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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. 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.

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Engage with patients eye to eye

American Nurse

QI project The national, standardized survey Hospital Consumer Assessment of Healthcare ProĀ­videĀ­rs 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

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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? Could you generate additional income to offset the expenses? Workflow and Staffing Could your current team support this service? Would the new service disrupt your existing workflow or affect the quality of patient care?

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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.