MedTrainer

OCTOBER 13, 2023

In fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. Most payers created their own portal, most state and federal government agencies brought documents and databases online, and tech companies did their best to streamline processes. Credentialing is evolving.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

MedTrainer

AUGUST 1, 2024

For healthcare executives and governing boards, understanding who audits for healthcare compliance and why these audits are essential can significantly impact an organization’s operations and business. WEBINAR: Compliance Insights Straight From Surveyors Watch Now The post Who Audits For Healthcare Compliance?

Compliance 52

Compliance Regulations Compliance Patient Satisfaction Governance 52

MedTrainer

OCTOBER 23, 2023

Who Governs Healthcare Compliance? Centers for Medicare and Medicaid (CMS) : Evaluates providers’ adherence to state/federal regulations and guidelines at both the individual and organizational levels. As healthcare evolves, so do these standards, which increases challenges for healthcare organizations.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

MedTrainer

AUGUST 5, 2024

WEBINAR: Hear how Kasey Krabler of Rocky Mountain Surgical Center completes privileging in 30 days. Proper privileging documentation is also critical to meet the standards of regulatory bodies such as the Centers for Medicare and Medicaid Services ( CMS ) and the National Committee for Quality Assurance ( NCQA ).

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

JUNE 25, 2024

It encompasses a wide range of activities and protocols designed to prevent, detect, and correct violations of laws and regulations that govern the healthcare industry. This eliminates the extra work that comes with creating new education courses or redoing policies.

Compliance 52

Compliance Health Insurance Medicaid Medicaid 52

MedTrainer

MARCH 14, 2024

As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Whether it’s government regulation or healthcare facility requirements is a matter.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

AUGUST 9, 2024

It includes various activities and protocols to prevent, detect, and address breaches of laws and regulations governing the healthcare sector. The ultimate goal is to help the organization operate within the law’s boundaries while providing patients high-quality care. Stay updated on any changes or updates to these regulations.

Compliance 52

Compliance HIPAA Governance Health Insurance 52

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit. What is Insurance Credentialing?

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

MedTrainer

SEPTEMBER 10, 2024

Webinar: Tips To Efficiently Meet Healthcare Training Requirements Watch Now 8 Misconceptions About Healthcare Compliance Education Healthcare compliance education is foundational, which makes it even more important to avoid these common misconceptions.

Compliance 52

Compliance Compliance Officers HIPAA Medicare 52

MedTrainer

OCTOBER 16, 2023

Hear from a compliance veteran in this webinar: Identifying Compliance Priorities To Make a Big Impact What Are the Key Healthcare Compliance Regulations? Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

Verisys

DECEMBER 23, 2021

Provider enrollment is the application process by which a practitioner is approved to seek reimbursement from government and/or third-party payers or seek admitting privileges at a hospital. It includes: The provider enrollment process for various government health plans. Steps to successful enrollment. New regulatory requirements.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Register for the webinar here. Below are additional details about the updates, including effective dates and implementation timelines.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

MedTrainer

AUGUST 2, 2023

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Provider Trust

FEBRUARY 3, 2023

In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. The government and private whistleblowers have increasingly targeted PE firms’ portfolio companies and the firms themselves. Do you have any risk based on poor standards of practice?

Compliance 52

Compliance Fraud Nurses Telemedicine 52

AIHC

NOVEMBER 3, 2021

The government HIPAA privacy/security enforcement agency is the Office for Civil Rights (OCR). Information Access Management and Access Control are two HIPAA Security Rule standards that govern access to ePHI. Million Civil Money Penalty against Jackson Health System for HIPAA Violations [link] OCR Imposes a $1.6

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Hall Render

JUNE 21, 2024

Behavioral Health Crisis Center to Address Gaps in Service Availability Government officials, UNM Hospital unveil new Behavioral Health Crisis Center Fears about transparency, access to capital cited as leaders consider hospital merger oversight bill NEW YORK 5 CFO moves in 3 days 9 NY hospitals get $39.1M Would a state law jeopardize them?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare Law Blog

SEPTEMBER 13, 2022

The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments and participating in Centers for Medicare and Medicaid Services (CMS) programs to provide medical screening, treatment and transfer for patients with emergency medical conditions (EMCs) or women in labor. [1] Sheppard Mullin Webinar. [3]

Hospitals 98

Hospitals Governance Medical Personnel COVID-19 98

C&M Health Law

DECEMBER 13, 2022

part 2 (“Part 2”) governing the confidentiality of substance use disorder records. In collaboration with Crowell & Moring Government Affairs Group and Crowell & Moring International, Crowell Health Solutions will examine the post-election landscape in health care policy on December 13 at 1:00 PM. Next Steps .

COVID-19 98

COVID-19 Medicare Medicare Hospitals 98

C&M Health Law

MARCH 15, 2022

With a stronger emphasis on provider-led organizations as model participants, participating providers or their proxies must hold at least 75% control of each ACO’s governing body, compared to only 25% in the GPDC. We will continue to monitor updates and developments relating to the new model.

Medicare 52

Medicare Medicare Governance Compliance 52

Health Populi

OCTOBER 16, 2022

of Care pointed out in a webinar collaboration on October 12. For health policy, the state action for the 2022 midterms will be on abortion and reproductive health access along with Medicaid expansion (with the Affordable Care Act now safe from Republicans’ long-promised repeal that never happened…for the time being, anyway).

Medicare 71

Medicare Medicare Medicaid Medicaid 71