compliance – MD Update

21s Century Cures Act: A Guide to Understanding for Those without a PhD

February 1, 2021February 17, 2021 Kevin W. Cornwell 21, 21s century cure act, API, API criterion, API functionality, category of information block provision, CoC, compliance, compliance date, concept of the end goal, cure, cure act, current API criterion, edition health IT certification criterion update, EHI, EHI export, entire cure act, image002 Healthcare, image002 Healthcare provider, image003 health information network, image004 health IT developer, information block, information block provision, initial attestation, interoperability, IT, let 's look, MoC, MoC requirement, new standardized API functionality, notice requirement, provision, real-world test, relevant aspect of the cure act, request, requirement, result of real-world test, revised timeline, significant endeavor, st century cure act, submission of initial attestation, submission of initial plan, use of EHI, well-intentioned motive

Sometimes government does pass laws with well-intentioned motives. The 21st Century Cures Act (Cures Act) is a good example. Less

Legal

Compliance: The Best Risk Management Tool

May 1, 2019June 21, 2019 Lisa English Hinkle abuse compliance, Anti-Kickback, Anti-Kickback statute, Anti-Kickback statute 's prohibition, behavioral health service, big data, CMS, commercial health insurance plan, commercial insurance rule, compliance, compliance area, compliance plan, compliance professional, compliance program, compliance program effectiveness, compliance review, complicated medicare payment rule, controlled substance, core element of a compliance program, data analytics, documentation, effective compliance plan, effectiveness of compliance plan, EKRA, eliminate kickback, employer, enactment of the eliminate kickback, evaluation of employee, ever-expanding area, ever-expanding area of compliance, everyday routine of regulator, federal report requirement, Fee schedule rule, filing, final physician, good practice, good risk management tool, healthcare, healthcare provider, HI-TECH, HI-TECH report requirement, Hinkle, important element of a compliance plan, important new area, insurance, insurance rule, internal report system, Kasper, Kentucky, Kentucky board, laboratory test necessary, match originating-site facility fee claim, measure compliance program effectiveness, Medicaid, medical necessity, medical record code, Medicare, Medicare claim, medicare payment rule, monitor adherence, necessity, new area, new area of compliance review, new criminal penalty, new enforcement, originating-site, originating-site facility fee claim, patient broker, payment, prescription of controlled substance, privacy, privacy requirement, program administration, protected health information, provider, provider education, recovery home, regulator, regulator 's sight, regulatory sea ebb, resource guide, review of big data, review of policy, risk management tool, robust compliance program, safety of patient, sample of area, score compliance, sea ebb, stark law, substance, substance disorder treatment, telehealth, telehealth claim, thorough documentation of medical record, tool, topic of a study group, ultimate risk management tool, vendor

What is compliance, anyway? Something that you will know when you see it? What is an effective compliance plan? To

Legal

Compliance is Crucial

December 1, 2018February 15, 2019 William J. George, ESQ additional federal prosecutor, attainable compliance expectation, autonomy of a compliance program, cases.1, civil case involve healthcare provider, civil false claim act, claim act, compliance, compliance expectation, compliance initiative, compliance issue, compliance program, compliant manner, concise policy, contracted provider, culture of compliance, current legal enforcement environment, DOJ, effectiveness of an exist program, employee, enforcement, enforcement environment, false claim act, federal government, federal government 's recoupment, fentanyl-based, fentanyl-based opioid, fraudulent bill practice, government 's recoupment, government.2, government.3, healthcare, healthcare fraud, healthcare provider, healthcare provider 's financial good interest, healthcare provider 's strategic initiative, insurance company, insurance company 's special investigation unit, Insys, Insys therapeutics, J., large financial penalty, meaningful train, medical provider, Opioid, opioid crisis, opioid epidemic, opioid prescriber, opioid-related, opioid-related death, opioids, prescription interdiction task force, provider, qui tam suit, real-world compliance problem, recoupment, stagger success, stagger success of the federal government 's recoupment, therapeutics, type of lawsuit, use of the false claim act, William J.

In the current legal enforcement environment, it is crucial that healthcare providers prioritize compliance initiatives and programs in order to

Legal

Samhsa Releases Second Part 2 Final Rule in Major Update

May 1, 2018July 2, 2018 Lisa English Hinkle ability of patient, advertise substance use disorder, bring part 2 regulation, broad consent, compliance, confidentiality, confidentiality of substance use disorder, consent, disclosure, disorder, explicit patient consent, fear of prosecution, final rule, fundamental aspect of the physician-patient relationship, health service administration, healthcare, healthcare delivery system, Hinkle, HIPAA, HIPAA confidentiality provision, HITECH, incorporate requirement, individual seek treatment, key update, legal representative, Medicaid, medical record, medical record of individual seek treatment, Medicare, mental health service administration, modern healthcare delivery system, much-needed treatment, new part 2 regulation, opioid crisis, original purpose of the part 2 regulation, part 2, part 2 regulation, patient record regulation, privacy of patient, protected health information, provide substance use disorder treatment, provider, provider relationship, re-disclosure, record regulation, regulation, SAMHSA, Samhsa release, security of medical record, social ramification, subcontractor, substance, substance use diagnosis, substance use disorder, substance use disorder treatment, treat provider relationship, wrongful disclosure, wrongful disclosure of medical record

LEXINGTON Not only is the opioid crisis straining the resources of our healthcare system, but the increasing need for treatment

Accounting

Annual Compliance Training

May 1, 2018July 2, 2018 Shawn Stevison abuse concern, Anti-Kickback statute, Care fraud statute, civil monetary penalty, compliance, compliance program, criminal health, effective compliance program, element of a compliance program, element of an effective compliance program, element of the compliance program, exclusion statute, federal false claim act, general compliance, HIPAA privacy, implement train, improper claim, independent physician practice, OIG, physician, provision of example of improper claim, review of documentation requirement, section 6401, Self-Referral Law, statute, system 's required education, typical train element

LOUISVILLE As you may be aware, Section 6401 of the Affordable Care Act put into place a requirement that “providers

Accounting

Are You Prepared for a Department of Labor Audit?

February 1, 2017 Jeff Ricketts audit, change regulatory requirement, common compliance, common missed policy, complete reference check, compliance, compliance requirement, compliance strategy, criticality, criticality of the HR compliance function, department of labor audit, DOL, DOL audit, employee, employee file, employee handbook, facilitation of the hire process, facility compliance, file management file management issue, forgotten area, handbook, HIPAA, HIPAA compliance, hire manager, hire process organization, HR, HR compliance function, HR function, lactation accommodation, legal compliance, management of compensation, miss key hire document, multiple file process, overall compliance strategy, personnel manual, physical location, process organization, reference check, requirement

If you think you’re ready … think again! It is no secret that compliance requirements have been increasing over the

Accounting

Why Should I Worry About a Compliance Program?

September 1, 2016 Shawn Stevison appropriate provider code, compliance, compliance leader, compliance officer, compliance program, compliance program guidance, compliance program look, compliance risk, corrective action, day-to-day operation of the practice, detected offense, disciplinary implication, disciplinary implication of non-compliance, disciplinary standard, documentation, documentation guideline, documentation template, employee of the practice, group physician practice, HHS OIG, HIPAA, HIPAA privacy, identity theft, implement compliance, improper inducement, inducement, kickback, medical identity theft, new practice standard, passage of the patient protection, patient care need, patient medical information, physician, practice standard, provider code, recent procedure code, section 6401, self-referrals, size of the practice, small group physician practice, small group practice, specialty, state-licensed scope, state-licensed scope of practice, stretch thin try, type of specialty, update exist practice standard, well-publicized guideline

Many individual and small group practices find themselves stretched thin trying to see patients and handle the day-to-day operations of

Legal

Recent Supreme Court Holding a Mixed Bag for Healthcare Providers

September 1, 2016 Molly Nicol Lewis adverse result of a prescription, arbour counsel service, automatic attachment of false claim act liability, bipolar disorder, broad attachment, broad attachment of FCA liability, broad theory of implied certification, case of Universal health service v., certification, certification 's theory, certification claim, certification theory, circuit, claimant, compliance, contract requirement, counsel facility, Escobar, ex rel, failure of compliance, failure of the claimant, false certification, FCA, FCA claim, FCA liability, government 's payment, government attache, high bar, implied certification, implied certification 's theory, implied certification claim, implied false certification theory, internet college, let 's start, liability, licensed psychologist, material condition of payment, materiality, materiality language, misrepresentation, owner of the counsel facility, payment, payment decision, provider, qui, qui tam relator, recent supreme court, recognition of the theory, regulatory condition, rel, relators, supreme court, tam, unaccredited internet college, Universal health service v., v., violation of the false claim act, Yarushka Rivera

Beginning in 2004, teenager Yarushka Rivera, a Medicaid beneficiary, received counseling services at Arbour Counseling Services in Massachusetts. In 2009,

Sleep Medicine

New Software Increases Compliance Among CPAP Patients

March 1, 2015 Mike Marnhout 30% have hypertension, 48% have type 2 diabetes, 77% have obesity, apnea, cloud-based compliance management solution, compliance, compliance rate, considered preventative medicine, CPAP, CPAP machine enable, CPAP usage, DME, DME company, DME provider, DME supplier, durable medical equipment, grow use of continuous positive airway pressure, have, have hypertension, have obesity, have type 2, have type 2 diabetes, increased compliance rate, Lexington sleep apnea, modem, new software increase compliance, patient 's CPAP machine enable, provider, sleep, sleep apnea, sleep apnea patient, therapy, therapy compliance, treat sleep apnea, U-Sleep

LEXINGTON Sleep apnea is serious disease that is now getting the attention it deserves Insurance companies, aware of the significance

Legal

Top 10 Health Law Issues for Physicians, Health Systems, and Providers in 2014

October 1, 2013 Lisa English Hinkle ACA, ACOs, associate agreement, attestation, attestation report, audit, audit claim, audit letter, audit request letter, auditor, beneficiary, big data, bill practice, bill standard, claim act liability, clinical quality measure, CMS, CMS check, compliance, compliant business, contracted auditor, controlled substance, cost report, credentialing, denominator value, EHR, EHR vendor, EHR vendor agreement, enforcement, enforcement activity, evaluation, evidence of meaningful use of incentive monies, false claim act liability, health care transaction, health system, HIPAA, HITECH, identify business associate, implement security standard, incentive, incentive monies, incentive payment, increase review, increased audit, increased enforcement activity, insurance, insurance plan, Kentucky, Kentucky 's attorney, law application, Law issue, liability, meaningful use, meaningful use attestation, meaningful use audit, measure compliance, Medicaid, Medicaid beneficiary, Medicaid claim, Medicaid integrity contractor audit, Medicaid patient, Medicaid referral, Medicaid review auditor, Medicare, Medicare claim, myriad regulation, overpayment, payment, payor, physician, preventive benefit, private pay, provider, provider audit, provider face, quality measure, repayment, report breach, required evidence, review of the big data, stage 1 compliance, stark law, stark law application, use attestation, use audit, violation, violation of the stark law

Change is the one constant that physicians, health systems, and other providers face in 2014 as the ACA and its

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