Compliancy Group

AUGUST 14, 2023

Regulatory compliance in the healthcare industry plays a crucial role in patient safety, maintaining quality standards, and preventing fraud and abuse. Healthcare organizations are subject to numerous regulations that govern their operations, ranging from privacy and security requirements to billing and coding guidelines.

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MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

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Healthcare IT Today

DECEMBER 21, 2023

Additionally, it plays a pivotal role in meeting regulatory compliance standards, such as HIPAA and SOC 2 and 3, safeguarding patient privacy, and maintaining the integrity of healthcare data. If healthcare providers fail to comply, the consequences can be costly.

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Healthcare IT Today

MAY 13, 2024

It propels us forward in our mission to eliminate the cumbersome and error-prone manual management of compliance data and documents in healthcare facilities.” Remaining compliant with government regulations and operating efficiently shouldn’t have to be overwhelming.

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Healthcare IT Today

JANUARY 3, 2025

AI will become fundamental to drug development processes post-discovery outside of clinical trials, like quality and regulatory compliance, because of the immediate ROI and complexity reduction it can provide. The industry faces severe workforce challenges, needing 5,000 additional workers annually with 12% minimal growth rates.

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MedTrainer

JUNE 11, 2024

Healthcare compliance regulations are distinctly different from those of other industries for an important reason: providers hold people’s health and lives in their hands. Organizations rely on healthcare regulatory compliance software to manage adherence to the laws, rules, regulations, and standards that guide patient safety and care.

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MedTrainer

JULY 31, 2024

Healthcare organizations of all sizes and types are increasingly adopting governance, risk, and compliance (GRC) frameworks to address the industry’s complex regulatory landscape and evolving challenges. The integration of GRC programs in healthcare has been significantly bolstered by technological advancements.

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Healthcare Blog

DECEMBER 29, 2024

Get it wrong and it could have a critical impact compliance issues, trouble safeguarding patient safety, and an increase in organizational risk. Contracts govern relationships with vendors, suppliers, service providers, and staff. Regulatory compliance is maintained by keeping a clear history of all contract changes and approvals.

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Verisys

MARCH 6, 2025

Further, the failure of a hospital to verify a practitioners qualifications can have a direct impact on patient safety, regulatory compliance, and the operational success of healthcare organizations. Healthcare administrators and compliance officers must be prepared to navigate these obstacles to maintain a seamless, efficient process.

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Physician Credentialing Company

DECEMBER 20, 2024

Documentation should also be maintained on how providers supervised non-credentialed providers and the type of rendered services. Legal and financial risks For not following government and payer-specific guidelines, providers may have to bear legal penalties in terms of finances or exclusion from the program.

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HIT Consultant

DECEMBER 19, 2024

Document the interdependencies between systems so you understand how they currently share data and functionality. Understanding Regulatory Compliance Needs Factors in any regulatory compliance needs that dictate how systems are accessed, who can access data, how it is transferred, monitoring requirements, etc.

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Verisys

MARCH 6, 2025

Preventing documentation from falling through the cracks can help ensure patients receive the medical care they deserve. Regulatory Compliance Support: Ensuring organizations stay compliant with CMS, NCCI, and other governing bodies by maintaining accurate provider directories and up-to-date credentialing records.

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MedTrainer

AUGUST 9, 2023

Healthcare risk management software assists healthcare organizations in identifying, assessing, and mitigating risks related to patient safety, regulatory compliance, and care operations. By identifying risks, documenting them, and documenting steps to remediate them, organizations can show their commitment to continuous improvement.

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Dot Compliance

MAY 3, 2024

In the pharmaceutical industry, the importance of regulatory compliance extends beyond fulfilling legal obligations. Compliance can be streamlined with the help of an electronic quality management system (eQMS) that incorporates regulatory standards into every operational aspect of a pharmaceutical organization.

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Healthcare Blog

APRIL 13, 2023

As hospitals have become increasingly complex organizations, effective governance, risk, and compliance (GRC) strategies have become essential for ensuring patient safety and regulatory compliance. What are the Key Components of a Successful Governance, Risk, and Compliance (GRC) Strategy? News Medical.

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Compliancy Group

AUGUST 1, 2023

A well-implemented hospital compliance program is crucial to ensure that hospitals adhere to regulatory requirements set forth by the government. We will explore the significance of hospital regulatory compliance and highlight the measures private hospitals can take to achieve and maintain compliance.

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Healthcare IT Today

JULY 27, 2023

For healthcare organizations, the impact is profound: lineage supports data accuracy, builds data trustworthiness, enables data-driven decisions, and facilitates regulatory compliance. To avoid significant fines and ensure compliance, healthcare organizations must document regulated data’s source, accuracy, and flow.

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Healthcare IT Today

OCTOBER 8, 2024

First, we established unique network and QHIN governance committees that enable network participants and not-for-profit vendors to have a major role in setting policies for our network. Competing priorities and objectives are often evaluated against the regulatory, compliance, legal, privacy, and security risks.

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Dot Compliance

JUNE 16, 2022

Millions of dollars are lost by manufacturers every year due to regulatory non-compliance issues and related lawsuits. We continuously hear of infractions and warnings issued to companies for lack of regulatory compliance. What are the main regulations governing medical device QMS? What is a medical device QMS?

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Medisys Compliance

JUNE 14, 2023

Regulatory Compliance Another significant challenge in medical billing is ensuring compliance with the complex web of healthcare regulations. Implementing advanced billing software that incorporates compliance checks and built-in coding assistance can help reduce coding errors and mitigate compliance risks.

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Compliancy Group

OCTOBER 4, 2024

We also discuss how compliance software can help ensure regulatory compliance and maximize efficiency and accuracy in all your compliance activities. Coding and documentation : Assesses the accuracy and completeness of medical documents and billing codes. What is an Audit in Healthcare?

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Healthcare Blog

NOVEMBER 13, 2024

Regulatory change management helps identify, assess, and implement changes to policies, procedures, and practices in response to new regulations or updated guidelines. They come from a variety of sources, including federal, state, and local governments. Regulations can change quickly.

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MedTrainer

OCTOBER 4, 2023

Corporate compliance training helps healthcare organizations balance the need to provide top-notch care with adhering to a plethora of regulations. What Is Corporate Compliance Training? What Is the Difference Between Corporate Compliance Training and Regulatory Compliance Training?

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Compliancy Group

AUGUST 2, 2023

As the healthcare industry grows and changes, organizations face increasing challenges regarding compliance and risk management. Healthcare GRC (Governance, Risk, and Compliance) is a crucial framework that helps healthcare providers navigate these complexities effectively.

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MedTrainer

APRIL 16, 2024

In healthcare, maintaining regulatory compliance is crucial for providing quality patient care and avoiding costly penalties. Healthcare compliance auditing software helps compliance managers prepare their organization for an audit.

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Compliancy Group

MAY 31, 2024

Did you know that inaccurate documentation can result in millions of mistakes in the healthcare industry? For example, regarding tracking claims documentation, 2 million mistakes can result from just 1% of documentation inaccuracies. All of this will help mitigate risks and enhance regulatory compliance across the organization.

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Healthcare IT Today

SEPTEMBER 3, 2024

FHIR-based API usage by Payers (Government and Commercial) in the next few years will usher in enriched datasets to TEFCA networks. But the primary challenge that continues to hamper the deployment of interoperable solutions broadly across healthcare enterprises is the inconsistent adoption of, and governance around, announced standards.

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HIT Consultant

JANUARY 6, 2025

The most significant advances are being made in predictive analytics for denial management, automated coding and documentation review, real-time payment optimization, and contract modeling and analysis. Healthcare organizations must balance the drive for efficiency with robust data governance frameworks and ethical considerations.

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MedTrainer

JANUARY 31, 2024

In this blog, we’ll discuss how to improve compliance in healthcare using end-to-end, cloud-based software. What is Healthcare Compliance? Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

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Compliancy Group

NOVEMBER 16, 2023

Operational Excellence SOC 2 compliance requires organizations to establish and document comprehensive policies, procedures, and controls surrounding their information systems and data handling processes. This ensures that businesses remain compliant with relevant laws and regulations governing the industry in which they operate.

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HIT Consultant

JULY 24, 2024

This feature reduces documentation time and integrates clinical insights with each client’s unique treatment plan, saving providers an average of 10 minutes per session and approximately three to four hours per week in administrative tasks at full-time utilization.

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Medisys Compliance

MARCH 7, 2024

These codes are integral to the billing and reimbursement process, as they enable payers, such as insurance companies and government agencies, to determine the appropriate payment for rendered services. Similarly, revisions to existing codes may reflect updates in procedural techniques or changes in documentation requirements.

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Medisys Compliance

OCTOBER 23, 2023

Overview Family practice billing is the process of submitting claims to insurance providers, government healthcare programs, and patients for services rendered by family practice physicians. Claim Submission: Once the services are provided, the billing team compiles the necessary documentation, codes, and patient information to create claims.

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Compliancy Group

JANUARY 23, 2024

Understand Compliance Landscape Before you can write a comprehensive compliance plan, it’s crucial to grasp the intricacies of the healthcare compliance landscape. Various laws, regulations, and industry standards govern this sector. The primary goal?

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MedTrainer

AUGUST 30, 2023

MCOs need to comply with various regulations and requirements to operate effectively — and ensure they meet the standards set forth by regulatory bodies. Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. Financial and Risk Management. Data Security and Privacy.

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Physician Credentialing Company

JANUARY 14, 2025

Regulatory Compliance: Compliance with ever-changing federal and state requirements. Incomplete Documentation: Time lost due to lack of or wrong documentation. Incomplete Documentation Most of the time, ensure you have gone through all the submissions a second time.

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Compliancy Group

OCTOBER 2, 2023

This article will explore the significance of compliance reporting in healthcare and how it helps organizations maintain data integrity and mitigate risks. What is Compliance Reporting in Healthcare? This allows them to take corrective actions promptly and avoid penalties or legal repercussions arising from non-compliance.

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