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

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

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.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

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

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.

Compliance 59

Compliance Fraud Regulatory Compliance Health Insurance 59

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

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

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.

Compliance 52

Compliance Regulatory Compliance Fraud Regulations Compliance 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. Paul Banco, CEO of etherFAX    How secure is your data? How Can a Data Breach Be Prevented?

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 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.

Hospitals 97

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

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

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?

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

Compliancy Group

JANUARY 22, 2024

Financial Analysis Financial aspects play a significant role in healthcare audits, identifying potential fraud or irregularities. By evaluating: Financial Statements Invoices Reimbursement Claims Accounting Processes This can help detect discrepancies or non-compliance issues related to billing or revenue recognition.

Compliance 52

Compliance Fraud Regulatory Compliance HIPAA 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.

Regulatory Compliance 52

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

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

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?

Regulatory Compliance 52

Regulatory Compliance Medicare Medicare 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

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. This Plan is not static; it evolves and shifts to address emerging challenges and shifting priorities within the healthcare sector.

US Department of Health and Human Services 52

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

Compliancy Group

APRIL 8, 2024

Patient safety and regulatory compliance are paramount, and healthcare organizations face numerous challenges in effectively managing their operations. The complex nature of the healthcare industry calls for a robust framework to ensure governance, mitigate risks, and maintain compliance with various regulations.

Governance 52

Governance Compliance Regulatory Compliance Fraud 52

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 71

Health Care Law Brief

FEBRUARY 7, 2024

Department of Health and Human Services Office of Inspector General’s (OIG) core responsibility is to promote efficiency and economy in myriad programs by eliminating fraud, waste and abuse.

Compliance 52

Compliance Fraud Regulatory Compliance 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.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

MedTrainer

JANUARY 31, 2024

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. Certified Medical Compliance Officer (CMCO): The CMCO certification is offered by the Practice Management Institute.

Compliance 52

Compliance Compliance Officers Fraud Regulatory Compliance 52

MedTrainer

JANUARY 26, 2024

Ways Compliance Can Decrease Revenue Fines and Penalties: Compliance with federal, state, and local regulations is essential to avoid fines, penalties, and legal liabilities. Denied Claims: Failure to comply with coding and billing regulations can lead to denied claims, delayed reimbursement, or even accusations of fraud.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

Innovaare Compliance

SEPTEMBER 17, 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.

Regulatory Compliance 52

Regulatory Compliance Compliance Fraud 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

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

Verisys

FEBRUARY 14, 2024

Mitigating Provider Risk: Verisys’ solutions, such as FACIS® (Fraud Abuse Control Information System) , provide in-depth screening and continuous monitoring of healthcare professionals against the largest dataset of disciplinary actions and exclusions. How does Verisys help with risk management in healthcare?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 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

Compliancy Group

JANUARY 23, 2024

Understand Compliance Landscape Before you can write a comprehensive compliance plan, it’s crucial to grasp the intricacies of the healthcare compliance landscape. Protecting patients’ rights, ensuring privacy and data security, preventing fraud and abuse, and promoting fair billing practices. The primary goal?

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

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. Quality of Care Standards.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52