Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. This article explores these changes, providing insights to help you navigate the evolving landscape of Medicare billing.

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AIHC

SEPTEMBER 3, 2024

Celebrating the Healthcare Compliance Officer The American Institute of Healthcare Compliance is recognizing healthcare Compliance Officers – hats off to you! The primary goal of a compliance officer is to mitigate risk. This involves investigating complaints and conducting internal auditing and monitoring for compliance.

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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.

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Healthicity

JUNE 23, 2022

As compliance officers, we often focus (and rightfully so) on enforcement efforts.

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Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. Register to attend Nick’s webinar on July 18, 2024.

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MedTrainer

SEPTEMBER 20, 2023

Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations. What Is the Scope of a CMS Inspection?

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Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Ensure they have current Medicare coverage and no pending eligibility changes.

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Provider Trust

JULY 25, 2022

Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.

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Medisys Compliance

FEBRUARY 10, 2025

This guarantees compliance and appropriate reimbursement. To stay current with the changes: Professional Associations: The American Psychiatric Association (APA) and the National Council for Behavioral Health frequently offer webinars, conferences, and training sessions on coding updates. 90834 or 90837).

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Healthcare IT News - Telehealth

JULY 18, 2022

"In addition, in 2012, UVA Health launched a remote patient monitoring program to improve patient compliance and clinical outcomes, and to reduce hospital readmissions, hospital length of stay and emergency department visits. MARKETPLACE. There are many vendors of telemedicine technology and services on the health IT market today.

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MedTrainer

JULY 29, 2024

Healthcare compliance is complicated for organizations of any size. However, the complexities grow exponentially for large or enterprise organizations with hundreds or thousands of employees who must complete and pass rigorous compliance training. What Is Corporate Compliance Training?

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MedTrainer

JUNE 25, 2024

Streamlining healthcare compliance management is not just a matter of meeting legal obligations but also safeguarding patient safety and organizational integrity. Healthcare-focused compliance management software is key to eliminating common challenges. What is Healthcare Compliance Management?

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MedTrainer

JUNE 9, 2022

Over the past two years or so, Centers for Medicare and Medicaid Services (CMS) surveys have been much less frequent in response to the pandemic. The takeaway from this new information is to have your compliance in place BEFORE a surprise survey, or before an event happens that can trigger a survey. Take a look at what we do.

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MedTrainer

AUGUST 1, 2024

Compliance audits are critical to healthcare management, ensuring that healthcare organizations adhere to legal and regulatory standards. Audits help identify areas of non-compliance, mitigate risks, and support high standards of patient care and data security. What is a Healthcare Compliance Audit?

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MedTrainer

SEPTEMBER 10, 2024

When talking about healthcare compliance education, these misunderstandings can have significant repercussions, from compliance gaps to inefficiencies in operations. Understanding common, but dangerous misconceptions about healthcare compliance education can potentially prevent your organization from these issues in the long run.

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MedTrainer

NOVEMBER 14, 2023

When it comes to healthcare delivery, compliance is not just a matter of ticking boxes; it’s the backbone of patient trust and safety. In this blog post, we’ll explore the many reasons why healthcare compliance isn’t just important — it’s vital. What Is Healthcare Compliance?

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Provider Trust

MAY 26, 2023

Thursday, June 22, 2023 | 12-1pm CST Join us for an information session where Donna Thiel, Chief Compliance Officer at ProviderTrust, will share her expertise and valuable feedback from the 2023 HCCA Compliance Institute.

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MedTrainer

AUGUST 9, 2024

Establishing measurable compliance objectives enables organizations to track their progress, identify areas for improvement, and mitigate risks before they escalate into significant issues. But how do you write healthcare compliance goals that accomplish this? What is Healthcare Compliance Management?

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MedTrainer

OCTOBER 16, 2023

This is the essence of corporate compliance in healthcare. Just as every piece of the puzzle must fit perfectly, every compliance element in healthcare needs precise integration to ensure seamless, ethical, and effective operations. Dive with us as we explore the complexities and necessities of compliance in the healthcare sector.

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MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. One effective tool to achieve this is through internal healthcare compliance audits. What Is an Internal Healthcare Compliance Audit?

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McBrayer Law Blog

FEBRUARY 8, 2022

Posted In Centers for Medicare & Medicaid Services (“CMS”) , COVID-19 , Mandatory vaccination policies More > Tags: Centers for Medicare & Medicaid Services , CMS , COVID-19 , employer mandate , Healthcare Compliance Issues , Healthcare Provider , Healthcare Providers , Mandatory vaccination.

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Healthicity

OCTOBER 13, 2023

The Inspector General of HHS has warned the healthcare compliance community that reimbursement methodologies associated with Medicare Advantage would be a top priority. Included in these efforts is an enhanced focus on Hierarchical Condition Categories (HCC) and risk adjustment.

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Medisys Compliance

AUGUST 23, 2024

Whether you’re dealing with compliance, avoiding common errors, or coding for specialized treatments like chemotherapy and radiation, this guide will help you navigate the complexities of oncology coding rules and guidelines. Example: Medicare’s guidelines for oncology coding are detailed and specific.

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Healthcare Law Blog

SEPTEMBER 6, 2023

On September 1, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a long-awaited proposal to establish new federal minimum staffing standards for long-term care facilities. [1] The most appropriate approach to display determinations of facility compliance with minimum staffing standards on the Care Compare website.

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Medisys Compliance

JULY 31, 2024

This guide explores the technical aspects of billing for immunotherapy to ensure optimal reimbursement while maintaining compliance. Key considerations include: Medicare: Medicare has established specific coverage criteria for various immunotherapies. Ensure compliance with state-specific guidelines.

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Medisys Compliance

JULY 9, 2024

For cardiologists and medical coders specializing in cardiology, accurate ICD-10 coding is essential to ensure proper billing, avoid claim denials, and maintain compliance with healthcare regulations. This can include workshops, webinars, and continuing education courses. References: Centers for Medicare & Medicaid Services.

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Hanys

APRIL 28, 2023

HANYS standing membership call on state and federal issues May 2 Understanding Medicare's post-acute care and inpatient psychiatric facility proposed rules May 2 Healthcare Middle Manager Virtual Training May 3 – 4 Advancing capital, facilities and construction spend management May 9 Government relations update May 12 IPPS payment proposed rule (..)

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Medisys Compliance

DECEMBER 12, 2023

In this article, we will explore the most important behavioral health billing updates planned for 2024, focusing on both Medicare and commercial payers. Behavioral Health Billing Updates: For Medicare 1. Get training: Consider attending training sessions or webinars on the new billing updates to ensure you are fully prepared.

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MedTrainer

APRIL 20, 2023

One way to stand out and elevate your career is as a Certified Compliance and Ethics Professional (CCEP). CCEP certification demonstrates your dedication to ethical practices and compliance within the healthcare industry. Why Become a CCEP? This leads to better decision-making and a more robust work environment for everyone involved.

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MedTrainer

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. Provider enrollment confirms the healthcare provider meets and maintains certain compliance standards for the insurance or payer network. What is Provider Enrollment? What is Provider Credentialing?

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MedTrainer

AUGUST 5, 2024

Additionally, navigating the complex and frequently changing regulations and standards increases the risk of non-compliance, potentially leading to legal and liability issues. WEBINAR: Hear how Kasey Krabler of Rocky Mountain Surgical Center completes privileging in 30 days. Ongoing Process: Privileging is not a one-time event.

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AIHC

OCTOBER 23, 2024

Internal audits can be an integral part of your corporate compliance program and used as an effective management system, whether it is focused on quality, safety or any other business element. The American Institute of Healthcare Compliance (AIHC) provides comprehensive training to certify healthcare auditors. Is it implemented?

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Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Register for the webinar here. Below are additional details about the updates, including effective dates and implementation timelines.

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Medisys Compliance

JANUARY 4, 2024

This article equips primary care providers with the latest knowledge and technical expertise to navigate the process seamlessly, maximizing new patient visit billing accuracy and minimizing compliance risks. Stay updated: Familiarize yourself with the latest CMS guidelines and payer policies to avoid compliance lapses.

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Medisys Compliance

FEBRUARY 29, 2024

Understanding Virtual Care Billing Codes Familiarizing yourself with the specific billing codes assigned by Medicare and private payers is paramount. This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. secure messaging).

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MedTrainer

MARCH 8, 2024

These financial incentives are from agencies such as the Centers for Medicare and Medicaid Services (CMS) and the Health Resource & Services Administration (HRSA) , who are working to achieve health equity and improve public health. WEBINAR: Maximize Funding Streams Starting With 340B Watch Now What is Value-Based Care?

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MedTrainer

MARCH 14, 2024

As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Meets compliance standards: Both processes verify a provider has met compliance standards.

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