This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Its often the hidden costs that sneak up with the biggest impact to revenue and compliance. Download Now How Bad Data Leads to Financial Losses Revenue loss from poor provider data management mistakes is largely driven by denied claims, billing errors, and enrollment delays.
If the payer spots a known exclusion or out-of-date license, its a guaranteed denial.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, downloadlicense and add to your file. It doesnt take much for a claim to be denied.
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
Download Now These delays can really add up. Without a proactive approach, delays can quickly spiral, leading to provider shortages, compliance risks, and revenue disruptions. Streamlined Compliance Checks Maintaining compliance is a complex, ongoing responsibility one that becomes even more challenging during a credentialing surge.
Enrollment delays cost nearly a third of organizations polled in a 2023 MedTrainer survey money, and 26% believe credentialing delays increase compliance risks that can significantly drain coffers. Download our Credentialing Reality Worksheet to find out! How much are enrollment delays costing your organization?
Involve Key Stakeholders: Collaboration between compliance, human resources, and credentialing teams is essential. Download Now How Technology Can Help Credentialing can be streamlined and simplified with a robust technology solution. Start by scheduling recurring meetings to discuss any challenges and share updates.
Healthcare organizations face the challenge of managing vast amounts of critical documentation, including compliance documents, regulatory forms, and policy updates. In an environment with increasing patient volumes and evolving regulations, effective document management can make a significant difference in safety, efficiency, and compliance.
Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. However, despite his suspended medical license, Mendez continued to treat patients at various mental health clinics in Brownsville, Harlingen, and Pharr, TX. How Often Should You Verify Employee Licenses?
Upstate broadened its license and provisioned all clinical areas with access, starting with clinicians. “In order to operationalize the telecommunication solution, strong collaboration was established among IT, compliance, finance and clinical areas, among others,” Gross explained. It went as smooth as silk.”
The best resource for monthly healthcare regulatory compliance updates. The bill also allows the BOM to grant a license to practice medical radiation technology to qualifying professionals that meet certain requirements, including passing a national certification examination.
– The best resource for monthly healthcare regulatory compliance updates. The bill also allows the BOM to grant a license to practice medical radiation technology to qualifying professionals that meet certain requirements, including passing a national certification examination.
– The best resource for monthly healthcare regulatory compliance updates. The bill also allows the BOM to grant a license to practice medical radiation technology to qualifying professionals that meet certain requirements, including passing a national certification examination.
With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care. Training requirements vary by role and specific healthcare setting.
In healthcare, maintaining regulatory compliance is crucial for providing quality patient care and avoiding costly penalties. Healthcare compliance auditing software helps compliance managers prepare their organization for an audit. What is Healthcare Compliance Auditing Software?
But, its critically important because inaccurate data or poor management is costly leading to credentialing delays, denied claims, and compliance penalties. Find out why you need to start thinking differently about healthcare compliance. More data is required and there are more hoops to jump through.
OIG exclusion list monitoring is vital in maintaining compliance with Centers for Medicare & Medicaid Services (CMS) regulations, as well as National Committee for Quality Assurance (NCQA) credentialing standards , among other federal healthcare provisions. Be ready for inspections from OSHA, OCR, CMS, and OIG.
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. Provide required and often hard-to-find CE courses for licensed employees.
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.
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.
Managing healthcare compliance in Mississippi effectively means adapting to the state’s specific regulations, and having the right systems in place to stay on track. To successfully oversee healthcare compliance in Mississippi, organizations need to develop efficient methods for tracking regulatory updates.
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.
Maintaining regulatory compliance has never been easy, and the pace of change isn’t slowing. In this article, I will share the impact of change on regulatory compliance and a few strategies to reduce disruption. Let’s start by defining regulatory compliance. What Is Regulatory Compliance?
Surgical procedures, regulations, medications, and insurance change at the drop of a hat, with compliance teams required to keep pace. This means prioritizing healthcare compliance courses to stay within the more than 600 regulatory requirements. There are no makeup tests in healthcare compliance.
"They designed new workflows, created training for patients and clinicians, and provided support for patients who were new to telehealth, and set up a team of volunteers to convert patient visits to video and support patients on the download of necessary applications."
Healthcare compliance is serious business for regulators. In this blog post, we’ll outline who regulates healthcare compliance, how rules are enforced, and why organizations need a robust compliance platform to stay in the good graces of regulators. What is Healthcare Compliance? Who Regulates Healthcare Compliance?
Healthcare compliance. Just as perplexing is who is responsible for compliance in healthcare organizations. The answer has as many layers as the definition of compliance itself. The answer has as many layers as the definition of compliance itself. Who in the Organization Is Responsible for Healthcare Compliance?
Should healthcare compliance teams really use ChatGPT or other generative AI tools? AI cannot replace a compliance expert in a healthcare organization. It’s not a substitute for human knowledge, experience, or passion for compliance. 5 Ways to Use ChatGPT for Healthcare Compliance 1. Sure — with caution.
That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. This is done to ensure compliance with regulations, identify areas for improvement, and assess program effectiveness.
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.
Software can send reminders when a license is going to expire or when recredentialing is imminent. Reminders/Notifications Instantly see when licenses are expiring via automatic notifications starting 180 days from recredentialing. DEA and select state license verifications can be automatically completed and monitored.
"Under the proposed plan, patients would download an app on their smartphone or other digital device and use it to request a virtual visit," Muro explained. "Additionally, we needed a highly secure platform that did not put us at risk for privacy, security or compliance challenges," she continued.
Minimize Risk and Add Value Through Standardization and Metrics A strong compliance culture is important in healthcare organizations because so much of what we do is dependent on the people and the processes. The language of compliance is a little bit newer, whereas in healthcare it’s been a more long-standing process.
Use Education and Influencer Skills to Create Value The stigma and complexities in behavioral health present compliance challenges that other healthcare organizations may not face. But we lack a common approach to measuring outcomes and what works as well as consistency from state licensing and accrediting bodies.
Healthcare compliance regulations are distinctly different from those of other industries for an important reason: providers hold people’s health and lives in their hands. Organizations rely on healthcare regulatory compliance software to manage adherence to the laws, rules, regulations, and standards that guide patient safety and care.
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.
Updates to compliance standards, regulatory requirements, safety, patient care, and evidence-based practices make training an ever-transforming process. A healthcare LMS training platform is one way to deliver training quickly and effectively while maintaining compliance. Download a cheat sheet for OSHA, OCR, CMS, and OIG inspections.
Domestic violence training is required based on licensing. What Is Required for California Compliance Training? Healthcare compliance training is not a one-size-fits-all solution. Provide required and often hard-to-find CE courses for licensed employees.
In this article, I’ll share five reasons to use healthcare accreditation software and why MedTrainer’s all-in-one compliance platform is the best choice to streamline the healthcare accreditation process. All training completions and document acknowledgments are automatically tracked, providing a clear compliance record.
Its what makes tracking and reporting a critical part of compliance and accreditation. Luckily, MedTrainers credentialing platform puts all your data in one location with highly-customizable reports to simplify compliance with NCQA credentialing standards. If its not documented, it didnt happen.
Download Now What Is Privileging in Healthcare? The difference between privileging and credentialing is that the latter ensures that providers have the proper license and documentation to provide treatment. Ongoing review and updates also help us to remain in compliance with AAAHC.
As organizations strive to maintain the highest standards of care, adopting the best healthcare credentialing software is a strategic move that enhances operational efficiency and ensures compliance with industry regulations. License expiration reminders for both providers and credentialers keep recredentialing on track.
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.
Here’s what a typical credentialer’s workflow looks like: Like other providers, mental health professionals must be licensed in states where they offer services and enrolled with payers doing business in those areas. Download Now That’s the process of credentialing one mental health provider with one payer.
Imagine discovering your surgeon’s license expired six months ago, or learning that your hospital is losing millions in revenue because of inaccurate details that cause denied claims. Missing a single expired license or skipping one background check can lead to denied claims, legal liability, and damaged reputations.
We organize all of the trending information in your field so you don't have to. Join 26,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content