Medisys Compliance

MARCH 19, 2025

Common challenges such as complicated coding guidelines, the diverse rules set by different payers, and stringent regulatory compliance often lead to billing errors, claim denials, and ultimately, revenue loss. Accurate and thorough documentation is crucial for both CPT and ICD-10 coding.

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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. Meeting these standards not only protects patients but also shields healthcare organizations from legal consequences and reputational damage.

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Compliancy Group

JULY 28, 2023

Healthcare providers increasingly turn to HIPAA compliant document management software to streamline their operations while adhering to strict regulatory guidelines. This article explores the benefits and features of such systems, highlighting how they help maintain HIPAA compliance.

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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.

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Compliancy Group

AUGUST 28, 2024

All staff members working in healthcare settings, especially those who handle patients and EMRs, need to know how compliance regulations inform their day-to-day duties. As regulations evolve, employees need to know what changes they must make in their operations and which important new documents they should be aware of.

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Physician Credentialing Company

DECEMBER 20, 2024

Health insurance companies also allow credentialed providers to submit claims for healthcare services. Documentation should also be maintained on how providers supervised non-credentialed providers and the type of rendered services. These are true examples that show the importance of regulatory compliance.

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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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American Medical Compliance

FEBRUARY 9, 2024

Healthcare organizations must comply with many regulations, including the Health Insurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and various state-specific regulations. Compliance officers maintain detailed records of compliance activities, investigations, and corrective actions.

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Healthcare IT Today

AUGUST 29, 2023

The most common error continues to be misdelivery (36 percent), whether electronic or paper documents.” These solutions also aid in enforcing compliance with regulatory standards such as the Health Insurance Portability and Accountability Act (HIPAA), minimizing the risk of penalties and legal consequences for non-compliance.

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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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MedTrainer

JULY 25, 2024

Adhering to the Health Insurance Portability and Accountability Act (HIPAA) standards is crucial to uphold compliance and regulatory requirements for any health organization. HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud. What Is HIPAA?

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Compliancy Group

OCTOBER 16, 2024

Some compliance officers turn to free resources like the Department of Health and Human Services (HHS) risk assessment tool to assess their organizational compliance and risk, while others use spreadsheets or software.

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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. Get the documentation you need for your CPA to evaluate your SOC 2 status. Are You SOC 2 Ready?

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Compliancy Group

MARCH 20, 2023

Not only does non-compliance lead to severe financial penalties but it also puts patients’ privacy at risk. Finding the right HIPAA compliance guide can mean all the difference in meeting your legal obligations. Easy Guide to HIPAA Compliance Do you need a simplified way to become HIPAA compliant?

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Compliancy Group

MAY 15, 2024

The healthcare landscape is fraught with complexities, and staying compliant involves understanding the OIG’s specific targets for hospital audits and crafting your OIG compliance program for your hospital with those in mind. Customizable Compliance Plans: Tailor your compliance strategies to fit the unique needs of your hospital.

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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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Dot Compliance

AUGUST 8, 2023

In the highly regulated life sciences industry, quality management is crucial for ensuring product safety, regulatory compliance, and operational excellence. It could be improving product safety, enhancing regulatory compliance, streamlining processes, increasing efficiency, or reducing quality-related risks.

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Dot Compliance

AUGUST 8, 2023

In the highly regulated life sciences industry, quality management is crucial for ensuring product safety, regulatory compliance, and operational excellence. It could be improving product safety, enhancing regulatory compliance, streamlining processes, increasing efficiency, or reducing quality-related risks.

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Compliancy Group

OCTOBER 20, 2023

An effective IT compliance checklist includes items such as: Incident Detection Notification Processes Incident Documentation Timely Resolution Post-Incident Analysis These are ultimately used to help to prevent future occurrences. Let’s delve into some essential components of an IT compliance audit checklist.

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Compliancy Group

AUGUST 2, 2023

This process involves conducting comprehensive risk assessments to: Identify Vulnerabilities Develop Risk Mitigation Plans Continuously Monitor Emerging Risks By proactively addressing potential issues, healthcare organizations can minimize financial losses, protect patient data and maintain regulatory compliance.

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Compliancy Group

JANUARY 23, 2024

This includes federal statutes such as HIPAA (Health Insurance Portability and Accountability Act). By understanding which rules pertain to your operations, you can tailor your compliance plan accordingly. Each policy should be written concisely yet comprehensively to provide actionable guidance to staff members at all levels.

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Total HIPAA

MAY 25, 2022

As an insurance agent, you may be wondering how the Health Insurance Portability and Accountability Act (HIPAA) impacts your business. The law aims to protect patient privacy, and as a provider of health insurance plans, you are required to adhere to its guidelines. How can we help?

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MedTrainer

FEBRUARY 1, 2024

Corporate compliance can help to reduce these potential costs by helping companies uphold compliance standards. Risk Assessment: Regularly conducted to identify areas of vulnerability to compliance issues, such as billing irregularities, data security breaches, or regulatory changes.

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MedTrainer

NOVEMBER 2, 2023

Additionally, hands-on experience in healthcare or regulatory compliance provides a foundation for this role. Many pursue certifications, like the Certified in Healthcare Compliance (CHC) , to gain a competitive edge and deepen their expertise. With these tools, officers ensure seamless, ongoing adherence to rules.

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MedTrainer

JANUARY 31, 2024

This designation is ideal for healthcare professionals tasked with ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA). It addresses the unique challenges of maintaining ethical research practices and regulatory compliance.

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Hall Render

AUGUST 12, 2022

Department of Health and Human Services (“HHS”) announced its resolution of eleven separate investigations against covered entities for violations of the individual’s right of access under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). Receipt of and response to such requests must be documented.

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Matt Kinley

JANUARY 22, 2017

Healthcare Compliance. Healthcare firms face a wide range of regulatory compliance matters impacting the healthcare industry. Kinley Law Practice works with businesses to create and implement safeguards to ensure that clients are in compliance with all applicable federal and state regulations. Stark Law matters.

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MedTrainer

JULY 31, 2024

Compliance ensures that healthcare organizations adhere to state, federal, and international laws and relevant standards and regulations. This is particularly crucial in the healthcare industry, where regulations like HIPAA (Health Insurance Portability and Accountability Act) mandate strict protection of patient data.

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Total HIPAA

SEPTEMBER 13, 2021

This includes assisting businesses that need to maintain regulatory compliance with guidelines affecting their industry. HIPAA compliance and cloud computing. We create customized compliance documents and provide your staff with easy online training, ensuring compliance for your business.

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MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Advises on compliance matters, reviews contracts, and handles regulatory and legal issues. Pros: Legal and regulatory compliance expertise, familiarity with laws and regulations, and trusted legal adviser.

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AIHC

MAY 30, 2024

These technologies have become a core function in RCM Operations and have also been adopted by the Health Insurance, Health System, and Provider communities across the United States. Compliance and Risk Management : Fraud Detection : AI systems can identify unusual patterns that may indicate fraudulent activities.

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AIHC

JUNE 14, 2023

Artificial Intelligence & Regulatory Compliance Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article follows Part 1 - Basics of Artificial Intelligence (AI) and Healthcare Compliance published by AIHC on June 6, 2023.

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Health Care Law Brief

FEBRUARY 6, 2023

The proposed statute would require “health care entities” to report and obtain the state’s consent for “material transactions.” As drafted, a “health care entity shall not refuse to provide documents or other information requested… on the grounds that such information is privileged or confidential.” at PHL § 4551(2).

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Compliancy Group

JULY 16, 2024

It also ensures that employees know how to respond to a security incident, mitigate its impacts, document and collect evidence, and evaluate the incident to make improvements to future risk management efforts. Compliance software can streamline incident response and let you stay on top of regulatory compliance.

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MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

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HIPAA Journal

APRIL 13, 2023

The Nevada-based creative marketing agency, Estipona Group, has achieved compliance with the federally mandated standards of the Health Insurance Portability and Accountability Act (HIPAA) and has demonstrated its commitment to protecting the privacy and security of its clients’ patient health information.

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Health Law Advisor

JUNE 17, 2022

The Health Insurance Portability and Accountability Act (“HIPAA”), the Federal healthcare privacy law, governs the disclosure of protected health information (“PHI”), and generally restricts disclosure absent patient consent. [7] HIPAA Background. 7] Generally, HIPAA preempts contradictory state law (e.g., Conclusion.

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