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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.
Add complicating factors, such as a new generation of pandemic-era fraud, virtual care regulations, labor shortages, financial volatility, and underlying goals surrounding care quality and equity, and the role of credentialing has ballooned into a larger organizational strategy around risk mitigation and provider data accuracy.
Let’s Simplify Compliance Learn how to protect your business from breaches in our upcoming webinar! We may look back at 2021 as the year when we moved from the era of identity theft to identity fraud. Trends of Major Healthcare Data Breaches Continue in 2022. million patient records. .
Webinars – watch recordings of live webinars from the AIHC YouTube Channel: Conducting Internal Investigations Playlist Effective Corporate Compliance Playlist This Article is Written by the AIHC Education Department. This voluntary guide is a document to be updated over time by the OIG. Click Here to access the AI articles.
Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. What Is the Scope of a CMS Inspection? Transparency is a primary pillar of CMS in order to encourage and promote safe and ethical patient care.
In this quick guide, we’ll explore the importance of including NPDB monitoring in your routine license and exclusion monitoring to protect your organization and the patients you serve from fraud, waste, and abuse. Its mission is to enhance healthcare quality, defend the public, and decrease healthcare fraud and misuse in the U.S.
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. This helps uphold quality healthcare standards and protects against fraud, waste, and abuse. What is Provider Credentialing?
Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. This can include training sessions, webinars, online courses by developers, or cybersecurity experts. Outdated technical equipment and the actions of employees can assist fraudsters in gaining access to these records.
Webinar: Setting a New Standard for PSV Watch Now Core Elements of PSV Credentialing Primary source verification (PSV) is the process of verifying a providers identity, background, and qualifications. Relying on copies or self-reported credentials increases the risk of fraud and errors. Its forcing a new standard of PSV credentialing.
These resources come in various forms, such as: Training Materials Toolkits Webinars Online Portals Healthcare Compliance Guides They help educate healthcare professionals about current regulations, best practices, and emerging trends in the industry.
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.
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.
By staying up-to-date with changing regulations, they help protect patients’ rights while preventing fraud or abuse. Their expertise in understanding complex regulations helps safeguard patient rights while preventing fraud or abuse.
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.
Medical records remain a desirable target for cybercriminals as they can be used for fraud or ransom demands. This can include training sessions, webinars, and online courses by developers, or cybersecurity experts. Outdated technical equipment and the actions of employees can assist fraudsters in gaining access to these records.
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Check out this webinar recording for a rare insider’s perspective on healthcare compliance, straight from a panel of expert surveyors themselves. Prevention of Fraud and Abuse Corporate compliance works as a shield against potential fraud and abuse.
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It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. Compliance is crucial in healthcare to safeguard patients’ well-being, maintain trust in the industry, and avoid legal and financial repercussions. What Is HIPAA and How Does It Impact Healthcare Compliance?
Maintaining compliance helps protect against fraud, waste, and abuse. Watch this on-demand webinar for insights to improve your internal credentialing. Meets compliance standards: Both processes verify a provider has met compliance standards. Whether it’s government regulation or healthcare facility requirements is a matter.
While adherence to these guidelines is voluntary, organizations implementing effective compliance programs are better equipped to identify and address potential compliance risks, mitigate fraud and abuse, and uphold the integrity of healthcare programs and services.
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.
Affordable Care Act (ACA): Ensures access to affordable healthcare and prevents fraud and abuse. WEBINAR: Compliance Insights Straight From Surveyors Watch Now The post The Importance of Internal Healthcare Compliance Audits appeared first on MedTrainer.
Let’s Simplify Compliance Learn how to protect your business against breaches in our upcoming webinar! 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.
The requirements cover a wide range of topics, from patient privacy and the Health Insurance Portability and Accountability Act ( HIPAA ) to bloodborne pathogens ( OSHA ) and detecting fraud ( CMS ).
These red flags are used to identify situations or activities that may raise concerns about fraud, waste, abuse, or non-compliance with healthcare regulations. In this on-demand webinar, veteran compliance office Suzi Gausman shares her top compliance priorities as they relate to the seven components of compliance.
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?
Training is required topics including fraud ( Stark Law ), HIPAA , and employee safety. Watch this webinar for tips and tricks for scaling your compliance training programs. Department of Health & Human Services ( HHS ). Regulatory compliance is not optional and is a fundamental aspect of healthcare industry operations.
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?
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It also supports financial compliance by implementing accurate billing practices and fraud prevention mechanisms, which are crucial for maintaining the organization’s financial health.
WEBINAR: Plan Like a Pro: Disaster Preparedness 2.0 Monitoring financial performance metrics, engaging staff in financial planning processes, and maintaining billing and coding standards helps to decrease fraud and non-compliance. Watch Now 12.
In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. In July 2022, the OIG issued a Special Fraud Alert urging providers to exercise caution before entering into arrangements with telemedicine companies.
This post provides an overview of recent developments in the adoption of telehealth tools by providers, the status of Medicare coverage for telemedicine services, the regulatory vision for the ascent out of the PHE, and fraud, waste and abuse considerations as we begin to make our way out of the pandemic haze.
In addition, the government is bringing civil False Claims Act cases, and in some cases filing criminal health care fraud charges, against facilities that provide substandard care. Some states are also seeking to impose monitors and enjoin nursing home operations at underperforming facilities.
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Related consumer fraud/economic loss claims also regularly abound. All other webinars are presumptively approved for 1.0 Applications for CLE credit are being filed in Delaware, Florida, Ohio, and Virginia. CLE credit in California, Connecticut, Illinois, New Jersey, New York, Pennsylvania, Texas and West Virginia.
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.
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