Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Healthcare organizations and insurance companies rely on credentialing to ensure patient safety, regulatory compliance, and minimize liability risks.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

MedTrainer

MAY 12, 2021

The Hidden Benefits of Regulatory Compliance in Healthcare. With its maddening complexities and time- and resource-consuming demands, regulatory compliance is thought to be the plague of any thriving business. But what is compliance in healthcare? Fact: Regulatory Compliance in Healthcare is an Advantage.

Regulatory Compliance 40

Regulatory Compliance Compliance HIPAA Medical Personnel 40

Healthcare IT Today

DECEMBER 26, 2024

Recent incidents involving fake video calls and voice cloning demonstrate the technology’s potential for sophisticated fraud. Conversely, rural hospitals, in particular, will become increasingly attractive targets due to the desperation factor, which significantly influences the likelihood of ransom payments.

US Department of Health and Human Services 93

US Department of Health and Human Services Ransomware Compliance Hospitals 93

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

MAY 4, 2023

Monitoring and maintaining the security of IT infrastructure is often overemphasized within hospitals and health systems, while the human side of reducing risk is often under-emphasized. The answer is training, continual training to help create a culture of security within your hospital or health system.

Hospitals 97

Hospitals HIPAA Regulatory Compliance Compliance 97

Healthcare Blog

JANUARY 19, 2025

CMS Medicare Swing Bed Rules and Regulations for Critical Access Hospitals (CAHs) Critical Access Hospitals (CAHs) are the backbone of rural healthcare, providing essential services to underserved communities. This flexibility benefits both the hospital and the patient. Prevent fraud and abuse of Medicare funds.

Medicare 52

Medicare Medicare Compliance Nurses 52

Compliancy Group

MAY 15, 2024

As we move deeper into 2024, hospitals must increasingly focus on compliance with regulations set forth by the Office of Inspector General (OIG). This guide outlines the OIG’s hospital compliance priorities and provides actionable advice on ensuring your hospital meets these rigorous standards.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

Compliancy Group

AUGUST 28, 2024

Regardless of company size or number of employees, thorough HR compliance training ensures that your practice, hospital, or company protects patients and workers. The Importance of HR Compliance Training Courses Compliance regulations in healthcare are designed to help organizations prevent fraud, waste, and abuse.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

Hall Render

OCTOBER 9, 2024

Connor Wallace focuses his practice on regulatory, compliance and transactional matters within the health care industry. With a deep understanding of the complex regulatory environment, Connor advises clients on matters related to the federal Anti-Kickback, Stark and Civil Monetary Penalties laws.

Regulatory Compliance 40

Regulatory Compliance Fraud Compliance Hospitals 40

Hall Render

OCTOBER 7, 2024

Connor Wallace focuses his practice on regulatory, compliance and transactional matters within the health care industry. With a deep understanding of the complex regulatory environment, Connor advises clients on matters related to the federal Anti-Kickback, Stark and Civil Monetary Penalties laws.

Regulatory Compliance 40

Regulatory Compliance Fraud Compliance Hospitals 40

Health Care Law Brief

OCTOBER 18, 2023

Consistent with and as has been elaborated in its 2014 Special Fraud Alert , OIG reasoned that such arrangements may implicate and potentially violate the AKS by “disguising” remuneration for FHCP business through the payment of amounts purportedly related to non-FHCP ( e.g. , commercial) business. .

Regulatory Compliance 52

Regulatory Compliance Fraud Compliance Hospitals 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. Findings from OIG audits can identify compliance areas needing improvement.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

Verisys

DECEMBER 29, 2024

This includes verifying education, residency, employment history, malpractice insurance, hospital privileges, and board certifications. Healthcare organizations and insurance companies rely on credentialing to ensure patient safety, regulatory compliance, and minimize liability risks.

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

MedTrainer

AUGUST 30, 2023

To achieve this, MCOs contract with hospitals, physicians, and specialists to offer services to their members at negotiated rates. HMOs offer a comprehensive range of healthcare services through a network of doctors, hospitals, and other providers. Some of the most common types of managed care plans include. Quality of Care Standards.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 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

Verisys

FEBRUARY 14, 2024

For example, a hospital board might implement a robust governance framework that encompasses regular assessments of treatment outcomes, patient satisfaction surveys, and evaluations of financial performance. For instance, within the realm of healthcare compliance, HIPAA compliance plays a pivotal role.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

Verisys

FEBRUARY 6, 2025

Why Provider Data Management Is Essential in Healthcare Provider data management in healthcare is crucial for ensuring patient safety, regulatory compliance, and operational efficiency. Ensuring Compliance and Reducing Risk Proper data management is your shield against regulatory headaches.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Malpractice 52

Verisys

FEBRUARY 6, 2025

By thoroughly evaluating a nurse’s credentials, healthcare organizations can: Minimize the risk of medical errors Ensure compliance with regulatory requirements Maintain a high level of patient trust Credentialing also serves as a mechanism for ongoing professional development. It’s reassuring, right?

Nurses 52

Nurses US Department of Health and Human Services Licensing Regulatory Compliance 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

MedTrainer

JULY 25, 2024

HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud. physicians, clinics, hospitals), health plans (e.g., The checklist helps standardize practices, reduce breach risks, ensure regulatory compliance, guide staff training, and prepare for audits.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

Physician Credentialing Company

JULY 15, 2024

This process reduces the risk of fraud and ensures accuracy. Agencies like hospitals and health plans typically perform this verification. For instance, a surgeon must demonstrate their skill and experience to be privileged to perform surgeries in a hospital. Hospitals and clinics typically handle this process internally.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

YouCompli

MAY 25, 2022

Just look at the rampant, unreported fraud that took down Enron in the early 2000s. In both cases, the alleged fraud could not have gotten as far as they did in an organization that valued regulatory compliance and ethical behavior. Definition of compliance culture in healthcare.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Healthcare IT Today

AUGUST 15, 2024

regulators sued for fraud, citing neglected cybersecurity and severe vulnerabilities. Elective surgeries in many hospitals had to be canceled, not because the operating room wasn’t ready but because scheduling systems and EHR systems were not available. So, what lies ahead? Look to SolarWinds. The SolarWinds breach infiltrated U.S.

US Department of Health and Human Services 131

US Department of Health and Human Services Ransomware Governance Hospitals 131

AIHC

MAY 30, 2024

This information is an overview of very basic suggestions on Standard Operating Procedures (SOP), Policies and Best Practices for smaller hospitals and provider organizations. 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

Understanding ASCs Regulatory Changes and Their Billing Practices Outpatient surgery centers (ASCs) perform many surgical procedures outside of hospitals. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

Compliance 52

Compliance Medicare Medicare Medical Billing 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.

Governance 52

Governance Compliance HIPAA Regulatory Compliance 52

Healthcare Law Today

DECEMBER 12, 2022

He advises entrepreneurial health care providers and technology companies on business arrangements, compliance, and corporate matters in telemedicine, digital health, remote patient monitoring, and click-and-mortar services. I’m currently Deputy General Counsel of LifeMD, a growing telemedicine company.

Telemedicine 49

Telemedicine Fraud Governance Compliance 49

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

Health Care Law Brief

JUNE 24, 2022

Consequently, covered entities must assess the potential risks and vulnerabilities of using such technologies to ensure compliance with HIPAA Security Rule Requirements. The first settlement under the Civil Cyber-Fraud Initiative occurred in March 2022—against a health care entity.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52