AIHC

APRIL 22, 2025

This article illustrates how certified compliance professionals play a pivotal role in protecting whistleblowers and preventing retaliation. Introduction Healthcare compliance professionals are often the first line of defense when systems break down. The False Claims Act (31 U.S.C.

Compliance 89

Compliance HIPAA Compliance Officers Fraud 89

Healthcare Dive

MARCH 4, 2024

Lenient regulatory enforcement has led hospitals to disregard price transparency requirements, according to watchdog group Patient Rights Advocate.

Hospitals 243

Hospitals Compliance 243

Healthcare Dive

NOVEMBER 11, 2022

Committee members said in a recent letter that hospitals have had “ample time” to comply with the rules.

Hospitals 270

Hospitals Compliance 270

Healthcare Dive

FEBRUARY 11, 2022

The report said only two of 361 combined hospitals at three of the largest hospitals systems — HCA Healthcare, CommonSpirit Health and Ascension — were estimated to be in compliance with the federal standard.

Hospitals 312

Hospitals Compliance 312

Healthcare It News

MAY 13, 2024

Prompted by H-ISAC, the American Hospital Association also sent a cybersecurity advisory with technical mitigation recommendations to its members. The AHA has warned its member hospitals that it is urgent to heed H-ISAC's recommendations on defending against the emerging threat.

Hospitals 351

Hospitals Ransomware Governance Doctors 351

MRO Compliance

JANUARY 7, 2025

As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial intelligence in coding practices.

US Department of Health and Human Services 173

US Department of Health and Human Services Compliance Regulatory Compliance Fraud 173

Healthcare It News

OCTOBER 10, 2024

" Time spent on the EMR, he said, is driven by such factors as specialty, payer expectations, and regulatory compliance. Demonstrating benefits The panel also discussed challenges and best practices in hospital and health data integration and sharing. For Dr Appannan, it depends on the type of case.

Doctors 276

Doctors Regulatory Compliance Hospitals Nurses 276

Healthcare It News

SEPTEMBER 24, 2023

However, it may take a while for hospitals to apply the newer large language models to their patient portals. In the session " Patient portal integration for enhanced hospital operations ," Dr Roel Bolt, CMIO, Franciscus Hospital discussed the evolution and innovation of patient portals.

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Hospitals Doctors Compliance 330

Healthcare It News

MARCH 19, 2024

Take the case of Mount Alvernia Hospital, a 300-bed private not-for-profit medical institution in Singapore. " "These solutions offer a robust governance model tailored for enterprise software factories and come with compliance designations like SOC2, HIPAA, and more.

Hospitals 341

Hospitals Doctors HIPAA Nurses 341

Healthcare IT Today

NOVEMBER 1, 2024

“Hospitals and healthcare systems are all financially challenged. The Role of AI in Physician Payments In healthcare, operational efficiency and contract compliance are paramount. There are several compliance issues that healthcare organizations must avoid when it comes to physician compensation plans.

Compliance 67

Compliance Due Diligence Hospitals Regulatory Compliance 67

Healthcare IT Today

APRIL 10, 2025

Department of Health and Human Services (HHS) typically only assesses eight out of 180 HIPAA provisions during audits, leaving hospitals and healthcare organizations exposed to significant compliance and security risks. A recent report revealed that the Office for Civil Rights (OCR) at the U.S.

HIPAA 114

HIPAA Compliance Framework Compliance Governance 114

Healthcare It News

JANUARY 21, 2025

As the healthcare industry faces growing patient demand , artificial intelligence (AI) and automation are giving hospitals and health systems the opportunity to rethink how they deliver care. However, many organizations struggle with where and how to deploy these technologies.

Compliance Framework 310

Compliance Framework Governance Hospitals Compliance 310

AIHC

MARCH 31, 2025

Written by Corliss Collins BSHIM, RHIT, CRCR, CCA, CAIMC, CAIP, CSM, CBCS, CPDC and Sheryn Honest, MBA, MLS, CHCO, CHA, CPC The primary goal of the Sunshine Act is to increase transparency in the financial relationships between healthcare providers (physicians and teaching hospitals) and the pharmaceutical and medical device industries.

Compliance 64

Compliance COVID-19 Compliance Officers Medicaid 64

MRO Compliance

DECEMBER 23, 2024

We work closely with your HIM, Compliance, Privacy and/or Legal departments to create a configurable solution tailored to your needs. Backed with MROs award-winning operations staff, compliance and consistency goes hand in hand.

Compliance 147

Compliance Hospitals 147

MRO Compliance

FEBRUARY 3, 2025

For healthcare organizations, the HEDIS season, which typically spans February to May, requires a proactive approach to ensure data accuracy, compliance, and efficiency. Below are three key steps health systems, hospitals, and physician practices should take to effectively prepare for the upcoming HEDIS season. Experience of Care.

Patient Satisfaction 147

Patient Satisfaction Compliance Medicare Medicare 147

Healthcare Dive

OCTOBER 18, 2022

A new report from Turquoise Health finds progress in compliance with federal rules created to help consumers comparison shop for medical services.

Hospitals 274

Hospitals Compliance 274

Healthcare IT Today

JANUARY 30, 2025

The following is a guest article by Mike Garzone, Security Compliance Practice Leader at Impact Advisors , and Marc Johnson, Director, Security Compliance Practice at Impact Advisors Experiencing a disruption is no longer a matter of if in healthcare delivery it is a matter of when.

Hospitals 71

Hospitals Compliance Governance Ransomware 71

MRO Compliance

MARCH 20, 2025

They have the right intentions, yet gaps in care coordination lead to preventable hospital readmissions, and they struggle to meet the quality benchmarks required for value-based care contracts. Ensuring compliance and maximizing financial performance by optimizing risk adjustment, quality measure tracking, and regulatory adherence.

Hospitals 147

Hospitals Compliance 147

MRO Compliance

APRIL 23, 2025

One of the ways MRO is driving efficiency and compliance daily, and especially during HIP Week is through our latest advancement, automating data retrieval requests for HEDIS (Healthcare Effectiveness Data and Information Set).

Compliance 147

Compliance Hospitals 147

Compliancy Group

APRIL 18, 2025

Healthcare regulatory compliance means healthcare organizations are meeting a wide range of laws and standards that includes everything from billing and safety to data protection and patient rights. This compliance means ensuring patient safety, protecting their privacy, and making sure quality care is delivered. With annual U.S.

Regulatory Compliance 52

Regulatory Compliance Compliance Fraud HIPAA 52

Healthcare It News

OCTOBER 1, 2024

based Children's National Hospital Telemedicine team identified a disparity in access to the internet and digital tools that disproportionately affects low-income and rural communities, causing a digital divide. With more than two decades of telemedicine experience and research, the Washington, D.C.-based

Hospitals 227

Hospitals Telemedicine Health Outcomes COVID-19 227

HIPAA Journal

APRIL 18, 2025

The CEO of an Edmond, OK-based cybersecurity firm has been accused of intentionally installing malware at an Oklahoma City hospital. Anthony Hospital observed a man using a hospital computer that had been designated for employee use only. On August 6, 2024, a member of staff at SSM Healths St.

Hospitals 81

Hospitals HIPAA Compliance 81

Healthcare IT Today

DECEMBER 11, 2024

Under HIPAA compliance, healthcare organizations must ensure that all communications, including fax, are secure and meet stringent standards. By modernizing these systems with cloud-based solutions, healthcare organizations can find a balance between HIPAA compliance and operational efficiency. million annually for cloud fax services.

Compliance 117

Compliance HIPAA Regulatory Compliance Hospitals 117

YouCompli

FEBRUARY 11, 2025

Healthcare compliance professionals play a vital role in ensuring that organizations adhere to ever-changing regulations and standards. However, one of the most persistent challenges they face is managing and delegating compliance responsibilities effectively.

Compliance 52

Compliance Regulatory Compliance Hospitals 52

American Medical Compliance

FEBRUARY 18, 2025

Therefore, healthcare professionals and organizations must understand Sunshine Act compliance to meet reporting requirements for financial relationships. American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians.

Compliance 52

Compliance Pharmaceutical Industry Hospitals 52

Verisys

MARCH 6, 2025

Emerging technologies arent siloed to the hospital floor or operating room. What Is AI in Healthcare Compliance? Imagine having a tireless assistant who handles the nitty-gritty of regulatory compliance so healthcare teams can focus on what matters mostpatient care and privacy. A 2024 survey of U.S.

Compliance 52

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

Verisys

MARCH 6, 2025

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of safe, effective, and ethical patient care. When healthcare organizations fail to meet compliance standards, the consequences can be severespanning legal and financial realms. What is Non-Compliance in Healthcare?

Compliance 52

Compliance HIPAA Licensing Governance 52

Compliancy Group

OCTOBER 28, 2024

Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

Compliancy Group

JANUARY 27, 2025

Hospitals and patients who rely on your companys products or services want to know that their protected health information (PHI) is safe. To maintain your organizations reputation and understand the positive influence of a SOC 2 report, youll want to know what is required for SOC compliance.

Compliance 59

Compliance HIPAA Health Insurance Hospitals 59

MRO Compliance

JANUARY 15, 2025

These include one of the nations largest Catholic health systems and a provider-sponsored health plan, backed by a top five US research hospital, according to Statistas Worlds Best Hospitals 2024. Today, MRO partners with 1,200 hospitals, 35,000 clinics, 78 Accountable Care Organizations and works with the top 50 payers in the US.

Hospitals 133

Hospitals Compliance 133

Healthcare It News

MARCH 19, 2025

"Lastly, addressing psychological readiness for surgery became a strategic priority for our hospital," Becker explained. The feedback became the impetus for identifying a need for change and process improvement that was focused on the patient experience apart from the efficiency of time as a metric in a surgical encounter.

Regulatory Compliance 267

Regulatory Compliance Compliance Doctors Nurses 267

American Medical Compliance

FEBRUARY 15, 2025

In the complex world of healthcare, maintaining compliance with federal regulations is crucial for the integrity of healthcare providers. “Mastering Compliance in Federal Health Care Program Billing, Coding, and Claims Training” is designed to equip you with the knowledge needed to navigate these complex systems with confidence.

Compliance 52

Compliance Medicare Medicare Medicaid 52

Compliancy Group

NOVEMBER 8, 2024

Healthcare compliance can’t happen without well-trained staff, and it doesn’t just happen with informed in-house employees. You must ensure that you are on top of training on information security and compliance for external workers, such as for contractors, vendors, and other parties who work with your organization.

Compliance 52

Compliance HIPAA Hospitals 52

AIHC

NOVEMBER 12, 2024

Written by Gabriella Neff, RHIA, CHA, CHC, CHRC, CHPC This past year, in 2024, revisions were made to clarify hospital guidelines related to informed consent specifically addressing UIEs (unconsented intimate exams) to patients while under anesthesia. OCR recently issued an FAQ focusing on this right. [6]

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Informed Consent HIPAA Compliance Hospitals 98

Total Medical ComplianceHIPAA

MARCH 14, 2025

In todays digital healthcare environment, protecting patient information is not just the responsibility of IT or compliance officersit is a shared duty among all employees. Data breaches can occur anywhere, from large hospitals to small clinics, and human error is often the primary cause. When in doubt, consult your compliance officer.

Compliance 52

Compliance HIPAA Regulatory Compliance Compliance Officers 52

MRO Compliance

NOVEMBER 21, 2024

Promoting Interoperability: Automatic reweighting is now limited to specific groups, such as hospital-based and non-patient-facing clinicians, clarifying eligibility and simplifying compliance. With Polaris, MIPS participants can ensure accuracy and compliance while maximizing their performance scores under the 2025 updates.

Compliance 147

Compliance Medicare Medicare Medicaid 147

Compliancy Group

FEBRUARY 12, 2025

The Office of Inspector General (OIG) released an updated Nursing Facility Industry Compliance Program Guidance (ICPG) in November 2024 to assist nursing facilities in navigating the complex regulatory landscape and mitigating compliance risks.

Nurses 52

Nurses Compliance Medicare Medicare 52