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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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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 Improve Patient Retention for Physician Practices

Relias

These systems require upfront investments and ongoing expenses for maintenance, updates, and staff training. This spending includes the salaries and benefits of administrative staff responsible for tasks like appointment scheduling, medical billing and coding, insurance claims processing, and general office management.

HIPAA 40
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Section 1557 Compliance for Healthcare Providers by July 5, 2025 

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.