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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 105
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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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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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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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How to Create a Ketamine Compliance Program

Relias

Regulatory compliance and CMS guidelines While Medicare only covers Spravato and R-ketamine for anesthetics in SNF or hospitals, CMS guidelines for ketamine storage, handling, and disposal are a good blueprint to follow for creating an effective ketamine compliance program. Educating patients on proper medication use.

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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. Short modules and quizzes will help your staff: Retain knowledge from their required training. Tailor their education to their needs.

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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?