Verisys

MARCH 6, 2025

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. AI in healthcare compliance taps into the power of machine learning, natural language processing, and automation.

Compliance 52

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

HIT Consultant

OCTOBER 21, 2024

Granular Consent Enforcement: Enables data and compliance administrators to programmatically enforce specific consent preferences. AI-Assisted Risk Assessments: Provides automated risk assessments of existing consents to ensure compliance with data policies.

Compliance 97

Compliance Licensing 97

MedTrainer

MARCH 25, 2025

MedTrainer is the only platform to be recognized as a Momentum Leader in Spring 2025 across the four healthcare compliance categories evaluated by G2 (Healthcare Compliance Software, Healthcare Learning Management Systems, Healthcare Credentialing, and Healthcare Risk Management). – Nikita T., Easy to navigate the system.

Compliance 52

Compliance Licensing Nurses 52

HIT Consultant

JANUARY 9, 2025

The Power of Proprietary Systems: Compliance and Uniformity Veteran data scientists who have spent decades working with SAS will be quick to argue its strengths. While proprietary systems like SAS require hefty licensing fees, open-source tools are, of course, free. And lets not forget costthe real elephant in the room.

Compliance 52

Compliance Pharmaceutical Industry Licensing Governance 52

Compliance Now

JANUARY 3, 2022

This requirement is designed to facilitate the plan sponsor’s compliance as a fiduciary to ensure that compensation is reasonable and that no conflicts of interest exist for plan service providers. Is this definition limited to service providers who are licensed as, or who market themselves as, “brokers” or “consultants”?

Compliance 188

Compliance Licensing 188

Hall Render

NOVEMBER 1, 2024

Thus, this case serves as a reminder of the potential for severe consequences for health care fraud, including imprisonment, hefty fines and the loss of a medical license. As such, providers should prioritize billing compliance. Each claim should meet Medicaid and Medicare standards to prevent misrepresentation.

Fraud 40

Fraud Compliance Medicaid Medicaid 40

MedTrainer

DECEMBER 17, 2024

Thats why MedTrainer maintains a strong commitment to product innovation, constantly improving features to ensure our customers have the cutting-edge tools they need to simplify compliance, streamline credentialing, and enhance learning management. Stay on top of deadlines and keep compliance moving.

Licensing 52

Licensing Compliance Compliance Officers 52

MedTrainer

MAY 31, 2024

Healthcare compliance is at a tipping point. To handle the ever-growing workload, healthcare compliance professionals must embrace technology. Automation can reduce the redundant administrative tasks and broken processes that plague compliance — at a significant time and cost savings. What is Healthcare Compliance Automation?

Compliance 98

Compliance Licensing Governance Compliance Officers 98

Healthcare IT News - Telehealth

JANUARY 9, 2023

But even if some important questions about virtual care's staying power have been answered recently , health systems and telehealth startups continue to face major challenges navigating licensing requirements to operate across state lines. Not only does this process create inefficiencies and confusion, but mistakes can be very costly.

Telemedicine 188

Telemedicine Licensing Compliance COVID-19 188

Healthcare IT News - Telehealth

JANUARY 21, 2025

This has reduced our expenses while maintaining compliance with regulatory requirements for physician oversight. " Healthcare organizations also should consider patient privacy, security and regulatory compliance, she added. Now, with one set monthly cost – not per click – we have a physician available 24/7/365.

Telemedicine 175

Telemedicine Hospitals Nurses Regulatory Compliance 175

HIPAA Journal

JULY 15, 2023

We have compiled these HIPAA Compliance Guidelines because HIPAA rules and regulations can be very confusing for healthcare professionals tasked with ensuring HIPAA compliance at their organization. We have slightly amended it to be more relevant to HIPAA compliance in 2023. Designate a Privacy Officer and a Security Officer.

HIPAA 98

HIPAA Compliance Compliance Officers Licensing 98

Healthcare IT Today

DECEMBER 2, 2024

The company will scale development to simplify integrating the patient voice across all healthcare activities, while simultaneously automating the manual burden of security and compliance processes needed in the increasingly complex landscape of health data access. Healthcare organizations face new complexities in data use and licensing.

Licensing 73

Licensing Compliance Governance 73

MedTrainer

AUGUST 21, 2024

Why Stack CE Courses and Compliance Training? Since the healthcare organization is already providing required compliance training to meet regulatory and accreditation requirements, many are now also offering CEUs for staff. Start with your existing compliance training program since these courses are required.

Compliance 94

Compliance Licensing Nurses Compliance Officers 94

Healthcare IT Today

MARCH 26, 2025

As the sector adapts, telehealth providers must navigate new compliance challenges, particularly regarding controlled substances, data privacy, and multi-state licensing. Telehealth providers must align with organizations like LegitScript , which certifies compliance with regulatory standards.

FDA 52

FDA Compliance Licensing Fraud 52

MedTrainer

MARCH 27, 2025

Its often the hidden costs that sneak up with the biggest impact to revenue and compliance. If your billing and coding team is working from inaccurate provider data, they have little chance of accuracy in their work, which increases the likelihood of compliance penalties and denials.

Licensing 52

Licensing Malpractice Compliance 52

MedTrainer

MAY 9, 2024

This is the fourth year MedTrainer has been honored for its compliance management solution, along with 2018, 2020, and 2021. The recognition highlights the consistency of MedTrainer’s compliance software solutions for U.S. healthcare organizations. MedTrainer was founded for healthcare organizations; our focus has never wavered.

Compliance 98

Compliance Licensing 98

Verisys

APRIL 2, 2025

How to Acquire a Pharmacy License The process of becoming a licensed pharmacy can be complex even if you have experience, as every state has different documentation requirements. Pharmacies must obtain all the necessary licenses to meet the necessary professional standards before they can legally begin operation.

Licensing 52

Licensing Compliance Medicaid Medicaid 52

Healthcare It News

AUGUST 9, 2023

Does Google ensure that patients are informed when Med-PaLM 2, or other AI models offered or licensed by, are used in their care by health care licensees? What license terms exist in any product license to use Med-PaLM 2 to protect patients, ensure ethical guardrails, and prevent misuse or inappropriate use of Med-PaLM 2?

Licensing 246

Licensing Hospitals Health Outcomes Governance 246

Verisys

MARCH 6, 2025

Credentialing involves a detailed review of a provider’s qualifications, including their: Education Work experience Certifications Licenses Professional standing This process ensures that patients see professionals who are properly trained and certified to provide the level of care they require.

Licensing 52

Licensing Compliance Nurses Malpractice 52

MedTrainer

MAY 3, 2024

Non-compliance with these regulations can result in jail time, large fines, and even loss of license. Keeping compliance and fraud prevention top of mind can help to protect both your organization and its staff. Here are four ways healthcare compliance software simplifies fraud prevention: 1.

Fraud 94

Fraud Compliance Compliance Officers Licensing 94

MedTrainer

FEBRUARY 27, 2025

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, download license and add to your file. It doesnt take much for a claim to be denied.

Licensing 52

Licensing Compliance Hospitals 52

Healthcare IT Today

OCTOBER 25, 2024

Bluesight , the leading provider of Medication Intelligence solutions for health systems and hospital pharmacies, announced the acquisition of Sectyr , a top-tier compliance and audit management platform. There’s a clear need for better tools to ensure compliance and conduct audits.

Compliance 70

Compliance Regulatory Compliance Hospitals Licensing 70

Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. Other adverse actions Things like voluntarily giving up a license while under investigation.

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

HIT Consultant

MARCH 30, 2025

When staff members spend excessive time investigating and correcting denied claims, it prevents them from performing higher-value tasks and operating at the top of their license. AI offers a path to stabilize operations and increase revenue while allowing staff to operate at the top of their license.

Regulatory Compliance 66

Regulatory Compliance Licensing Health Outcomes Compliance 66

Verisys

FEBRUARY 10, 2025

These changes are designed to enhance patient safety, data accuracy, and compliance efficiency for health plans. At Verisys, we specialize in credentialing and license monitoring , offering industry-leading data accuracy and real-time insights. Key NCQA 2025 Compliance Changes 1.

Licensing 40

Licensing Compliance Medicaid Medicaid 40

Verisys

APRIL 8, 2025

Youll learn how each level works, what databases they include, and how to choose the right option for your organizations compliance and patientsafety goals. FACIS Level 1M meets and exceeds the minimum standards set forth by the Office of Inspector General (OIG) Compliance Program Guidance. The post What is FACIS?

Fraud 52

Fraud Medicaid Medicaid Compliance 52

Compliancy Group

JANUARY 23, 2025

Compliancy Group supports healthcare organizations through robust regulatory compliance training and incident reporting tools. RDx Bioscience Inc.: Preventing Fraud, Waste, and Abuse Organizations and providers must take steps to combat fraud, waste, and abuse and report it when it happens.

Fraud 98

Fraud Medicare Medicare Regulatory Compliance 98

Verisys

APRIL 3, 2025

However, the process itself can be complicated and time-consumingand when things go wrong, it can lead to financial setbacks, medical standard compliance issues, and unnecessary stress. Poor communication between departments : Credentialing requires input from many players, including HR, compliance teams, and insurance payers.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Compliance Malpractice 52

MedTrainer

JUNE 5, 2023

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

Compliance 96

Compliance Licensing Nurses ADA 96

Verisys

APRIL 3, 2025

Faster onboarding, fewer healthcare compliance risks, and more time spent on patient carenot paperwork. In traditional credentialing, healthcare organizations manually collect and verify information from licensing boards, medical schools, and past employersa process that can take a significant amount of time to complete.

Licensing 52

Licensing Malpractice Compliance Nurses 52

HIT Consultant

APRIL 1, 2025

Supported by a network of licensed doctors, pharmacies, and banks across the U.S. Transforming Telehealth with Comprehensive Digital Care Earlier this year, Locke Bio introduced Locke Bio Pay , a compliance-first payment solution developed in partnership with LegitScript.

Regulatory Compliance 52

Regulatory Compliance Compliance Doctors Licensing 52

Verisys

FEBRUARY 6, 2025

Healthcare provider credentialing solutions help automate and simplify this process, ensuring efficiency and compliance. Nurses have their own credentials, including verifying their nursing license, specialized certifications, and continuing education credits.

Licensing 52

Licensing Nurses Malpractice Compliance 52

Healthcare IT News - Telehealth

MARCH 18, 2020

The HHS Office for Civil Rights announced on Tuesday that during the coronavirus pandemic it will use discretion when enforcing HIPAA-compliance for telehealth communications tools. WHY IT MATTERS. and Google G Suite Hangouts Meet. THE LARGER TREND.

COVID-19 217

COVID-19 HIPAA Nursing Homes Medicare 217

Healthcare IT News - Telehealth

JUNE 9, 2022

License and approval. Only licensed physicians are qualified and permitted to engage in medical practice. engaging a qualified general compliance manager for marketing). A key factor in determining whether an activity constitutes a "medical practice" is whether medical judgments and techniques are involved.

Licensing 192

Licensing Telemedicine Governance Compliance 192

MedTrainer

FEBRUARY 16, 2023

Compliance is critical in the medical field, especially during times of high healthcare staff turnover. Even as people and roles change, compliance guidelines stay the same, and serve to help healthcare organizations adhere to legal, ethical, and regulatory standards.

Compliance 98

Compliance Nurses Compliance Officers Licensing 98

Compliancy Group

DECEMBER 25, 2024

Credentialing software can help you automate the tracking of your staff while navigating the complexities of healthcare compliance laws. These records include the medical licenses, certifications, and other credentials practitioners need to hold their jobs. What’s the Purpose of Credentialing Software?

Compliance 52

Compliance Compliance Officers Licensing Doctors 52

Medisys Compliance

DECEMBER 24, 2024

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Check state-specific Medicaid guidelines to ensure compliance. the patients location or the use of specific technology).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59