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Big Bust Sweeps Out Medicare Fraud

The Health Law Firm

Board Certified by the Florida Bar in Health Law and Shelby Root The largest criminal health care fraud takedown in the history of the US Justice Department, in terms of both loss amount and arrests, took place June 18, 2015. Indest III, J.D.,

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The History of Healthcare Compliance

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance evolved to include performance reporting and quality metrics.

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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. The Importance of Conducting License Verification and Monitoring. According to the U.S.

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Is Your Medical Credentialing Taking Too Long?

Verisys

Primary source verification must be done to confirm a provider’s education, professional license and certifications, medical training, work history, references, and more. Provider information should be continuously monitored for any changes to exclusion or license status. However, verifying a provider’s credentials is essential.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Clinical & Administrative Departments Adheres to regulations and guidelines within their specific licensing boards and department policies and procedures.

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How the No Surprises Act Affects Provider Directories

Provider Trust

These directories allow patients to connect with healthcare providers and licensed practitioners to make appointments, find and exchange information, and pay for services. The Centers for Medicare and Medicaid Services (CMS) conducted multiple reviews of Medicaid Advantage provider directories between February 2016 and July 2018.

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Why Family Caregivers Need Help from the Healthcare Establishment

HIT Consultant

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. since 2015, according to a recent report. – About 23 percent of caregivers say caregiving has made their own health worse , up from 17 percent in 2015. Try Googling the word “caregiving.” In addition, President Biden’s $1.9