HIT Consultant

NOVEMBER 27, 2023

Mishandling or misplacing sensitive data can lead to compliance violations, legal repercussions, and reputational damage. The sheer volume of data, coupled with evolving privacy laws, makes organizations more susceptible to regulatory violations. As deputy CISO, Kevin leads the internal practice of security for LogRhythm.

Compliance 122

Compliance HIPAA Regulatory Compliance Health Insurance 122

Physician Credentialing Company

DECEMBER 20, 2024

Health insurance companies also allow credentialed providers to submit claims for healthcare services. Legal and financial risks For not following government and payer-specific guidelines, providers may have to bear legal penalties in terms of finances or exclusion from the program.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

MedTrainer

AUGUST 9, 2023

Healthcare risk management software assists healthcare organizations in identifying, assessing, and mitigating risks related to patient safety, regulatory compliance, and care operations. Healthcare risk management software assists organizations in maintaining compliance with regulatory requirements and industry standards.

Regulatory Compliance 80

Regulatory Compliance Compliance Compliance Officers Health Insurance 80

Healthcare IT Today

AUGUST 21, 2023

Industry Guidelines and Regulations Governing RFID Use in Healthcare Organizations such as the UnitVisID Alliance and GS1 Healthcare have established guidelines defining an industry-wide performance and data-handling specification for RFID-tagged products as they move through the supply chain with security and patient safety in mind.

HIPAA 98

HIPAA Regulatory Compliance Hospitals FDA 98

Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance?

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Governance Compliance Regulatory Compliance Compliance Framework 52

Compliancy Group

AUGUST 2, 2023

As the healthcare industry grows and changes, organizations face increasing challenges regarding compliance and risk management. Healthcare GRC (Governance, Risk, and Compliance) is a crucial framework that helps healthcare providers navigate these complexities effectively.

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Verisys

JANUARY 8, 2024

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. Involves ensuring adherence to laws and regulations specific to the healthcare industry.

Compliance 52

Compliance Regulatory Compliance Health Insurance Medicaid 52

Compliancy Group

NOVEMBER 16, 2023

Regulatory Compliance In today’s regulatory landscape, many industries are subject to stringent data protection regulations such as the General Data Protection Regulation (GDPR) or the Health Insurance Portability and Accountability Act (HIPAA).

Compliance 52

Compliance Regulatory Compliance Health Insurance HIPAA 52

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. Various laws, regulations, and industry standards govern this sector. The primary goal?

Compliance 52

Compliance Regulatory Compliance Governance Fraud 52

Compliancy Group

JANUARY 18, 2024

Further, healthcare organizations and anyone doing business with them are held to all relevant regulatory compliance. Federal Government has enacted laws like the Health Insurance Portability and Accountability Act of 1996 (HIPAA) , including 18 associated elements that are considered Protected Health Information (PHI).

Compliance 52

Compliance HIPAA Regulatory Compliance Governance 52

Compliancy Group

OCTOBER 4, 2024

We also discuss how compliance software can help ensure regulatory compliance and maximize efficiency and accuracy in all your compliance activities. External Audits An external healthcare audit ensures an unbiased assessment of the organization’s compliance with healthcare regulations.

Compliance Officers 59

Compliance Officers Compliance Regulatory Compliance Fraud 59

Verisys

DECEMBER 22, 2021

Passed last December, the Act requires group health plans and health insurance issuers to improve the verification and refresh process of their provider directory systems. Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R.

Compliance 52

Compliance Regulatory Compliance Health Insurance Healthcare information Technology 52

MedTrainer

FEBRUARY 1, 2024

Corporate compliance can help to reduce these potential costs by helping companies uphold compliance standards. Improve Quality of Care: Include protocols, policies, and guidelines to maintain and improve the quality of patient care. Risk Management: Identify and mitigate legal, financial, and reputational risks.

Compliance 52

Compliance Fraud Regulatory Compliance Regulations Compliance 52

Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. This article will discuss key factors in choosing oncology billing company.

Regulatory Compliance 52

Regulatory Compliance ACA Medical Billing Outsourcing Compliance 52

Compliancy Group

OCTOBER 2, 2023

This allows them to take corrective actions promptly and avoid penalties or legal repercussions arising from non-compliance. Compliance reporting in healthcare plays a significant role in upholding regulatory compliance standards, including in the following areas.

Compliance 52

Compliance Regulatory Compliance Fraud Health Insurance 52

HIT Consultant

APRIL 16, 2024

Recent research found that physician information held within directories of five major national health insurers was inconsistent in four out of five entries. Of course, these solutions must address key challenges such as data fluctuations, standardization issues, and regulatory compliance.

Regulatory Compliance 52

Regulatory Compliance Compliance Health Insurance Medicaid 52

MedTrainer

JANUARY 26, 2024

To answer the question “how does compliance have an impact on financial management in healthcare,” we first need to explore the connections between the two. What is Healthcare Compliance? Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

Compliance 52

Compliance Fraud Regulatory Compliance Health Insurance 52

Compliancy Group

OCTOBER 20, 2023

Unveiling the IT Compliance Audit Checklist Apart from securing an organization’s IT infrastructure, it is equally important to adhere to various regulations and standards imposed by industry bodies or government entities. Let’s delve into some essential components of an IT compliance audit checklist.

Compliance 52

Compliance Regulatory Compliance Health Insurance HIPAA 52

Physician Credentialing Company

MAY 15, 2024

Regulatory Compliance: Adhering to regulations may prevent costly fines and thus, positively impact ROI. ROI in healthcare not only focuses on financial aspects but also on the improvement of patient health outcomes. Health insurance providers leverage ROI analysis to evaluate wellness programs.

Health Outcomes 52

Health Outcomes Regulatory Compliance Public Health Telemedicine 52

MedTrainer

NOVEMBER 2, 2023

Additionally, hands-on experience in healthcare or regulatory compliance provides a foundation for this role. Many pursue certifications, like the Certified in Healthcare Compliance (CHC) , to gain a competitive edge and deepen their expertise.

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

HIT Consultant

JANUARY 3, 2023

The Challenges to Meeting Compliance Regulations. Among all of the challenges healthcare security programs face, one of the biggest is the fast-changing regulatory compliance environment combined with the lack of visibility and consistency in cybersecurity training. Compliance with regulations is nothing new for the industry.

Compliance 52

Compliance Ransomware Fraud Regulatory Compliance 52

Dot Compliance

AUGUST 8, 2023

In the highly regulated life sciences industry, quality management is crucial for ensuring product safety, regulatory compliance, and operational excellence. It could be improving product safety, enhancing regulatory compliance, streamlining processes, increasing efficiency, or reducing quality-related risks.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Regulations Compliance 52

Dot Compliance

AUGUST 8, 2023

In the highly regulated life sciences industry, quality management is crucial for ensuring product safety, regulatory compliance, and operational excellence. It could be improving product safety, enhancing regulatory compliance, streamlining processes, increasing efficiency, or reducing quality-related risks.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Regulations Compliance 52

MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Advises on compliance matters, reviews contracts, and handles regulatory and legal issues. Pros: Legal and regulatory compliance expertise, familiarity with laws and regulations, and trusted legal adviser.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. 2] See 86 Fed.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

AIHC

JUNE 14, 2023

Artificial Intelligence & Regulatory Compliance Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article follows Part 1 - Basics of Artificial Intelligence (AI) and Healthcare Compliance published by AIHC on June 6, 2023.

FDA 45

FDA HIPAA Compliance Regulatory Compliance 45

Health Care Law Brief

JULY 25, 2023

Unlike developers, exchanges, and networks, the Act does not empower OIG to directly assess penalties for non-compliance against health care providers. [6] 3] Given the foregoing statement, OIG enforcement actions, at least as a preliminary matter, are likely to focus on repeat offenders, or particularly flagrant conduct.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Health Law Advisor

JUNE 17, 2022

The Health Insurance Portability and Accountability Act (“HIPAA”), the Federal healthcare privacy law, governs the disclosure of protected health information (“PHI”), and generally restricts disclosure absent patient consent. [7] HIPAA Background. 7] Generally, HIPAA preempts contradictory state law (e.g.,

HIPAA 52

HIPAA ADA Regulatory Compliance Health Insurance 52

Health Care Law Brief

JULY 8, 2022

The new HIPAA guidance generally reminds providers about their obligations under the Privacy Rule to safeguard patients’ protected health information (“PHI”), even under many circumstances where the information has been requested by government officials or in the context of litigation.

HIPAA 52

HIPAA Compliance Health Insurance Hospitals 52