This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
In this post, we recap the key takeaways from the webinar. Watch the Webinar In the healthcare industry, remaining compliant with federal and state regulations is of utmost importance. Over the past several years, OIG has discovered that a significant amount of fraud, waste, and abuse occurs within the vendor domain.
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.
This is the second-largest number of records reported breached on the government site since 2015. Let’s Simplify Compliance Learn how to protect your business from breaches in our upcoming webinar! We may look back at 2021 as the year when we moved from the era of identity theft to identity fraud. million individuals.
The American Institute of Healthcare Compliance (AIHC) offers articles on AI, resources to technology governance, and a 3-Part article series on the Basics of AI, Who Regulates AI and Risk. This voluntary guide is a document to be updated over time by the OIG. Click Here to access the AI articles.
Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. Watch this on-demand webinar to get tips to speed up your enrollment process. Watch this on-demand webinar to get tips to speed up your internal credentialing process.
In this quick guide, we’ll explore the importance of including NPDB monitoring in your routine license and exclusion monitoring to protect your organization and the patients you serve from fraud, waste, and abuse. Its mission is to enhance healthcare quality, defend the public, and decrease healthcare fraud and misuse in the U.S.
Who Governs Healthcare Compliance? Office of Inspector General (OIG): Prevents fraud, waste, and abuse within the department’s vast array of Department of Health and Human Services (HHS) initiatives. As healthcare evolves, so do these standards, which increases challenges for healthcare organizations.
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. This can include training sessions, webinars, online courses by developers, or cybersecurity experts.
Webinar: Setting a New Standard for PSV Watch Now Core Elements of PSV Credentialing Primary source verification (PSV) is the process of verifying a providers identity, background, and qualifications. Relying on copies or self-reported credentials increases the risk of fraud and errors. Its forcing a new standard of PSV credentialing.
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?
These services assist healthcare organizations in understanding and implementing various laws and regulations that govern their operations. Your One-Stop Guide to Ensuring Healthcare Compliance Success One of the critical components of healthcare regulatory services is the provision of valuable healthcare compliance resources.
Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. What Is Healthcare Compliance? What Are the Consequences of Non-Compliance?
Responsibilities of a Healthcare Compliance Manager: How to Have Effective Compliance A healthcare compliance manager is responsible for developing, implementing, and maintaining an effective compliance program within a healthcare organization to ensure they comply with local, state, and federal laws governing healthcare practices.
In fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. Most payers created their own portal, most state and federal government agencies brought documents and databases online, and tech companies did their best to streamline processes. Credentialing is evolving.
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. This can include training sessions, webinars, and online courses by developers, or cybersecurity experts.
As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. Legal And Regulatory Requirements In Healthcare More than 620 legal and regulatory requirements govern how the healthcare industry ensures patient safety, privacy, and quality of care.
Whether it’s government regulation or healthcare facility requirements is a matter. Maintaining compliance helps protect against fraud, waste, and abuse. Watch this on-demand webinar for insights to improve your internal credentialing. Meets compliance standards: Both processes verify a provider has met compliance standards.
This program tracks training and adherence to healthcare industry-specific rules and regulations, like HIPAA (Healthcare Insurance Portability and Accountability Act) , and anti-kickback, fraud, waste, and abuse regulations. State and federal governments regularly pass new laws with additional or changed training requirements.
Hear from a compliance veteran in this webinar: Identifying Compliance Priorities To Make a Big Impact What Are the Key Healthcare Compliance Regulations? The statute protects patients and federal healthcare programs from fraud and abuse. Not sure where to focus your energy or which compliance initiatives you should prioritize?
Watch these recorded webinars posted to the AIHC YouTube channel, then decide. Introduction to Auditing for Compliance Webinar Checklist Guide to Performing an Audit Webinar What is a Business System Audit? You may consider enrolling in the online Auditing for Compliance course. Undecided about becoming an auditor?
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.
Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme.
WEBINAR: Plan Like a Pro: Disaster Preparedness 2.0 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. Watch Now 12.
In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. The government and private whistleblowers have increasingly targeted PE firms’ portfolio companies and the firms themselves. What about license verification and screening?
While facilities struggle with a labor crisis, chronic underfunding, high inflation and a combined resurgence of COVID-19 and the flu, the government is ramping up efforts to hold them to even higher operational and regulatory standards. Preparing for 2023: Nursing Homes Brace for Reforms and Heightened Government Scrutiny.
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.
Related consumer fraud/economic loss claims also regularly abound. Companies operating in the digital health, artificial intelligence, and machine learning space have quickly appreciated that the sophistication and technology involved in their products is light years ahead of the laws and regulations intended to govern them.
What follows is a lightly edited (primarily adding full citations) version of a webinar presentation Bexis made recently for the “HLTh” Action Group of the Product Liability Advisory Council. Today’s post is a little different in its format from what our readers are used to. Mensing , 564 U.S. Mensing , 564 U.S. Lohr , 518 U.S.
You can register for the webinars here.). and other recent matters where sanctions or major fines were issued relating to discovery or information governance. You can register for any of the webinars by clicking here. Each remaining webinar is presumptively approved for 1.0 On Wednesday, November 9 at 2 p.m.
We organize all of the trending information in your field so you don't have to. Join 26,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content