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Healthcare Compliance for New Providers: Getting Started

American Medical Compliance

Here are the key areas of healthcare compliance. HIPAA (Health Insurance Portability and Accountability Act) This compliance is crucial for safeguarding patient health information. For example, CMS requires accurate and timely documentation of patient care to ensure proper billing and reimbursement.

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Understanding FWA Compliance in Healthcare

American Medical Compliance

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

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The Changing Face of Healthcare Amidst the COVID-19 Pandemic

Hospital Recruiting | Nursing

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern. CPT codes for billing purposes are available.

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Navigating the No Surprises Act Training for Healthcare Providers

American Medical Compliance

What you will learn: Situations where the No Surprises Act applies Specific requirements for compliance with the No Surprises Act Billing and payment processes under the No Surprises Act The importance of accurate documentation Details Course length: 45 minutes.

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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.

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Medicare Care Compare: Publicly reported performance measures

American Nurse

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. Frequently, providers report measures using standardized documentation required by CMS. See Star ratings defined.) March 8, 2023.

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Addressing social determinants of health

American Nurse

“Nursing has been paying attention to these specific issues that influence health almost since the beginning of the profession,” she observed. Before and after healthcare Roberta Waite Marcus Henderson Tricia Howard Waite, a Virginia Nurses Association member, noted many factors that affect health.