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

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

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 60

Governance Compliance HIPAA Regulatory Compliance 60

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 70

Compliance Governance Telemedicine HIPAA 70

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 103

Medical Billing ACA Compliance Governance 103

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

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

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

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

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

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

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

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 90

US Department of Health and Human Services Ransomware Compliance Hospitals 90

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 124

Records Management Regulatory Compliance Compliance HIPAA 124

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

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

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

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

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 91

Governance Compliance Hospitals 91

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

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 107

Governance Compliance HIPAA Hospitals 107

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

Bill of Health

DECEMBER 6, 2024

These technologies can act as privacy enhancing techniques (PET) to ensure privacy and compliance with regulations like HIPAA and GDPR. Quantum-driven healthcare innovations present quantum-specific regulatory challenges, discussed in more detail below. The regulatory landscape in the U.S.

FDA 130

FDA Governance Compliance Bioethics 130

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 110

Compliance Governance Compliance Officers Records Management 110

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Verisys

FEBRUARY 6, 2025

Healthcare provider credentialing solutions help automate and simplify this process, ensuring efficiency and compliance. Each type of credentialing plays a vital role in maintaining high standards of patient care, ensuring regulatory compliance, and promoting operational efficiency in healthcare settings.

Licensing 52

Licensing Nurses Malpractice Compliance 52

HIT Consultant

JUNE 13, 2024

They will also present on the evolving role of generative AI in the healthcare ecosystem. This commitment is supported by Cognizant’s responsible AI principles and Google Cloud’s responsible AI approach, data governance, and privacy standards.

HIPAA 118

HIPAA Governance Compliance 118

Healthcare IT News - Telehealth

MAY 16, 2022

"It is for this reason that the need arose for a strong evidence-based examination of the effectiveness of telehealth, and this became the basis for the planning of the present study," they said. WHY IT MATTERS. Maternal mortality rates were also higher. ON THE RECORD.

Telemedicine 160

Telemedicine COVID-19 Nurses Health Outcomes 160

Healthcare IT Today

FEBRUARY 10, 2025

While cloud adoption offers numerous advantages, it also presents new security challenges. Implementing robust data governance frameworks can help manage data access and usage, ensuring compliance with regulatory standards. Hospitals and other healthcare institutions must prioritize secure cloud adoption strategies.

Ransomware 52

Ransomware Hospitals HIPAA Governance 52