American Medical Compliance

MARCH 15, 2024

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. Therefore, for healthcare providers to prevent these charges from happening, understanding FWA compliance is essential. In this comprehensive guide, we delve into FWA compliance in healthcare.

Compliance 105

Compliance Fraud HIPAA Health Insurance 105

Bill of Health

JANUARY 10, 2022

history, which is now killing more than 100,000 people a year, the country’s outdated and restrictive federal regulatory schemes that pertain to methadone and buprenorphine present a pernicious and persistent barrier to accessing OUD medications. However, during the worst drug poisoning crisis in U.S.

COVID-19 328

COVID-19 Governance Medicaid Medicaid 328

Healthcare IT Today

MARCH 27, 2025

With only 6% of organizations having fully operationalized responsible AI frameworks , the healthcare industry must take a measured approach to ensure AI integration aligns with patient safety and regulatory compliance. The potential for AI to introduce new cybersecurity risks is another factor that cannot be overlooked.

Governance 64

Governance Compliance HIPAA Regulatory Compliance 64

Hall Render

JANUARY 29, 2025

CMS reminds surveyors to identify when a hospice providers non-compliance with the Medicare Conditions of Participation (CoPs) puts the health and well-being of patients at risk and could indicate the need for a fraud referral to CMS. Hospice providers must stay informed about their states regulations and ensure compliance.

Fraud 80

Fraud Medicare Medicare Compliance 80

Healthcare IT Today

JANUARY 31, 2025

To overcome this, prioritizing investments in robust data integration tools and establishing strong data governance frameworks is key. Ethical and Regulatory Considerations Healthcare operates within a highly regulated environment, demanding strict adherence to compliance standards like HIPAA and GDPR when implementing AI-driven technologies.

Compliance 75

Compliance Governance Telemedicine HIPAA 75

HIT Consultant

MARCH 12, 2025

To ensure successful data modernization, without sacrificing the safety or security of data, federal health IT leaders must establish a framework built on three core principles: strong data governance, effective de-identification, and comprehensive protection throughout the entire data lifecycle.

Governance 59

Governance Public Health Health Analytics Doctors 59

Healthcare IT Today

DECEMBER 4, 2024

The following is a guest article by Karie Bostwick, VP of People and Compliance at Revenue Enterprises The Consumer Financial Protection Bureau (CFPB) has announced that it wants to ban the inclusion of medical debt data in credit reports to lessen the negative impact of medical debt on credit scores and improve financial outcomes for consumers.

Medical Billing 107

Medical Billing ACA Compliance Governance 107

MedTrainer

DECEMBER 15, 2022

You know that feeling when you work hard for months, but when you present the work it doesn’t go quite the way you’d hoped? You and your team work tirelessly to keep your organization in compliance. This is your opportunity to demonstrate the impact to your governing body. 4 Tips to a Great Board Presentation on Compliance.

Governance 40

Governance Compliance 40

Total HIPAA

OCTOBER 3, 2023

When a company effectively communicates the significance of cybersecurity, ensures that team members know how to report suspicious incidents, and implements accurate risk assessments along with clear policies and procedures, we refer to this as a “culture of compliance”. This approach significantly enhances your security measures.

Compliance 98

Compliance Due Diligence HIPAA Compliance Officers 98

Compliancy Group

MARCH 12, 2025

With such a wide range of potential noncompliance incidents, more compliance officers are exploring ways to combat these penalties so they can respond proactively instead of reactively. Such noncompliance can result in non compliance fines. Using compliance software can prevent upcoding.

Fraud 52

Fraud Compliance Medicare Medicare 52

HIT Consultant

JANUARY 2, 2025

Karie Bostwick, VP of People and Compliance, Revenue Enterprises The Consumer Financial Protection Bureau (CFPB) has announced that it wants to ban the inclusion of medical debt data in credit reports to lessen the negative impact of medical debt on credit scores and improve financial outcomes for consumers.

Medical Billing 93

Medical Billing ACA Compliance Governance 93

MedTrainer

FEBRUARY 20, 2023

Being aware of the newest healthcare compliance rules and regulations is no easy task. Governing bodies are constantly updating standards due to changes in legislation, technological advancements, new medical research, societal dynamics, and more. With a resounding 2.8 Department of Health and Human Services.

Compliance 98

Compliance HIPAA Health Insurance COVID-19 98

Bill of Health

OCTOBER 20, 2022

Even when the federal government famously required workers to be vaccinated (until the Supreme Court said nope ), and the federal government required incoming international travelers to be vaccinated, it only required domestic passengers to wear masks (until a federal judge in Florida also said nope ).

COVID-19 219

COVID-19 Governance Compliance Public Health 219

Healthcare It News

AUGUST 9, 2023

If so, how is the disclosure presented? Is it part of a longer disclosure or more clearly presented? How does Google ensure compliance with those terms in the post-deployment context? Do patients have the option to opt-out of having AI used to facilitate their care? If so, how is this option communicated to patients?

Licensing 246

Licensing Hospitals Health Outcomes Governance 246

Healthcare IT Today

DECEMBER 26, 2024

Check out our community’s Healthcare Cybersecurity predictions: Bill Murphy, Director of Security and Compliance at LeanTaaS As we enter 2025, AI is revolutionizing cyber threats in concerning ways. Patient-centric access controls enabling granular data privacy protections will also be key to maintaining trust and regulatory compliance.

US Department of Health and Human Services 93

US Department of Health and Human Services Ransomware Compliance Hospitals 93

MedTrainer

JULY 5, 2024

Healthcare compliance is a cornerstone of organizational integrity and operational efficiency. For board members steering healthcare institutions, understanding and prioritizing compliance is not merely a legal obligation but can also double as a strategic imperative.

Compliance 52

Compliance Governance Regulatory Compliance Hospitals 52

Bill of Health

MARCH 10, 2023

Not only are states and cities starting to act to curb the use of gas appliances in residential and commercial spaces, environmental activists are urging the federal government to remove them from federally assisted housing. Consequently, the potential for pollutant loads is significant in units with little ventilation or recirculating hoods.

Public Health 241

Public Health COVID-19 Health Outcomes Governance 241

Healthcare It News

MAY 25, 2022

" The pandemic and the guidelines imposed by various government agencies created an ever-changing set of requirements, and Northwell needed the vendor to remain agile and adept as it navigated this new territory. The vendor's technology also gives Northwell the ability to confidently manage vaccine mandate compliance.

COVID-19 312

COVID-19 Compliance Nurses Governance 312

MedTrainer

FEBRUARY 27, 2025

As a healthcare compliance officer, I have to ensure our governing board is not only informed about compliance matters but also actively engaged even when it competes with other priorities for attention. Report to your governing board with confidence using this template and presentation designed by a compliance professional.

Compliance 52

Compliance Compliance Officers Governance HIPAA 52

Healthcare IT Today

DECEMBER 21, 2023

The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers. If healthcare providers fail to comply, the consequences can be costly.

Records Management 128

Records Management Regulatory Compliance Compliance HIPAA 128

MRO Compliance

OCTOBER 9, 2024

However, health systems must ensure that these solutions align with stringent data governance and security standards. Given the unique challenges presented by these two areas, health systems and their vendor partners will need to focus on creating more efficient workflows and leveraging technology to improve data exchange processes.

Regulatory Compliance 147

Regulatory Compliance Governance Compliance 147

Physician Credentialing Company

OCTOBER 31, 2024

This code is often used when patients present with some chronic condition or disease with complex symptoms. Detailed Medical History On patient presentation, the medical history of the patient is taken to make a probable diagnosis. History has many parts, and it starts with presenting complaints.

Medical Billing 52

Medical Billing Compliance Doctors Medicare 52

Healthcare IT News - Telehealth

JUNE 15, 2020

Alleva, who focuses on the federal regulation of healthcare providers, payer enrollment and HIPAA compliance, told Healthcare IT News that it's still too soon to tell how patients will react to loosening coronavirus restrictions. "Some states are still in particular phases," she said.

Telemedicine 218

Telemedicine Licensing HIPAA COVID-19 218

MRO Compliance

JANUARY 14, 2022

Recently I had the opportunity to present a webinar with two of my MRO colleagues, where we explored the future of technology as it relates to health information management (HIM), revenue integrity and clinical data. We discussed what is on the horizon and how to prepare for the future regarding technology, privacy, compliance and security.

Compliance 130

Compliance Governance 130

Medisys Compliance

MARCH 5, 2024

Introduction Cardiology billing presents unique challenges due to evolving regulatory landscapes, complex coding requirements, and the constant scrutiny of payer audits. This complexity is reflected in the coding and billing requirements set forth by government payers such as Medicare, as well as private insurance companies.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

HIT Consultant

JANUARY 12, 2025

Similarly, in government applications, border control leverages multimodal systems for enhanced identity verification at international checkpoints, improving efficiency and accuracy in managing cross-border security. Healthcare organizations must ensure compliance with privacy laws like HIPAA and GDPR.

Fraud 64

Fraud Regulatory Compliance Ransomware Compliance 64

Healthcare IT Today

NOVEMBER 8, 2024

Karen Iapoce, Vice President, Government Programs at ZeOmega The integration of digital health tools, telemedicine, and mobile health applications is greatly advancing population health management by improving access to care, enabling real-time health monitoring, and offering personalized treatment plans.

Telemedicine 138

Telemedicine Health Outcomes COVID-19 Governance 138

MedTrainer

JANUARY 26, 2024

That’s why healthcare compliance regulations exist. What is healthcare compliance ethics? In this blog, we’ll discuss how compliance came into being and why ethics are closely monitored by federal, state, and local governments. What is Healthcare Compliance Ethics? Who Enforces Healthcare Compliance Ethics?

Compliance 52

Compliance Informed Consent Patient Advocacy Governance 52

Healthcare IT Today

JANUARY 16, 2025

billion and average IT landscape complexity and threat exposure with theoretically perfect cybersecurity maturity ratings for all control areas other than vulnerability management processes presents an estimated $2.7 As an example, a health system with an annual revenue of $2.5 million in cyber exposure. million in cyber risk exposure.

Ransomware 52

Ransomware FDA Governance Compliance 52

YouCompli

OCTOBER 16, 2024

Radiology services can be accompanied by some unique compliance challenges that do not always exist with other types of health care services. The following tips can help compliance professionals as they develop strategies to monitor compliance associated with typical radiology services. Any claim billed with ICD-10 code R51.9

Compliance 52

Compliance Medicare Medicare Hospitals 52

Compliancy Group

JANUARY 16, 2024

Corporate compliance and oversight solutions ensure companies adhere to laws, regulations, and internal policies and procedures. The Role of Compliance Officers: Guardians of Ethical Integrity Compliance Officers are unsung heroes who work diligently behind the scenes to enforce regulatory compliance within organizations.

Compliance 52

Compliance Compliance Officers Regulatory Compliance Governance 52

Healthcare IT Today

AUGUST 1, 2022

Best in KLAS solutions provider broadens RLDatix’s capabilities across governance, risk and compliance while helping organizations meet complex data regulatory requirements. Galen is an award-winning, KLAS-ranked healthcare IT company providing high-skilled, cross-platform expertise. RLDatix is on a mission to change healthcare.

Governance 92

Governance Compliance Hospitals 92

Healthcare IT Today

APRIL 11, 2023

While abundant data can be beneficial, it also presents a significant challenge for healthcare organizations. But health records are strictly governed by privacy regulations, and are often siloed in different systems, both of which complicate the data integration process.

Governance 112

Governance Compliance HIPAA Hospitals 112

HIT Consultant

NOVEMBER 27, 2023

Mishandling or misplacing sensitive data can lead to compliance violations, legal repercussions, and reputational damage. Non-compliance not only carries financial penalties but also poses ethical dilemmas and compromises patient trust. Moreover, the importance of regular audits and continuous monitoring cannot be overstated.

Compliance 122

Compliance HIPAA Regulatory Compliance Health Insurance 122

Physician Credentialing Company

DECEMBER 20, 2024

The following are some risks involved: Compliance risks Compliance with policies and regulations is considered a cornerstone in medical billing. In case of suspicion of non-compliance, claims can be rejected, and even healthcare facilities may have serious implications. After scrutiny, they give approval to start billing.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

Healthcare IT Today

MARCH 15, 2023

The number of stakeholders in charge of this field has multiplied (CIO, CDO, CTO, business leaders, records manager, data protection officer, compliance officer, office manager, etc.) and they must all operate from one information security framework that ensures compliance, protection and interoperability.

Compliance 114

Compliance Governance Compliance Officers Records Management 114

MedTrainer

DECEMBER 7, 2023

Healthcare compliance in New Mexico mirrors the state’s diverse culture, with unique regulations that differ from other states, such as credentialing documentation requirements for managed care organizations. New Mexico’s parity law requires insurers to cover telemedicine services to the same extent as in-person services.

Compliance 52

Compliance Licensing Medicaid Medicaid 52