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
Compliance with Medicare RegulationsCompliance is crucial to avoid audits and penalties. Adhere to privacy standards: Follow HIPAA regulations for patient data protection, especially for telehealth services. Avoid fraud: Ensure billing accurately reflects services rendered.
The following is a guest article by Richard Caralli , Senior Cybersecurity Advisor at Axio Cybersecurity regulations often emerge in response to major incidents.
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.
Compliance documentation refers to collecting, sharing, maintaining, and storing reports and records that enable healthcare organizations to adhere to various healthcare regulations.
CMS Compliance Requirements CMS compliance requirements are extensive, covering a wide range of topics: Billing and coding – healthcare providers must accurately code and bill for services rendered to ensure proper reimbursement and prevent fraud and abuse. Compliance audits aren’t a “one size fits all” process.
Department of Health and Human Services focuses on preventing fraud, abuse, and waste in federal healthcare programs. Food and Drug Administration (FDA): The FDA regulatescompliance in pharmaceuticals, medical devices, and biotechnology products. Office of Inspector General (OIG): This independent agency within the U.S.
Anti-Kickback Statute Compliance: Adhering to the Anti-Kickback Statute to prevent fraud and abuse. By partnering with Compliancy Group, home health agencies can utilize advanced compliance tracking tools and expert support to navigate these audit targets effectively. Compliancy Group is here to help.
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?
Thereafter, OIG said it planned to update existing industry-specific compliance program guidance (ICPG), which would include tailoring each to address fraud and abuse risk areas specific to a particular industry and describing the compliance measures that industry could take to reduce these risks [2].
Healthcare compliance programs are multifaceted frameworks designed to ensure adherence to the following: Legal Requirements Industry Standards Internal Policies These programs involve the development of robust policies and procedures that address key areas such as data privacy, billing and coding accuracy, fraud prevention, and quality assurance.
Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.
Department of Health and Human Services (HHS), is tasked with combating fraud, waste, and abuse in health programs, ensuring efficiency, and promoting the integrity of HHS programs, including Medicare and Medicaid. A well-designed healthcare compliance platform enables you to stay on track with our various complianceregulations.
This does not include the potential cost of damage to the practice’s reputation if those ransomed records containing PHI were sold for use in payment fraud or identity theft. A recent ransomware attack on a dental office cost the practice almost $20,000 a day for the three days their systems were out of service.
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