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How to Conduct Effective Compliance Audits 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

HIPAA 105
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Home Health Referrals: Grow Your Network

Relias

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

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12 Days of Compliance Countdown

Relias

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. How within a week’s time will you be able to inform all your staff? The video training you have isn’t up to date anymore.

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Section 1557 Compliance for Healthcare Providers by July 5, 2025 

American Medical Compliance

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. It’s noteworthy that the 2024 Final Rule expanded the definition of covered entities to include providers receiving Medicare Part B payments, marking a significant shift from previous interpretations.

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Survey Readiness: Post-Acute Care Compliance Checkup

Relias

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. Staff training and licenses. Respectful communication and appropriate behavior. Quality care and optimal clinical outcomes.