👮Charmaine McCarney, BS's Linkedin Analytics

Owner of 3 start-up healthcare companies & 20+ years of practicing compliance management in the clinical setting, I lead through: ✅Health Insurance Portability & Accountability Act (HIPAA) Protects the privacy & security of patients' health information. ✅Health Information Technology for Economic & Clinical Health (HITECH) Strengthens the privacy & security protections provided by HIPAA & promotes the adoption of electronic health records (EHRs). ✅Patient Protection & Affordable Care Act (ACA) Implements regulations related to healthcare quality, accessibility, affordability, & insurance coverage. ✅Centers for Medicare & Medicaid Services (CMS) Regulations Sets standards for participation in the Medicare & Medicaid programs, including quality of care, patient rights, & billing requirements. ✅Anti-Kickback Statute Prohibits offering, paying, soliciting, or receiving anything of value to induce or reward referrals or generate federal healthcare program business. ✅Stark Law Prohibits physicians from referring Medicare or Medicaid patients to entities w/ which they have a financial relationship unless an exception applies. ✅Civil Rights Act Prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in federally funded healthcare programs. ✅False Claims Act (FCA) Prohibits knowingly submitting false or fraudulent claims to federal healthcare programs, such as Medicare & Medicaid. ✅Occupational Safety & Health Administration (OSHA) Regulations Ensures a safe & healthy work environment for healthcare workers. ✅National Practitioner Data Bank (NPDB) Regulations Requires reporting of adverse actions taken against healthcare practitioners & entities. ✅Americans w/ Disabilities Act (ADA) Requires healthcare facilities to provide reasonable accommodations for patients w/ disabilities. ✅Medicare Access & CHIP Reauthorization Act (MACRA) Implements quality payment programs for physicians & other eligible clinicians. ✅Healthcare Fraud & Abuse Control Program Combats healthcare fraud and abuse through enforcement, investigation, & prosecution. ✅Provider Reimbursement Review Board (PRRB) Regulations Governs appeals related to Medicare reimbursement decisions. ✅Healthcare Common Procedure Coding System (HCPCS) Codes and identifies healthcare services, procedures, and supplies for billing purposes. ✅Conditions of Participation (CoPs) Sets standards for healthcare facilities participating in Medicare & Medicaid programs. ✅Quality Payment Program (QPP) Implements payment adjustments based on quality & performance measures …