Verisys

DECEMBER 5, 2023

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database.

Governance 52

Governance Licensing Malpractice Medicaid 52

Healthcare Law Blog

FEBRUARY 3, 2023

Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

HIT Consultant

DECEMBER 10, 2021

Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know. What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Report Background.

COVID-19 98

COVID-19 Fraud Nurses Licensing 98

MedTrainer

JANUARY 31, 2024

Healthcare compliance is following and meeting the laws, regulations, and ethical standards that govern the healthcare industry. Emphasize Regulatory Adherence: Healthcare is a heavily regulated industry, with numerous federal and state regulations governing its operations. What is Healthcare Compliance?

Compliance 52

Compliance Compliance Officers Governance Fraud 52

MedTrainer

JANUARY 26, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud. What is Healthcare Compliance?

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

JANUARY 26, 2024

By understanding what is required by role, you can structure training to be the most beneficial, which may mean reducing the number of courses your organization requires.

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

MedTrainer

JANUARY 26, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. It covers various aspects of healthcare regulations and compliance, including fraud and abuse prevention and ethical coding practices. What is Healthcare Compliance? appeared first on MedTrainer.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers HIPAA 52

HIPAA Journal

JANUARY 30, 2023

The event provides a tremendous opportunity for learning through HIPAA workforce training sessions and keynote speeches from top government officials and leading industry professionals. Tennant, MA The full schedule for the event can be downloaded here – HIPAA Summit Schedule (PDF).

US Department of Health and Human Services 85

US Department of Health and Human Services HIPAA Compliance Medicaid 85

HIPAA Journal

DECEMBER 7, 2022

The review of those files revealed they contained information such as names, Social Security numbers, driver’s license numbers, government-issued ID numbers, financial information, medical information, and health insurance information. Notification letters started to be sent to affected individuals on November 18, 2022.

COVID-19 Vaccine 95

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 95

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud.

Licensing 52

Licensing Fraud Compliance Nurses 52

Verisys

MARCH 1, 2022

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. Government and Non-Government Sources. State licensing boards verify practitioner license type and status. National Practitioner Data Bank (NPDB).

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? Whether it’s government regulation or healthcare facility requirements is a matter. Maintaining compliance helps protect against fraud, waste, and abuse. Upon completion and approval, the provider can begin billing for medical services.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Healthcare IT Today

DECEMBER 15, 2023

Simply open a mobile app and download the report to your smartphone. Confidentiality Laws and regulations govern the confidentiality of medical data. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. However, the best solution is to install new equipment.

Electronic Medical Records 117

Electronic Medical Records Doctors HIPAA Hospitals 117

MedTrainer

FEBRUARY 27, 2024

And like any healthcare professional, HHAs must adhere to the compliance standards that govern quality care. HHAs are trained to make positive differences for people dealing with disabilities or chronic conditions.

Compliance 52

Compliance HIPAA Fraud Licensing 52

HIT Consultant

DECEMBER 18, 2023

Simply open a mobile app and download the report to your smartphone. Confidentiality Laws and regulations govern the confidentiality of medical data. Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. However, the best solution is to install new equipment.

Electronic Medical Records 105

Electronic Medical Records Doctors HIPAA Pharmaceutical Industry 105

Health Care Law Brief

APRIL 11, 2022

Adherence is often tracked and confirmed by those that provide the incentive payment through digital health technologies—including apps that can be downloaded to the patient’s smart phone or that are already downloaded to a smart phone provided to the patient as part of a CM program. The OIG highlighted four specific reasons.

Fraud 52

Fraud Medicare Medicare Compliance 52

MedTrainer

JULY 29, 2024

Regulatory compliance includes legal mandates directed by both federal and state governing bodies, including the Occupational Safety and Health Administration ( OSHA ), Centers for Medicare & Medicaid Services ( CMS ), Health Resources & Services Administration ( HRSA ), and the Office of Inspector General ( OIG ) of the U.S.

Compliance 52

Compliance US Department of Health and Human Services Regulatory Compliance Compliance Officers 52

MedTrainer

OCTOBER 28, 2024

TIP: Use this checklist when you report to your governing body to be sure you provide the leaders with the information they need in fulfilling their responsibility for the quality of patient care and safety. Download a ready-to-use and customizable Code of Conduct. Download Now 15.

Compliance 52

Compliance Informed Consent Patient Satisfaction Hospitals 52

AIHC

APRIL 10, 2024

Does your organization have materials for patient education and risks of identity theft and medical fraud? Are there internal office policies regarding no downloading from unknown web pages? Yes, there are patients that will use someone else’s medical card for services. Are they reporting risks to management?

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

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.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

AIHC

APRIL 10, 2024

Does your organization have materials for patient education and risks of identity theft and medical fraud? Are there internal office policies regarding no downloading from unknown web pages? Yes, there are patients that will use someone else’s medical card for services. Are they reporting risks to management?

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Hall Render

JUNE 21, 2024

To Settle Telehealth Fraud Accusations State Health Dept, Hospital Association Honor Yale New Haven Hospital D.C. Supreme Court weighs future of ER abortions Flinn Foundation report identifies bioscience growth areas for Phoenix metro Medical center office building in Chandler sells for $7.3 endowment NYU Langone CEO to retire St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

In health systems relying on insurance, these include budget and enrollment model forecasting, fraud detection, and waste reduction. They can also proactively identify fraud, waste and abuse within telehealth programs using machine learning models trained to detect financial and transactional anomalies. In the U.S.,

COVID-19 212

COVID-19 Telemedicine Doctors Hospitals 212

Hall Render

FEBRUARY 4, 2022

Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme. Digital vaccine cards now available for download in Nevada. Governor Hochul Announces Additional Support from Federal Government to Provide Military Medical Teams to Upstate Hospitals. Nevada among 9 states across U.S.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40