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 our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. In this post, we recap the key takeaways from the webinar. This has created trouble for compliance and overall safety within nursing home facilities.
To eliminate fraud in your health ecosystem, you must stay compliant with federal and state requirements for referring and ordering physicians. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.
Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations. What Is the Scope of a CMS Inspection?
8, 2023 | 12pm CST Reserve Your Spot With new regulations and a changing payer demographic—marked by health plans entering new contracts such as Medicare Advantage—the demands for credentialing support can quickly outpace an organization’s available resources. Wednesday, Nov. And respondents hope technology can help.
On February 21, 2024 the OIG stated that the first two industry segment-specific CPGs (ICPGs) will address Medicare Advantage and nursing facilities. More recently, on November 6, 2023, the OIG has published a general compliance program guidance (GCPG) with promise to publish industry-sector specific guidances in the near future.
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 fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. These solutions to the biggest challenge in medical credentialing will not only make the process easier, but they will prevent credentialing fraud, protect patients, and save money for healthcare organizations.
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.
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. Conversely, courses for a radiology technician will center around patient care and x-ray and radiation safety.
Medicare Access and CHIP Reauthorization Act (MACRA): Promotes value-based care and rewards healthcare providers for quality and performance. Affordable Care Act (ACA): Ensures access to affordable healthcare and prevents fraud and abuse. See how MedTrainer offers valuable support for internal healthcare compliance audits.
As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Maintaining compliance helps protect against fraud, waste, and abuse.
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?
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.
During the COVID-19 pandemic, Medicare coverage expanded to include a vast arsenal of tools that help patients access medical services while keeping patients and practitioners safe. Medicare Coverage in Advance of Expiration of the PHE. Proposed Legislation to Continue and Expand Medicare Coverage of Telehealth Services.
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. Centers for Medicare and Medicaid (CMS) : Evaluates providers’ adherence to state/federal regulations and guidelines at both the individual and organizational levels.
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
IAFNS and Arkansas Children’s Nutrition Center Team Up for 3-Part Webinar Series. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Colorado Springs health clinic to pay settlement in fraud lawsuit. Founders of Texas labs plead guilty in $300M fraud scheme. Lyon Revocable Trust New Scientists.
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.
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