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. However, protecting patient identity is equally crucial.

Ransomware 98

Ransomware Regulatory Compliance Compliance Fraud 98

Compliancy Group

MARCH 19, 2024

Regulatory compliance in healthcare ensures quality care for patients. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. In this blog, we’ll outline the fundamentals and importance of regulatory compliance in healthcare in the U.S.

Regulatory Compliance 52

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

Compliancy Group

AUGUST 14, 2023

Regulatory compliance in the healthcare industry plays a crucial role in patient safety, maintaining quality standards, and preventing fraud and abuse. There are key strategies that should be followed to achieve regulatory compliance. Something is wrong with your submission.

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Regulatory Compliance Compliance Compliance Officers Fraud 52

MedTrainer

JANUARY 26, 2024

Many individuals and organizations opt to obtain a healthcare regulatory compliance certificate to highlight that commitment. In this blog, we will explore what is a healthcare regulatory compliance certificates, provide a high-level description of its purpose, and list who typically uses such certificates.

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Regulatory Compliance Compliance Compliance Officers HIPAA 52

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. Regulatory compliance, such as adherence to HIPAA, becomes even more critical in the digital landscape, where the risk of data exposure is heightened.

Records Management 124

Records Management Regulatory Compliance Compliance HIPAA 124

HIT Consultant

JANUARY 12, 2025

AI-generated identity fraud, including deepfakes, and other sophisticated tactics are making traditional security systems obsolete. In retail, e-commerce platforms deploy facial recognition alongside behavioral biometrics to reduce fraud during online purchases, providing a seamless yet secure shopping experience.

Fraud 64

Fraud Regulatory Compliance Ransomware Compliance 64

Verisys

MARCH 6, 2025

What Is AI in Healthcare Compliance? Imagine having a tireless assistant who handles the nitty-gritty of regulatory compliance so healthcare teams can focus on what matters mostpatient care and privacy. AI in healthcare compliance taps into the power of machine learning, natural language processing, and automation.

Compliance 52

Compliance US Department of Health and Human Services Regulatory Compliance Fraud 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.

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Regulatory Compliance Compliance HIPAA Medical Personnel 40

Medisys Compliance

MARCH 31, 2025

Accurate and efficient Medicare billing is not merely about receiving timely payments; it forms the base for financial stability, regulatory compliance, and ultimately, the ability to continue providing quality patient care. Practices must be vigilant in preventing Medicare fraud, waste, and abuse (FWA).

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

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.

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ADA HIPAA Compliance Fraud 59

Healthcare IT Today

MARCH 27, 2025

With only 6% of organizations having fully operationalized responsible AI frameworks , the healthcare industry must take a measured approach to ensure AI integration aligns with patient safety and regulatory compliance.

Governance 60

Governance Compliance HIPAA Regulatory Compliance 60

Verisys

DECEMBER 29, 2024

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

Malpractice 52

Malpractice Licensing Regulatory Compliance Hospitals 52

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.

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Fraud Telemedicine COVID-19 Governance 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. Office of Inspector General (OIG) oversees In addition to federal regulations and their implications, HR compliance training topics should also address state-specific policies.

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Compliance Fraud Regulatory Compliance HIPAA 97

MedTrainer

JANUARY 21, 2025

Mandatory exclusions result from serious convictions, including Medicare fraud, patient abuse, and felony healthcare fraud. The ability to quickly produce comprehensive screening records and demonstrate consistent monitoring practices provides proof of a strong compliance commitment.

Compliance 52

Compliance Fraud Regulatory Compliance Medicare 52

Healthcare Blog

JANUARY 19, 2025

Compliance with Medicare Swing Bed Rules is non-negotiable for CAHs operating these programs. Prevent fraud and abuse of Medicare funds. As CMS regulations evolve, staying ahead of compliance requirements will be crucial. CMS regulations aim to: Ensure consistent, high-quality care across facilities. Contact us today.

Medicare 52

Medicare Medicare Compliance Nurses 52

Healthcare IT Today

DECEMBER 26, 2024

Recent incidents involving fake video calls and voice cloning demonstrate the technology’s potential for sophisticated fraud. Patient-centric access controls enabling granular data privacy protections will also be key to maintaining trust and regulatory compliance.

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US Department of Health and Human Services Ransomware Compliance Hospitals 90

Compliancy Group

JUNE 13, 2024

A compliance violation could result in something as serious as being placed on the OIG exclusion list. Being placed on this list means that an individual or entity has committed fraud or harmed a patient(s). Prioritizing an OIG compliance program for physicians is one of the primary ways to prevent this type of issue.

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Compliance Fraud Regulatory Compliance Health Insurance 59

Verisys

APRIL 3, 2025

As a centralized hub of critical practitioner data, the NPDB serves as a powerful ally in provider credentialing , helping hospitals, medical boards, and institutions verify backgrounds, track malpractice claims, and ensure regulatory compliance. What Is the National Practitioner Data Bank (NPDB)?

Malpractice 52

Malpractice Licensing Compliance Hospitals 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

American Medical Compliance

FEBRUARY 9, 2024

Balancing Act Compliance officers must balance the need for strict adherence to regulations with the organization’s operational and financial needs. Responsibilities Towards Patient Care Beyond regulatory compliance, compliance officers play a crucial role in upholding the highest standards of patient care.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

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

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.

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Compliance Regulatory Compliance Fraud Regulations Compliance 52

HIT Consultant

APRIL 10, 2025

Since healthcare organizations frequently deal with confidential patient information, financial transactions, and regulatory compliance, these attacks pose a significant risk to the industry.

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Regulatory Compliance Ransomware Fraud Compliance 66

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?

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Regulatory Compliance Due Diligence Compliance Compliance Framework 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.

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Compliance Due Diligence Fraud Governance 52

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

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.

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Hospitals HIPAA Regulatory Compliance Compliance 97

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

Innovaare Compliance

SEPTEMBER 22, 2024

We feel this recognition aligns with our commitment to delivering cutting-edge solutions that streamline regulatory compliance and elevate operational efficiency for healthcare payers. LLMs for healthcare payers, a transformative technology, are expected to mature within the next five years.

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Regulatory Compliance 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

Verisys

NOVEMBER 30, 2022

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Excluded from one means excluded from all, and the fines for non-compliance will likely be in the hundreds of thousands. How many data sources is your organization monitoring?

Medicare 52

Medicare Medicare Regulatory Compliance Medicaid 52

Compliancy Group

OCTOBER 17, 2023

With the healthcare industry constantly transforming and adapting, managing risks has become a critical aspect of ensuring patient safety, organizational resilience, and regulatory compliance. This article will explore the significance of an enterprise risk management framework for healthcare and its role in safeguarding the future.

Regulatory Compliance 52

Regulatory Compliance Compliance Malpractice Fraud 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.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

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?

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HIPAA Malpractice Regulatory Compliance Compliance 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?

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