Document Medicaid Regulations Compliance 
Medisys Compliance
JANUARY 16, 2025
The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth. Documentation should support the need for these services, linking them directly to the patients diagnosis and treatment plan.
Compliancy Group
FEBRUARY 28, 2024
Many industries have compliance rules and regulations to meet and follow, but few would argue that healthcare is one of the most stringent. CMS Compliance Audits Compliance with CMS requirements is critical to healthcare delivery, particularly for organizations that participate in Medicare, Medicaid, or CHIP programs.
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MedTrainer
JANUARY 12, 2024
Here are some of the key organizations involved in regulating healthcare compliance: Centers for Medicare & Medicaid Services (CMS): CMS is a federal agency within the U.S. Department of Health and Human Services responsible for administering and regulating healthcare programs such as Medicare and Medicaid.
MedTrainer
FEBRUARY 1, 2024
Meet Government Requirements: Some government programs and payers, such as the Centers for Medicare & Medicaid Services (CMS) , require healthcare facilities to have compliance programs as a condition for participation. Monitoring and Auditing: Monitor for adherence to policies and regulations.
MedTrainer
JANUARY 12, 2024
Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.
MedTrainer
AUGUST 1, 2024
A healthcare compliance audit is a systematic and objective evaluation of an organization’s adherence to various regulations, laws, internal policies, and procedures. Gathering Information: Collecting relevant documentation, policies, procedures, and other materials necessary for the audit.
Compliancy Group
JANUARY 17, 2024
In this blog post, we look closely at the intricacies of the Plan, exploring how it shapes the healthcare compliance landscape. Department of Health and Human Services (HHS), is tasked with combating fraud, waste, and abuse in health programs, ensuring efficiency, and promoting the integrity of HHS programs, including Medicare and Medicaid.
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