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How to Conduct Effective Compliance AuditsĀ 

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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Navigating New CMS Skin Substitute Updates: Essential Policies for Wound Care Providers

Relias

Starting on January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will implement new Local Coverage Determinations (LCD), which will affect the use of cellular and tissue-based products (CTPs), also known as skin substitute grafts, for the treatment of diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs). Heres how: 1.

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Engage with patients eye to eye

American Nurse

Jun and colleagues’ integrative review of eight peer-reviewed studies to assess nurse-led interventions concluded that nurse rounding, discharge follow-up calls, and communication education for nurses increase patient satisfaction. Effective methods for providing this skill training include role-play, simulations, and video-based reflections.

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How to Implement Behavioral Health Compliance Best Practices

Relias

While federal guidelines, such as HIPAA and reimbursement rules from the Centers for Medicare & Medicaid Services (CMS), set the baseline, telehealth and telemedicine standards are largely governed by state regulatory boards. drugs, supplies, or health care services for Medicare or Medicaid patients).

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Section 1557 Compliance for Healthcare Providers by July 5, 2025Ā 

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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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.