Provider compliance - PowerPoint PPT Presentation


Understanding Governance, Risk, and Compliance Framework in Business

Governance, Risk, and Compliance (GRC) are essential components of a robust business strategy. Governance focuses on aligning objectives with stakeholder expectations, Risk Management involves identifying and mitigating threats, and Compliance ensures adherence to regulations. By integrating GRC pri

0 views • 5 slides


Mandatory Vendor Compliance Training & Regulatory Requirements Overview

Welcome to ECMCC's mandatory compliance training for vendors covering regulatory requirements, compliance program overview, fraud Prevention, OMIG compliance, Code of Ethical Conduct, and communication policies. Learn about Stark Law, Anti-Kickback Statute, and False Claims Act for ethical conduct a

0 views • 37 slides



Understanding CONFIA: The Brazilian Cooperative Compliance Program

Cooperative Compliance is a relationship between taxpayers and Tax Administration based on principles like good faith, collaboration, and transparency. CONFIA aims to provide legal certainty, prevent disputes, reduce compliance costs, and improve tax compliance through voluntary and cooperative deve

1 views • 14 slides


The Crucial Role of Compliance in Payroll Management Software!

Payroll management software is essential for businesses of all sizes, automating processes like wage calculation and tax deduction. Compliance ensures adherence to legal frameworks, safeguarding against penalties and fostering trust. Key features include robust security measures, tax compliance capa

3 views • 9 slides


Corporate Compliance Program: Ensuring Ethical Practices

Corporate Compliance program at King's Daughters focuses on ensuring adherence to laws, healthcare program requirements, Code of Conduct, and internal policies. It demonstrates commitment to ethics, integrity, and quality care. The program outlines guidelines for team members' behavior, corrective a

4 views • 54 slides


Travel API Provider

Travelopro is a leading Travel API Provider that integrates Travel API such as flight, hotel, car, bus, cruise, and packages into online travel portals of travel agents, travel agencies, tour operators, and TMCs to maximize online booking. Travel API Providers enable travel agents to gain access to

9 views • 15 slides


Provider Orientation

Welcome to the Wee Watch Provider Orientation session where you will learn about introductions, your role as a provider, rules and regulations, child abuse guidelines, programming, home setup, nutrition, and ongoing support. Discover the history and impact of Wee Watch, key program statements, and t

1 views • 46 slides


Provider Update & Division of Provider Services in Arkansas

The Division of Provider Services & Quality Assurance (DPSQA) in Arkansas oversees investigations into maltreatment, licensing of healthcare facilities, and Medicaid eligibility. Options Counseling QuickBase is a resource for accessing related services. The DPSQA consists of three units: Office of L

0 views • 20 slides


Best Betting ID Provider India How to Get the ID and What to Check

Best betting ID provider in India is helpful for gamblers to start their betting career successfully. Online betting is very popular nowadays irrespective of the country and people. This can unlock the door of profit for everyone if handled properly.\n\n\n\/\/key11.co\/blogs\/best-betting-id-provide

0 views • 5 slides


Understanding Designated Provider and TMDS Data in Healthcare

Explore the characteristics of Designated Provider and Theater Medical Data Store (TMDS) tables, including important fields and potential uses for analysis. The Designated Provider table contains claims associated with the program, while TMDS is a relational database with various healthcare data tab

1 views • 13 slides


Understanding External References and Modifiers in Provider Networks

Exploring the intricate details of external references, providers, and negotiated rates within provider networks. Learn about in-network files, iterative development, and the nuances of Medicare plans. Uncover the complexities of provider group IDs, negotiated prices, and in-network locations.

1 views • 28 slides


Provider Training Programs for Event Management Alignment

This collection of training programs focuses on event management alignment for executive, management staff, and direct care professionals in the service provider industry. The programs cover responsibilities, protocols, and processes related to reportable event management in various service provider

2 views • 7 slides


Understanding Subsidy Compliance Training for Child Care Providers

Explore the responsibilities and activities of the Subsidy Provider Compliance Unit in ensuring compliance with child care regulations. Learn about monitoring procedures, training needs identification, and corrective action plans, including random evaluations and referral visits. Find out what to ex

0 views • 13 slides


RRH Student Re-Entry Process for Clinical Requests & Compliance

The RRH Student Re-Entry Process outlines steps for clinical request processing, approval, and compliance requirements for various disciplines within the nursing program and other departments. It includes sending requests to the Nursing Institute, communication procedures, compliance documentation,

0 views • 10 slides


Understanding Entry-Level Driver Training (ELDT) Requirements

Entry-Level Driver Training (ELDT) is mandatory for entry-level commercial motor vehicle (CMV) operators in interstate and intrastate commerce who are obtaining a Class A or Class B CDL for the first time, upgrading their CDL, or adding specific endorsements. ELDT must be completed from a provider l

0 views • 9 slides


Get High-Quality Diamond Copy Exchange Website Provider in Bangladesh | CTFC

Are you searching for a reliable Diamond Copy Exchange Website Provider in Bangladesh? Look no further! CTFC is the premier provider of diamond copy exchange websites in the country. Our team of experts creates customized websites that meet your spec

1 views • 3 slides


Texas Workforce Commission Eligible Training Provider System Information

This information outlines the process for becoming a WIOA Eligible Training Provider (ETP) in Texas, including meeting regulatory requirements, registering apprenticeships, and details about the ETP System. It provides guidance on compliance with state laws, the application process, and contact info

0 views • 36 slides


Maryland Department of Health ePREP Overview for Providers

Maryland Department of Health's ePREP (electronic Provider Revalidation and Enrollment Portal) streamlines the provider enrollment process by allowing electronic applications, automated reviews, and communication within the platform. Managed by the Medicaid system with the involvement of the Develop

0 views • 15 slides


Enhancing Compliance Monitoring in South African Public Service

The Compliance Monitoring Framework developed by the Office of Standards and Compliance aims to improve adherence to public administration norms and standards in South Africa. This framework is designed to reduce non-compliance through ongoing supervision, investigation, and promotion of proper beha

3 views • 19 slides


Effective Corporate Compliance Program Overview

Corporate compliance is essential to prevent fraud, waste, and abuse within organizations. This program aims to detect and prevent deceptive practices, unnecessary costs, and improper behaviors. Key elements include appointing a Compliance Officer, establishing policies and procedures, providing edu

1 views • 19 slides


Post Award Fiscal Compliance: Who We Are and What We Do

Post Award Fiscal Compliance (PAFC) assists campus and central administrative units in mitigating non-compliance risks with sponsor terms and conditions by monitoring compliance, interpreting award requirements, providing training, and enhancing internal controls. The team includes Matt Gardner, Ass

0 views • 11 slides


ACBCYW Provider Ad Hoc Workgroup Report - February 2020

The ACBCYW Provider Ad Hoc Workgroup Report for February 2020 outlines the objectives of the workgroup, which include reviewing past activities, gathering new information to enhance provider behavior and education on breast cancer in young women, and advising on future programmatic efforts. The repo

0 views • 11 slides


Provider Information Session: Western Australia Webinar

Join the Western Australia Provider Information Session Webinar on Wednesday, 18th November 2020, from 10:00 am to 1:00 pm AWST. Learn about provider responsibilities, handling complaints, working with NDIS, registration requirements, and more to improve the quality and safety of NDIS supports and s

3 views • 41 slides


Health Care Provider Quarterly Meeting Summary

The Health Care Provider Quarterly Meeting held on May 13, 2020, focused on important updates and discussions related to legal services, medical advisor updates, compliance, investigations, telemedicine, and more. Key presentations included introductions, updates on medical quality reviews, business

0 views • 44 slides


Best NDIS Provider in Roselands

If you want the Best NDIS Provider in Roselands, visit Alpha Beta Disability. They are an NDIS provider based in Sydney. At Alpha Beta, we specialize in school holiday programs and adult day programs for people with disabilities. They offer a range o

1 views • 6 slides


Discover the Best Casino Games API Provider in Bangladesh

Looking for top-notch casino games for your platform? Check out our blog to find the best casino games API provider in Bangladesh. Learn about features, benefits, and how to choose the right provider to enhance your gaming offerings. Don't miss outu2

1 views • 3 slides


Enhancing Waiver Provider Compliance through DIDD Training and RLMS Utilization

Empower waiver providers to optimize staff training compliance by understanding DIDD requirements and effectively utilizing the Relias Learning Management System (RLMS). This comprehensive guide aims to enhance knowledge of compliance expectations and promote efficient training practices in alignmen

0 views • 32 slides


Ensuring Regulatory Compliance in Residential Care Facilities

This presentation delves into the critical aspects of state inspections, surveys, and licensure compliance in residential care facilities. It emphasizes the importance of maintaining provider status/license for funding and mortgage support. The session covers lender requirements, oversight tools, an

0 views • 46 slides


Evolution of Payer-Provider Integration in Healthcare

Delve into the historical journey and present strategies surrounding payer-provider consolidation, vertical integration, and provider-led initiatives in healthcare, shedding light on challenges, opportunities, and the impact on care delivery models and financial landscapes.

0 views • 15 slides


Revsyntech Managed Service Provider, IT Solutions, Best Managed Service Provide

Managed Service Provider, IT Solutions, Best Managed Service Provider Company in Noida, Managed Service Provider in USA, Cloud Solutions, Cybersecurity, IT Support\n

0 views • 1 slides


Importance of Compliance Training in Ensuring Ethical Business Practices

Compliance training at West Cancer Center plays a vital role in educating employees on laws, regulations, and company policies to ensure ethical conduct. With a commitment to compliance, the center's Code of Ethics emphasizes activities that adhere to laws and regulations, prioritize quality care, a

0 views • 31 slides


Provider Resolution Portal Tutorial July 2023

Providers and Managed Care Organizations (MCOs) need to work together to resolve disputes, following specific timelines and procedures. Communication, HIPAA compliance, and tracking numbers are essential aspects of the process. Failure to comply with requirements may lead to closure of complaint tic

0 views • 27 slides


Compliance and Sustainability Leadership Team Overview

This document provides an overview of the Compliance and Sustainability Leadership Team structure, including key positions such as Global Director, Head of Compliance and Sustainability Standards, and various advisors and managers responsible for safety, health, compliance, ethics, and risk manageme

0 views • 6 slides


Florida Medicaid Behavioral Health Services Overview

Florida Medicaid offers a comprehensive behavioral health benefit package that includes community and inpatient services, therapeutic foster care, and specialized treatment services for members under 21. The Statewide Medicaid Managed Care program ensures access to critical behavioral health service

0 views • 8 slides


Mental Health Provider Collaboratives in BOB Region

The Buckinghamshire, Oxfordshire, Berkshire West (BOB) Mental Health Provider Collaborative Discussion document highlights the importance of collaboration in addressing health inequalities, improving services, and enhancing productivity within Integrated Care Systems (ICSs). The document explores th

0 views • 19 slides


Compliance Assurance Report on Dental Services in Q1 2024

A compliance assurance report was conducted on dental services in Q1 2024 as part of the HSE Children First Compliance Assurance Checks. The report highlighted areas of compliance and partial compliance, with efforts noted to meet Children First requirements. Areas of improvement were identified in

0 views • 19 slides


HCBS Provider Spring Annual Update Meeting April 2021 Agenda

The HCBS Provider Spring Annual Update Meeting for April 2021 includes a detailed agenda with topics ranging from MMAC Enrollment and Provider Review to MO HealthNet Updates and DHSS/DSDS updates. The meeting will be hosted online by MMAC, focusing on key areas of interest for providers in the healt

0 views • 9 slides


DDA Provider Application Q&A Webinar Overview

Gain insights on the DDA provider application process, including first-time license applications and renewal requirements. Understand changes in provider approval procedures and necessary documentation such as criminal history checks. Stay informed about upcoming application procedures and the align

0 views • 14 slides


Compliance Testing by ERA for IT Systems Developed and Deployed for TAF TSI

Compliance testing for IT systems developed and deployed for TAF TSI involves checking if messages comply with TAF XSD and basic parameters, assessing compliance of IT tools against TSI requirements, and issuing compliance assessment reports. The process includes testing messages for mandatory eleme

0 views • 4 slides


Addressing Compliance Challenges in Ottawa's Housing Sector

Ottawa's housing organizations face compliance challenges related to fire safety, including lack of code adherence, non-compliance issues, and legacy structural issues. Efforts to achieve compliance involve daily inspections, addressing combustible materials and obstructions, and obtaining funds for

0 views • 11 slides