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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

million Medicare beneficiaries in the U.S. Educate all team members Everyone involved with the wound care process nurses, therapists, physicians, and coders should be briefed on the CMS skin substitute updates. Use regular staff training sessions, internal alerts, and microlearning tools to remember the rules.

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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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Is Your Practice Ready for Growth?

Nurse Practitioners in Business

New services often require new protocols and staff training. Would you need to hire additional staff? Educational Events or Support Groups Offer paid workshops, classes, or community events. Could you generate additional income to offset the expenses? Workflow and Staffing Could your current team support this service?

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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. It’s noteworthy that the 2024 Final Rule expanded the definition of covered entities to include providers receiving Medicare Part B payments, marking a significant shift from previous interpretations.

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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.