Total Medical ComplianceHIPAA

JANUARY 11, 2024

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. HIPAA stands as a beacon of privacy and security standards within the industry. Why is Sanction Screening Vital Under HIPAA? What is Sanction Screening?

HIPAA 52

HIPAA Malpractice Regulatory Compliance Compliance 52

Compliancy Group

AUGUST 28, 2024

The Importance of HR Compliance Training Courses Compliance regulations in healthcare are designed to help organizations prevent fraud, waste, and abuse. How a Compliance Service Provider Can Help At Compliancy Group , we provide software solutions to help HR officers keep their organizations compliant.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

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. What Is HIPAA? HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

HIT Consultant

JULY 25, 2024

However, according to Astra, some of the most commonly suggested are: HITRUST CSF – a gold standard in data security for organizations dealing with protected health information (PHI), the HITRUST Framework is a comprehensive, scalable, reliable, and efficient framework for risk management and regulatory compliance.

Compliance 111

Compliance HIPAA Regulatory Compliance Ransomware 111

HIT Consultant

NOVEMBER 4, 2024

By implementing thorough cybersecurity measures and adhering to regulatory compliance, healthcare providers can fortify their systems and ensure the confidentiality and integrity of critical health information. According to the HIPAA Journal, the cost of this breach is predicted to be “between $2.3 billion and $2.45

Ransomware 98

Ransomware Regulatory Compliance Compliance Fraud 98

Health Care Law Brief

JUNE 24, 2022

The Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”), recently issued new regulatory guidance relating to covered entities’ HIPAA-compliant use of remote communication technologies for audio-only telehealth services. The new HIPAA guidance affects covered entities in four key ways.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

HIT Consultant

MAY 4, 2023

But with so many competing training programs — everything from HIPAA and regulatory compliance to handwashing and job-specific training — it’s difficult to break through the noise and gain traction. The answer is training, continual training to help create a culture of security within your hospital or health system.

Hospitals 97

Hospitals Regulatory Compliance HIPAA Compliance 97

Total Medical Compliance Resources

NOVEMBER 11, 2024

link] HIPAA Fraud, Waste, and Abuse Awareness Course $30.00 Our new online course on HIPAA regulations equips employees to combat fraud, waste, and abuse in healthcare. Participants will learn to identify, prevent, and report these issues, ensuring compliance with HIPAA and protecting patient privacy and resources.

ADA 59

ADA HIPAA Compliance Fraud 59

HIT Consultant

FEBRUARY 9, 2023

A lack of regulatory compliance, network and technical vulnerabilities, unencrypted information, unsecured mobile devices, and weak credentials all play a part in putting a healthcare organization at risk for a data breach. Paul Banco, CEO of etherFAX    How secure is your data? How Can a Data Breach Be Prevented?

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 52

Compliancy Group

JANUARY 22, 2024

Compliance Assessment Ensuring compliance with applicable laws and regulations is fundamental to any healthcare audit. This encompasses various areas such as: Privacy Protection (HIPAA) Security Risk Assessment (HIPAA) Coding Standards (ICD-10) Billing Practices (CMS guidelines) 3.

Compliance 52

Compliance Fraud Regulatory Compliance HIPAA 52

MedTrainer

FEBRUARY 1, 2024

A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

MedTrainer

JANUARY 31, 2024

This certification, offered by the CCB, showcases a deep understanding of compliance, ethics, and risk management principles, making it highly relevant for healthcare compliance roles. Certified HIPAA Professional (CHP): Several entities, such as ECFC, offer versions of a CHP certification.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

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. Risk management refers to identifying, avoiding, and mitigating the factors contributing to healthcare non-compliance.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Verisys

JANUARY 8, 2024

This type of audit is essential in the healthcare industry for several reasons: Regulatory Compliance It ensures that the healthcare organization complies with various federal and state laws and regulations. Compliance with state-specific healthcare laws and regulations is also assessed.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

MedTrainer

JULY 29, 2024

These tools make it easier for healthcare organizations to maintain a culture of compliance, adapt to evolving industry standards, and ensure that all staff members are consistently informed and compliant. Corporate Compliance vs. Regulatory Compliance Corporate compliance and regulatory compliance are not the same thing.

Compliance 52

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

Compliancy Group

JANUARY 17, 2024

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. HIPAA violations alone are incredibly costly to health providers. OIG in healthcare , functioning as an arm of the U.S.

US Department of Health and Human Services 52

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

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. Quality of Care and Safety The OIG continues to focus on the quality of care provided to patients.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

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. It is not just about following rules but about maintaining the highest standards of patient care and ethical behavior.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 71

Verisys

FEBRUARY 14, 2024

This includes clinical risks, financial risks, cybersecurity threats, and compliance risks with laws and regulations such as HIPAA (Health Insurance Portability and Accountability Act) in the United States. For instance, within the realm of healthcare compliance, HIPAA compliance plays a pivotal role.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. and cybersecurity threats. and cybersecurity threats. Medicare Advantage (M.A.): Organizations using M.A.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

MedTrainer

JANUARY 26, 2024

Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud. Reputational Damage: Violating regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) can result in significant fines and reputation damage.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

MedTrainer

AUGUST 30, 2023

Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. These include laws related to insurance, healthcare privacy (HIPAA), billing practices, and fraud and abuse prevention. Quality of Care Standards. Data Security and Privacy.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

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.

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Compliancy Group

OCTOBER 4, 2024

Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. We also discuss how compliance software can help ensure regulatory compliance and maximize efficiency and accuracy in all your compliance activities.

Compliance Officers 59

Compliance Officers Compliance Regulatory Compliance Fraud 59

MedTrainer

NOVEMBER 2, 2023

Most compliance officers possess a bachelor’s degree, often in healthcare administration, law, or a related field. Additionally, hands-on experience in healthcare or regulatory compliance provides a foundation for this role. What Are the Key Laws and Regulations a Healthcare Compliance Officer Must Be Familiar With?

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

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. Protecting patients’ rights, ensuring privacy and data security, preventing fraud and abuse, and promoting fair billing practices. The primary goal?

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

HIT Consultant

JANUARY 3, 2023

But they have also expanded the attack surface at these organizations and increased the level of risk and vulnerabilities that could result in direct loss of proprietary information, direct financial damage including theft and fraud, and potential loss of life (in addition to regulatory fines and brand damage) the healthcare sector faces.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

Compliancy Group

OCTOBER 2, 2023

This allows them to take corrective actions promptly and avoid penalties or legal repercussions arising from non-compliance. Compliance reporting in healthcare plays a significant role in upholding regulatory compliance standards, including in the following areas.

Compliance 52

Compliance Regulatory Compliance Fraud Health Insurance 52

MedTrainer

SEPTEMBER 8, 2023

This certification showcases a deep understanding of compliance, ethics, and risk management principles, making it highly relevant for healthcare compliance roles. Certified HIPAA Professional (CHP): Several entities, such as ECFC, offer versions of a CHP certification.

Compliance 52

Compliance Compliance Officers HIPAA Regulatory Compliance 52

Health Care Law Brief

JUNE 2, 2022

For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models. If so, at what point during the consumer’s interaction with the platform is the data generated governed exclusively by HIPAA? Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

MedTrainer

JULY 31, 2024

A well-executed GRC strategy using healthcare compliance management software enables organizations to improve patient safety outcomes by proactively identifying and mitigating potential risks. Compliance ensures that healthcare organizations adhere to state, federal, and international laws and relevant standards and regulations.

Governance 52

Governance Compliance HIPAA Regulatory Compliance 52

AIHC

MAY 30, 2024

There are hundreds of HIPAA-Compliant Medical Coding Software Applications on the market (see CMS for more on HIPAA-Compliant Code Sets. Compliance and Risk Management : Fraud Detection : AI systems can identify unusual patterns that may indicate fraudulent activities.

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Compliance is the foundation of ethical and responsible ASC billing. For patient safety, fair reimbursement, and healthcare system integrity, regulatory bodies set compliance requirements.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

MedTrainer

AUGUST 2, 2023

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. Ubiquitous accessibility — combined with cloud security that’s HIPAA compliant — sets the stage for faster credentialing.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Hall Render

NOVEMBER 25, 2024

Quality of Care and Quality of Life OIG identified that beyond the Requirements of Participation for Long Term Care Facilities in 42 CFR 483 , the failure to provide quality care and promote quality of life poses a risk of fraud and abuse for nursing facilities. Competency-Based Training.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

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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Compliance Framework Governance Compliance Medicaid 52