Healthcare IT Today

DECEMBER 21, 2023

Predominantly, the risk of fraud, theft, or abuse of customer or company information increases, which can cause regulatory violations resulting in significant fines and penalties. Rightly so, as the transition from paper to digital records must be done strategically to ensure compliance with security and regulatory standards.

Records Management 119

Records Management Regulatory Compliance Compliance HIPAA 119

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. These laws outline procedures that prevent the inappropriate use of federal funds, protect sensitive patient information, and ensure safe working conditions for all personnel.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

Health Care Law Brief

JULY 21, 2022

On July 20, 2022, the Office of Inspector General for the Department of Health and Human Services (“ OIG ”) issued a special fraud alert (“ Alert ”) advising “practitioners to exercise caution when entering into arrangements with purported telemedicine companies.” OIG Flags Seven Characteristics of Telehealth Fraud.

Fraud 52

Fraud Telemedicine COVID-19 Governance 52

HIT Consultant

NOVEMBER 4, 2024

Yigal Rozenberg, SVP Technology, Protegrity The healthcare IT sector faces significant challenges in ensuring the security and privacy of sensitive patient information. Personal health information (PHI) is especially vulnerable to ransomware and cyber attacks. billion and $2.45

Ransomware 98

Ransomware Regulatory Compliance Compliance Fraud 98

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

Total Medical Compliance Resources

NOVEMBER 11, 2024

Cybersecurity is just one aspect of the broader information security landscape, with physical security being another crucial component that can sometimes be neglected. link] Secure Storage of Protected Health Information (PHI) Course $15.00 link] HIPAA Fraud, Waste, and Abuse Awareness Course $30.00

HIPAA 52

HIPAA ADA Compliance Fraud 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

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. Today, the cost of a data breach comes with a hefty price tag – an average of $9.44 million in the U.S.

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 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

Compliancy Group

JULY 17, 2023

These services encompass comprehensive healthcare compliance programs and plans supported by cutting-edge technology solutions aimed at achieving optimal healthcare regulatory compliance. Close Healthcare Compliance Programs: The Important Aspects There are many important aspects when it comes to healthcare compliance programs.

Compliance 52

Compliance Regulatory Compliance Fraud Regulations Compliance 52

Health Law RX

JANUARY 30, 2024

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The GCPG further explains how to implement these elements.

Compliance 52

Compliance Due Diligence Fraud Governance 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. Customizable Compliance Plans: Tailor your compliance strategies to fit the unique needs of your hospital.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

Compliancy Group

OCTOBER 4, 2024

Despite your best efforts in meeting healthcare compliance requirements, errors may still occur. Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. We’ll explore the various types of healthcare audits.

Compliance Officers 59

Compliance Officers Compliance Regulatory Compliance Fraud 59

Total Medical ComplianceHIPAA

JANUARY 11, 2024

These screenings search through various databases containing records of individuals or organizations barred from participating in Medicaid, Medicare, or other federal/state healthcare programs due to fraud, abuse, or other offenses. Why is Sanction Screening Vital Under HIPAA?

HIPAA 52

HIPAA Malpractice Regulatory Compliance Compliance 52

MedTrainer

JULY 25, 2024

This act safeguards patients’ protected health information (PHI) and health plans and defines security and privacy regulations regarding patient data. HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud. What Is HIPAA? physicians, clinics, hospitals), health plans (e.g.,

HIPAA 52

HIPAA Compliance Health Insurance Fraud 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.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

Verisys

JANUARY 8, 2024

A healthcare compliance audit is a thorough review and examination of an organization’s adherence to regulatory guidelines. 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 52

Compliance Regulatory Compliance Health Insurance Medicaid 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. There are five additional benefits to explore that clarify the Plan’s powerful value. Does the OIG Work Plan Help Your Organization?

US Department of Health and Human Services 52

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

Verisys

FEBRUARY 14, 2024

This holistic approach to governance ensures that decisions are informed by a comprehensive understanding of the hospital’s overall performance and its implications for patient care. It is crucial for ensuring patient safety, safeguarding privacy, and enhancing the quality of care through informed decision-making.

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

HIT Consultant

MAY 4, 2023

Don Kelly, Manager of the Virtual Information Security Program at Fortified Health Security It’s a fact: More than 80% of data breaches involve a human in some way. The “grooming” process can take weeks, underscoring the lengths hackers will go to steal information.

Hospitals 97

Hospitals HIPAA Regulatory Compliance Compliance 97

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

MedTrainer

JANUARY 31, 2024

It emphasizes understanding the privacy and security aspects of patient information in healthcare settings. Certified Professional Compliance Officer (CPCO): The CPCO certification is offered by the American Academy of Professional Coders and is tailored to professionals who manage and lead compliance programs.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

Medisys Compliance

JULY 8, 2024

NLP algorithms can extract relevant information from unstructured clinical data, facilitating precise coding. By providing an immutable record of all transactions, blockchain reduces the risk of fraud and enhances trust between providers and payers. Each transaction is securely recorded, ensuring data integrity and transparency.

Medical Billing 59

Medical Billing Patient Satisfaction Medical Billing Outsourcing Compliance 59

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. Risk management is a crucial aspect of healthcare compliance, including for MCOs.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

American Medical Compliance

FEBRUARY 9, 2024

Compliance ensures that patient information is kept confidential, billing is accurate, and quality of care remains top-notch. The Role of Compliance Officers Compliance officers are the linchpin in the complex machinery of healthcare organizations.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 74

HIT Consultant

JANUARY 3, 2023

Department of Health and Human Services Office of Information Security noted in a 2022 report on health sector cybersecurity, that threat actors continue to evolve and become more sophisticated and effective in their attacks. The Challenges to Meeting Compliance Regulations.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

MedTrainer

JULY 31, 2024

By establishing a comprehensive healthcare GRC framework, healthcare executives and governing boards can gain a holistic view of their organization’s risk profile, streamline compliance efforts, and make more informed strategic decisions. Implementing GRC for healthcare has substantial benefits for healthcare leaders.

Governance 52

Governance Compliance HIPAA Regulatory Compliance 52

Innovaare Compliance

JUNE 8, 2023

Plans will be required to provide more information about their quality improvement activities. Our consultative approach guides health-plan compliance teams through everything needed to sustain a continuous audit-ready status and the Inovaare platform empowers them to submit CMS-compliant reports with the touch of a button. 

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Compliancy Group

SEPTEMBER 20, 2023

Understanding Healthcare Compliance Readiness: What You Need to Know Healthcare compliance readiness refers to an organization’s ability to meet regulatory requirements and safeguard patients’ protected health information (PHI).

Compliance 52

Compliance Regulatory Compliance Compliance Officers Fraud 52

Physician Credentialing Company

JULY 15, 2024

This process reduces the risk of fraud and ensures accuracy. The process starts with the submission of detailed information about the provider’s credentials to the payer. Regulatory Compliance: Helps healthcare organizations comply with industry standards and regulations, avoiding legal penalties and enhancing credibility.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

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

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. This information is not designed to be all-inclusive. and is not intended as consulting or legal advice.

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

Health Law Advisor

JULY 14, 2023

The following summarizes some of the key initiatives included in the Implementation Plan that will directly impact critical infrastructure organizations , including healthcare, energy, manufacturing, information technology and financial services.

Regulatory Compliance 52

Regulatory Compliance Fraud Compliance Governance 52

Health Care Law Brief

JUNE 24, 2022

However, providers must take reasonable steps to protect the privacy of protected health information (more commonly referred to as “PHI”). In October 2021, DOJ launched the Civil Cyber-Fraud Initiative , which leverages the False Claims Act to prosecute cybersecurity violations, including related HIPAA violations.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

MedTrainer

AUGUST 2, 2023

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. The ASCA Medicare Rate Calculator displays national and local payment rates, as well as a chart comparing the rates charged by ASCs and HOPDs for the same surgical procedures, and additional information.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

MedTrainer

SEPTEMBER 8, 2023

It emphasizes understanding the privacy and security aspects of patient information in healthcare settings. Certified Professional Compliance Officer (CPCO): The CPCO certification is offered by the American Academy of Professional Coders and is tailored to professionals who manage and lead compliance programs.

Compliance 52

Compliance Compliance Officers HIPAA Regulatory Compliance 52