MedTrainer

FEBRUARY 1, 2024

Those early ethical standards paved the way for how medical compliance plans to limit liability for healthcare organizations today. Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization.

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Compliance Malpractice Fraud HIPAA 52

MedTrainer

OCTOBER 28, 2024

By understanding and implementing these key policies, you can equip your staff to effectively maintain compliance and accreditation, ultimately reducing the stress associated with the accreditation process. Even with all the policies in place, a lack of employee adherence can lead to gaps in compliance and control.

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Compliance Informed Consent Patient Satisfaction Hospitals 52

MedTrainer

JANUARY 26, 2024

The best way to maintain these standards is by providing healthcare compliance training for all staff members. Even when training is not required, it may still be very beneficial for your staff and overall organizational compliance. What topics should be covered in healthcare compliance training?

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Compliance Informed Consent Fraud HIPAA 52

MedTrainer

JANUARY 30, 2024

Healthcare compliance is a critical part of any organization’s business model. The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS).

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Compliance Compliance Officers Fraud Medicaid 52

MedTrainer

JULY 31, 2024

Meeting Tennessee training requirements for compliance is critical to maintain this level of excellence. What Is Required for Tennessee Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Included in this blog post are the results of an audit on Tennessee requirements.

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Compliance HIPAA Compliance Framework ADA 52

MedTrainer

JANUARY 31, 2024

What is the most recognized healthcare compliance certification a professional can secure? As an overall certification, the Certified in Healthcare Compliance (CHC) and Certified Compliance and Ethics Professional (CCEP) certifications are some of the most sought after. In short, it depends on your role and career goals.

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Compliance Compliance Officers Fraud Regulatory Compliance 52

MedTrainer

JULY 30, 2024

What Is Required for Wisconsin Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

Compliance 52

Compliance Compliance Framework HIPAA ADA 52

MedTrainer

JANUARY 26, 2024

That means there’s a direct relationship between compliance and a healthcare organization’s revenue. To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance?

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Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JULY 29, 2024

Healthcare compliance is complicated for organizations of any size. However, the complexities grow exponentially for large or enterprise organizations with hundreds or thousands of employees who must complete and pass rigorous compliance training. What Is Corporate Compliance Training?

Compliance 52

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

MedTrainer

JUNE 11, 2024

What Is Required for Florida Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

Compliance 52

Compliance Compliance Framework HIPAA ADA 52

MedTrainer

JANUARY 31, 2024

For the organization itself, compliance programs are the guardians that can help potentially prevent medical errors and regulatory violations, and mitigate other compliance risks. So, how do compliance programs protect healthcare? What is Healthcare Compliance?

Compliance 52

Compliance Compliance Officers Governance Fraud 52

MedTrainer

JUNE 11, 2024

What Is Required for Texas Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

MARCH 8, 2024

Long-term care facilities are among the most regulated in healthcare, making compliance challenging and training critical. Importance of Long-Term Care Training Like all healthcare professionals entrusted with providing safe, legal, and ethical services, long-term care staff must complete required compliance training.

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Compliance Nursing Homes HIPAA Nurses 52

MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

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Regulatory Compliance Compliance Compliance Officers HIPAA 52

MedTrainer

FEBRUARY 1, 2024

But what is a red flag in health compliance? A “red flag” in healthcare compliance refers to a warning sign or indicator that suggests a potential issue or violation of healthcare laws, regulations, or policies. Appoint a compliance officer or team responsible for overseeing compliance efforts.

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Compliance Compliance Officers Fraud HIPAA 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital.

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Fraud Compliance Medicaid Medicaid 98

Provider Trust

SEPTEMBER 29, 2022

Mendez faces seven counts of healthcare fraud and up to 10 years in federal prison. These numerous counts of fraud also carry a possible fine of up to $250,000. Organizations should download a copy of licenses or take screenshots of verifications for future audit purposes.

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Licensing Fraud Medicaid Medicaid 52

Compliancy Group

JANUARY 18, 2022

But the best tool to prevent small practice cybercrime can be as basic as having a truly effective HIPAA compliance strategy. For HIPAA compliance to help prevent small practice cybercrime, it must address the particulars of your practice. The most common “download and start” version used by so many people is not HIPAA compliant.

HIPAA 52

HIPAA Compliance Ransomware Malpractice 52

YouCompli

MAY 11, 2022

It reflects remarks CJ made at HCCA’s 2022 Compliance Institute. For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). The doctor will be sentenced in July for multiple counts of healthcare fraud.

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Compliance Officers Fraud Compliance Medicare 52

MedTrainer

JUNE 10, 2024

What Is Required for California Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

Compliance 52

Compliance Licensing HIPAA Compliance Framework 52

MedTrainer

JUNE 10, 2024

What Is Required for New York Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Here’s what you should look for when selecting healthcare compliance courses: Healthcare-Specific Content: Scenario-based training is required in many states and it is also one of the most effective ways to learn.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52

MedTrainer

FEBRUARY 6, 2024

MedTrainer, an industry leader in healthcare compliance software, now offers 30 hours of continuing education (CE) approved by the American Association of Medical Assistants (AAMA).

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Fraud Compliance 98

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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US Department of Health and Human Services HIPAA Compliance Medicaid 85

MedTrainer

FEBRUARY 27, 2024

And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. It is arguably more important — and harder — to maintain a standard level of compliance when staff are working in client homes, rather than in a central facility. What is the Role of Home Health Aides?

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Compliance HIPAA Fraud Licensing 52

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

Licensing 52

Licensing Fraud Compliance Nurses 52

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? Meets compliance standards: Both processes verify a provider has met compliance standards. Maintaining compliance helps protect against fraud, waste, and abuse. Upon completion and approval, the provider can begin billing for medical services.

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Malpractice Licensing Hospitals Compliance 52

Healthcare IT Today

DECEMBER 15, 2023

Simply open a mobile app and download the report to your smartphone. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. Currently, ChatGPT does not meet HIPAA standards.

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Electronic Medical Records Doctors HIPAA Hospitals 117

HIT Consultant

DECEMBER 18, 2023

Simply open a mobile app and download the report to your smartphone. However, it is crucial to consider the compliance of chatbots with security standards. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. Currently, ChatGPT does not meet HIPAA standards.

Electronic Medical Records 105

Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

MedTrainer

APRIL 17, 2024

Download Now Common Challenges in Telehealth Credentialing Telehealth encompasses various modalities, including real-time video conferencing, remote monitoring, mobile health apps, virtual consultations, and asynchronous communication (e.g., Get the tools you need to eliminate delays in your provider enrollment process.

Licensing 52

Licensing Compliance Fraud HIPAA 52

Health Care Law Brief

APRIL 11, 2022

Adherence is often tracked and confirmed by those that provide the incentive payment through digital health technologies—including apps that can be downloaded to the patient’s smart phone or that are already downloaded to a smart phone provided to the patient as part of a CM program. The OIG highlighted four specific reasons.

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Fraud Medicare Medicare Compliance 52

HIPAA Journal

DECEMBER 2, 2022

Information disclosed in confidence by a patient of a website or web application could be transferred to a third party and be used for fraud, identity theft, extortion, stalking, harassment, or to promote misinformation. That information could be provided to law enforcement or other third parties.

HIPAA 110

HIPAA Compliance Hospitals Fraud 110

Total HIPAA

OCTOBER 28, 2019

A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. How to Maintain Compliance with HIPAA. Keeping detailed logs is the first step toward HIPAA compliance. You should also be prepared to keep these logs for a minimum of 6 years as is required for HIPAA Compliance.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

HIPAA Journal

FEBRUARY 9, 2024

Card on file payments can accelerate collections from patients, reduce non-payments, and protect both patients and practices from credit card fraud. Patients may also be able to request copies of PHI or download PHI via the system, while physicians can send patients electronic consent forms to sign digitally ahead of a procedure.

HIPAA 40

HIPAA Compliance Payment Systems Ransomware 40

Verisys

DECEMBER 5, 2023

Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data. Credentials Verification Organizations to the Rescue?

Governance 52

Governance Licensing Malpractice Medicaid 52

Verisys

MARCH 1, 2022

Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data. Credentials Verification Organizations to the Rescue?

Governance 52

Governance Licensing Malpractice Medicaid 52