American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. This involves promoting ethical behavior, encouraging open communication, and having a zero-tolerance policy towards FWA.

Medicaid

Health Leaders | Nursing

MARCH 5, 2023

A shared leadership/professional governance mindset is key to a successful practice redesign, CNE says. Gilbert spoke with HealthLeaders about how he and his organization are approaching practice redesign and best practices to implement a redesign. HealthLeaders: What is your definition of practice redesign?

Retirement

Relias

APRIL 10, 2025

From natural disasters to pandemics and cyberattacks, healthcare organizations must be ready to protect their patients, staff, and communities under any circumstance. This regulation established consistent emergency preparedness requirements for Medicare and Medicaid providers and suppliers of all types.

Medicaid

Relias

MARCH 5, 2025

To keep your ketamine program in compliance, ensure your providers understand the following patient safety and monitoring best-practices. Best practices include: Blood pressure checks every 20 minutes during treatment. Medicare Part D patients must: Show they are not eligible for Low-Income Subsidy (LIS).

Medicare

Healthcare Law Insights blog

NOVEMBER 10, 2023

With this integrated approach to risk, the OIG highlights best practices to help healthcare entities fulfill their commitment to compliance with a focus on company-wide involvement driven by leadership. Communicate the organization’s mission and ethical requirements. Work closely across departments and disciplines.

Leadership

Relias

OCTOBER 20, 2021

Telehealth has enabled providers to offer care to clients no matter where they live, without the need to break social distancing best practices. Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, communities ?in Telehealth technology is one great example. some providers?were?weary

Medicaid

Relias

AUGUST 9, 2023

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 best-made plans are laid to waste if there’s no effective communication from the top down within an accessible channel.

Best Practices

Consult QD

MAY 8, 2023

3 Who to enroll in a lung cancer screening program : Guidance from the United States Preventive Services Task Force (USPSTF) has contributed to policy from Centers for Medicare & Medicaid Services and other payors for who should be screened.

Best Practices

Relias

MARCH 13, 2023

In the healthcare industry, regulations and best practices are always changing. The best way to protect your organization is to monitor your compliance risks proactively. Finally, enlist a communication or UX specialist to evaluate all written materials for clarity and readability.

Medicare

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. It is important to focus on clinical protocols and reduction in practice variation. Sadly, U.S. rates are continuing to rise.

Medicaid