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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). Once again, training and experience will better-ensure success for your team, as well as your clients. And don’t forget to praise individual staff members for a job well done.

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Home Health Specializations Boost Performance, Bottom Line

Relias

Successful agencies recognize that long-term success depends on meeting required clinical regulations and having staff with the home health specializations to meet shifting client needs. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023.

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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. Short modules and quizzes will help your staff: Retain knowledge from their required training. Tailor their education to their needs.

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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. Staff Training (By May 1, 2025) It’s imperative that all relevant staff members are trained on the newly developed policies and procedures. Health Insurance Providers : Companies providing health coverage plans.

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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. Provide staff compliance and competency education, addressing any quality measure deficiencies.