American Medical Compliance

OCTOBER 25, 2024

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

Relias

MAY 29, 2025

million Medicare beneficiaries in the U.S. Use regular staff training sessions, internal alerts, and microlearning tools to remember the rules. Consider wound care certification programs or clinical competency assessments for wound evaluation and treatment staff. with chronic wounds.

Medicare

American Nurse

JULY 30, 2025

QI project The national, standardized survey Hospital Consumer Assessment of Healthcare Pro­vide­rs and Systems (HCAHPS), endorsed by the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality, measures patients’ views on their hospital experiences. Its reliability ranges from 0.66

Patient Satisfaction

Relias

JULY 23, 2025

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).

Best Practices

American Medical Compliance

MARCH 13, 2025

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.

Medicare

Relias

DECEMBER 21, 2021

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.

Medicare

Relias

NOVEMBER 4, 2021

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.

Medicare