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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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Healthcare Policy: What Is It and Why Is It Important?

University of St. Augustine for Health Sciences

Subcategories of health policy include public health, global health, healthcare services, health insurance, mental health and pharmaceuticals. How Does Health Policy Impact Patients? Below, we explore a few major health policy issues impacting Americans today. In fact, approximately 9% of U.S.

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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.

HIPAA 105
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Nurse referrals to pharmacy

American Nurse

The EHR combined all pharmacy use by all patients in the complex care management department and calculated pharmacy costs on a per patient per month basis, which is the health insurance industry standard for capturing population health data. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2024; 19(3).

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Addressing social determinants of health

American Nurse

Before and after healthcare Roberta Waite Marcus Henderson Tricia Howard Waite, a Virginia Nurses Association member, noted many factors that affect health. Employment, education, health insurance, sufficient healthy food, healthy neighborhoods and environments, economic stability, and community support also are included among SDOH.

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Section 1557 Compliance for Healthcare Providers by July 5, 2025 

American Medical Compliance

Health Insurance Providers : Companies providing health coverage plans. Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Any Organization Receiving HHS Funding : This encompasses a wide range of healthcare-related services and programs.

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Breastfeeding at Work: Here’s What You Need to Know

Scrubs

Today, there are several laws in place designed to promote and protect breastfeeding among new mothers. However, these requirements do not apply to those covered under Medicaid, notably low-income women, who have disproportionately lower rates of breastfeeding compared to the general population.