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Safeguarding Against Medical Identity Theft Training

American Medical Compliance

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This type of theft is just one example of healthcare fraud. trillion in 2015.

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The History of Healthcare Compliance

MedTrainer

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

Kaiser Health News

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

Administrator, Centers for Medicare & Medicaid Services. Fraud, waste, & abuse. One of my commitments as the Administrator of the Centers for Medicare & Medicaid Services (CMS) is to ensure we remain steadfast in our commitment to strengthen Medicare by making sure that tax dollars are spent appropriately. percent in 2015 to 17.61

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What is a HIPAA Violation?

HIPAA Journal

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What is considered a HIPAA violation?

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Health Provider News – April 22, 2022

Hall Render

Patient generated data can be a key factor in reducing health inequity. Supreme Court tosses Medicaid work requirement cases. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. SuperCare Health sued after data breach of 318,000 patient files. Hospitals to receive a proposed 3.2% CONNECTICUT.