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  2. Regulatory compliance - Wikipedia

    en.wikipedia.org/wiki/Regulatory_compliance

    Regulatory compliance describes the goal that organizations aspire to achieve in their efforts to ensure that they are aware of and take steps to comply with relevant laws, policies, and regulations. [1] Due to the increasing number of regulations and need for operational transparency, organizations are increasingly adopting the use of ...

  3. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    A National Provider Identifier ( NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...

  4. Health law - Wikipedia

    en.wikipedia.org/wiki/Health_law

    Health law. Health law is a field of law that encompasses federal, state, and local law, rules, regulations and other jurisprudence among providers, payers and vendors to the health care industry and its patients, and delivery of health care services, with an emphasis on operations, regulatory and transactional issues. [ 1][ 2]

  5. Credentialing - Wikipedia

    en.wikipedia.org/wiki/Credentialing

    Credentialing is the process of granting a designation, such as a certificate or license, by assessing an individual's knowledge, skill, or performance level. In healthcare industry, credentialing is defined as a formal process that employs a set of guidelines to ensure that patients receive the best possible care from healthcare professionals ...

  6. Internal Revenue Code section 409A - Wikipedia

    en.wikipedia.org/wiki/Internal_Revenue_Code...

    t. e. Section 409A of the United States Internal Revenue Code regulates nonqualified deferred compensation paid by a "service recipient" to a "service provider" by generally imposing a 20% excise tax when certain design or operational rules contained in the section are violated. Service recipients are generally employers, but those who hire ...

  7. Title 42 of the Code of Federal Regulations - Wikipedia

    en.wikipedia.org/wiki/Title_42_of_the_Code_of...

    CFR Title 42 - Public Health is one of fifty titles comprising the United States Code of Federal Regulations (CFR). Title 42 is the principal set of rules and regulations issued by federal agencies of the United States regarding public health, including respirator rules and regulations moved from CFR Title 30 (including MSHA), to the Public Health Service (including NIOSH and the CDC).

  8. Scope of practice - Wikipedia

    en.wikipedia.org/wiki/Scope_of_practice

    In most jurisdictions, health care professions with scope of practice laws and regulations include any profession within health care that requires a license to practice such as physicians, physician assistants, nurses, dietitians, respiratory therapists, physical therapists, occupational therapists, pharmacist and dentists among many others.

  9. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    A preferred provider organization is a subscription-based medical care arrangement. [ 1] A membership allows a substantial discount below the regularly charged rates of the designated professionals partnered with the organization. Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the ...