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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 86
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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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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. Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. Increasing agency profitability.

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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. The video training you have isn’t up to date anymore. It’s more like stale coffee and the gentle clicking of keys on the computer.

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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. Quality care and optimal clinical outcomes. Respectful communication and appropriate behavior.