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How to Conduct Effective Compliance Audits 

American Medical Compliance

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. A powerful way to ensure this is through regular compliance audits. This is to confirm that staff are properly trained in compliance protocols.

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CMS sets Medicaid renewal compliance deadlines

Fierce Healthcare

The feds have set new deadlines for compliance with Medicaid renewal requirements given widespread enrollment concerns during the unwinding. | The feds have set new deadlines for compliance with Medicaid renewal requirements given widespread enrollment concerns during the unwinding.

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Using the Texas Health and Human Services Commission Medicaid Exclusion List

Compliancy Group

In just the first three quarters of 2024, 155 providers have been added to the Texas Health and Human Services Commission Medicaid exclusion list. Over 4 million people in Texas are covered by Medicaid, and the Texas OIG exclusion list provides protection for each of them, as well as for healthcare facilities.

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Outsourcing Cardiology Billing for Medicare and Medicaid

Medisys Compliance

Add in the complexities of Medicare and Medicaid, and it can feel overwhelming. This article will explore how outsourcing cardiology billing for Medicare and Medicaid can streamline your operations, boost revenue, and free you to focus on delivering exceptional cardiac care. Does Medicaid Cover Cardiology?

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Simplify Screening for Excluded Providers

Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.

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Preventing Non-Compliance Consequences in Healthcare

Verisys

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?

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HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

For healthcare organizations, the HEDIS season, which typically spans February to May, requires a proactive approach to ensure data accuracy, compliance, and efficiency. Reminder of the audit process: According to NCQA , the HEDIS compliance audit contains two parts information system capabilities and HEDIS specification standards.