessary licenses to meet the necessary professional standards before they can legally begin operation.

Licensing 52

Licensing Compliance Medicaid Medicaid 52

MedTrainer

FEBRUARY 16, 2023

Compliance is critical in the medical field, especially during times of high healthcare staff turnover. Even as people and roles change, compliance guidelines stay the same, and serve to help healthcare organizations adhere to legal, ethical, and regulatory standards.

Compliance 98

Compliance Nurses Compliance Officers Licensing 98

Verisys

FEBRUARY 3, 2025

Ensuring compliance with healthcare regulatory compliance standards is essential to maintaining operational efficiency and delivering quality care. A well-organized checklist can simplify this process and help avoid delays caused by missing or incomplete required documents.

Malpractice 52

Malpractice Regulatory Compliance Licensing Compliance 52

MedTrainer

MARCH 6, 2025

Without a proactive approach, delays can quickly spiral, leading to provider shortages, compliance risks, and revenue disruptions. Waiting until the last minute increases the likelihood of missing documents, incomplete applications, and delays. Start Early: Begin gathering provider information and verifications as early as possible.

Compliance 52

Compliance Licensing 52

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. Here are four ways healthcare compliance software simplifies fraud prevention: 1.

Fraud 94

Fraud Compliance Compliance Officers Licensing 94

Compliancy Group

DECEMBER 25, 2024

Credentialing software can help you automate the tracking of your staff while navigating the complexities of healthcare compliance laws. These records include the medical licenses, certifications, and other credentials practitioners need to hold their jobs. What’s the Purpose of Credentialing Software?

Compliance 52

Compliance Compliance Officers Licensing Doctors 52

American Medical Compliance

MARCH 18, 2025

American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians. American Medical Compliance designates this activity for a maximum of 2 AMA PRA Category 1 Credits. Reach out for other courses by visiting the AMC Course Library.

Nurses 52

Nurses Compliance Medical Personnel Licensing 52

MedTrainer

JUNE 5, 2023

Regulatory agencies are doing everything they can to fight back against America’s opioid crisis, which includes additional requirements for Medication Access and Training Expansion (MATE) Act compliance. Here are ways to maintain MATE Act compliance for your practice or organization: 1. You’ve got 10.5

Compliance 96

Compliance Licensing Nurses ADA 96

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. Preventing documentation from falling through the cracks can help ensure patients receive the medical care they deserve.

Compliance 52

Compliance Licensing Doctors Malpractice 52

Healthcare IT News - Telehealth

JUNE 9, 2022

License and approval. Only licensed physicians are qualified and permitted to engage in medical practice. engaging a qualified general compliance manager for marketing). A key factor in determining whether an activity constitutes a "medical practice" is whether medical judgments and techniques are involved.

Licensing 192

Licensing Telemedicine Governance Compliance 192

MedTrainer

MAY 22, 2024

Controlled dangerous substances (CDS) have extremely strict compliance regulations due to the high potential of abuse associated with them. To maintain compliance, staff must complete specific training, adhere to strict policies, and obtain DEA (Drug Enforcement Agency) licensure for providers to prescribe controlled dangerous substances.

Compliance 52

Compliance Licensing Doctors Hospitals 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

Verisys

JULY 8, 2024

Without the proper compliance processes, risk for the patient and organization is added to the ecosystem. Requirements for Authorized Trading Partners Licensing: Each trading partner must be appropriately licensed or registered with the relevant federal and state authorities.

Compliance 52

Compliance Licensing FDA Hospitals 52

Compliancy Group

MAY 7, 2024

William Do, DDS, lost his license to practice dentistry after the Dental Board of California discovered that the dentist failed to comply with infection control standards. When Dr. Do failed to do so, the Board acted by revoking his license. Additionally, regular monitoring and documentation of sterilization processes are essential.

Licensing 52

Licensing Compliance 52

Verisys

JULY 8, 2024

Without the proper compliance processes, risk for the patient and organization is added to the ecosystem. Requirements for Authorized Trading Partners Licensing: Each trading partner must be appropriately licensed or registered with the relevant federal and state authorities.

Compliance 52

Compliance Licensing FDA Hospitals 52