MedTrainer

JANUARY 12, 2024

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?

Compliance 52

Compliance Fraud Medicaid Medicaid 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).

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

MedTrainer

APRIL 11, 2024

There is one way to describe the relationship between HR professionals and compliance officers: It’s complicated. As you see these roles work together, you might wonder about the difference between a compliance officer and human resources in healthcare. Ultimately, both roles foster a healthy, law-abiding, and efficient workplace.

Compliance Officers 52

Compliance Officers Compliance Medicaid Medicaid 52

MedTrainer

APRIL 18, 2024

Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment.

Medicare 52

Medicare Medicare Licensing Compliance 52

YouCompli

SEPTEMBER 18, 2024

When conducting their periodic risk assessments, most compliance professionals use the OIG’s Work Plan or recent DOJ enforcement actions to help determine how best to deploy time and resources on auditing and monitoring efforts. Items and services that have high national error rates and are a financial risk to Medicare.

Compliance 52

Compliance Medicare Medicare Medicaid 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 25, 2024

Streamlining healthcare compliance management is not just a matter of meeting legal obligations but also safeguarding patient safety and organizational integrity. Healthcare-focused compliance management software is key to eliminating common challenges. What is Healthcare Compliance Management?

Compliance 52

Compliance Health Insurance Medicaid Medicaid 52

MedTrainer

MARCH 28, 2024

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?

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Medval Compliance Blog

FEBRUARY 8, 2022

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that it will be hosting a Workers’ Compensation Medicare Set-Aside (WCMSA) webinar next Thursday, February 17, 2022 at 1:00 pm ET. The post CMS to Host Workers’ Compensation Medicare Set-Aside Webinar appeared first on Medval.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

MAY 20, 2024

Understanding the differences in these requirements can ensure staff are taking the most relevant courses to maintain regulatory and accreditation compliance. Importance of FQHC Training Like all healthcare professionals providing safe, legal, and ethical services, FQHC staff must complete required compliance training.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 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 HIPAA Compliance Framework ADA 52

MedTrainer

JULY 11, 2024

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?

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers Hospitals 52

MedTrainer

MARCH 22, 2024

Today’s healthcare workers expect more from a compliance training program. For the administrators, compliance officers, and HR professionals tasked with crafting such programs, the challenge is finding a balance between what is legally required and what is practical for their already stretched staff.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Medicare/Medicaid Compliance Reviews.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

AUGUST 9, 2024

Establishing measurable compliance objectives enables organizations to track their progress, identify areas for improvement, and mitigate risks before they escalate into significant issues. But how do you write healthcare compliance goals that accomplish this? What is Healthcare Compliance Management?

Compliance 52

Compliance HIPAA Governance Health Insurance 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.

Compliance 52

Compliance HIPAA Compliance Framework ADA 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

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 HIPAA Compliance Framework ADA 52

MedTrainer

APRIL 22, 2024

Several federal agencies highly recommend having a healthcare compliance committee — the key is to make the committee helpful, not just a regulatory checkbox. Compliance committees vary based on the size of the organization, the care setting, and the committee’s charter. What is a Healthcare Compliance Committee?

Compliance 52

Compliance Compliance Officers Governance Medicaid 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

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.

US Department of Health and Human Services 85

US Department of Health and Human Services HIPAA Compliance Medicaid 85

MedTrainer

MAY 4, 2023

That includes many compliance professionals. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. Download this free toolkit for resources to update your disaster preparedness plan. Hard to believe, huh?

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

Healthcare IT Today

NOVEMBER 14, 2023

Medicare Advantage programs are vaunting their support for “wellness,” and you see wellness campaigns at pharmacies, employers, and elsewhere. Process indicators are the basis of the Medicare’s Star ratings , probably the most important measures clinicians pay attention to. Do these programs give us what we seek?

Medicare 122

Medicare Medicare COVID-19 Doctors 122

HIT Consultant

NOVEMBER 22, 2021

July 1, 2021 was the enforcement date for the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule. The rule requires that all healthcare payer organizations participating in a CMS program allow members to download and share their data using API’s (Application Programming Interface).

Compliance 52

Compliance Medicaid Medicaid Medicare 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.). Compliance officers should watch for: Follow the money.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Innovaare Compliance

FEBRUARY 7, 2022

Health plans (collectively, “plan sponsors”) that contract with the Centers for Medicare & Medicaid Services (CMS) to provide health services to eligible Medicare beneficiaries are responsible for legal, contractual, and fiduciary obligations whether performed by the plan or those to whom the company delegates those obligations.

Medicare 52

Medicare Medicare Compliance Medicaid 52

Medval Compliance Blog

MARCH 18, 2022

The Centers for Medicare & Medicaid Services (CMS) will be hosting an overview of the new “Go Paperless” feature available in the Medicare Secondary Payer Recovery Portal (MSPRP) on Thursday, April 13 at 1:00 pm ET. The webinar will feature opening remarks and a presentation, followed by a question and answer session.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

Last month, the Health Care Compliance Association published a story stating that CMS had sent emails to two different hospitals stating that text messaging (including secure messaging services) is verboten. CMS has a communications problem. Fear not, gentle reader. most hospitals). Patient records must be kept confidential. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

AIHC

FEBRUARY 7, 2024

Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet. Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

MedTrainer

MAY 16, 2024

Download the Ultimate List of Training Requirements for Ambulatory Surgery Centers to see a full list of federal and accreditation training requirements for ASC staff broken down by role, with the applicable standard, CMS violation category, and frequency. Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

HIPAA Journal

JANUARY 2, 2023

HIPAA compliance is about reducing risk to an appropriate and acceptable level. It is therefore important for HIPAA-covered entities to conduct regular HIPAA compliance reviews (this is required by the HIPAA law) to make sure HIPAA violations are discovered and corrected before they are identified by regulators.

HIPAA 110

HIPAA Compliance Hospitals Medicare 110

Provider Trust

FEBRUARY 16, 2023

Amwell also found that the Medicare Opt Out list data was largely outdated, which led to delayed findings. The Approach Amwell added Medicare Opt Out and OFAC monitoring to its instance of the ProviderTrust Passport platform to keep up with the surge of providers that were onboarded during the COVID-19 pandemic.

COVID-19 52

COVID-19 Medicare Medicare Compliance 52