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The Role of Compliance Officers in Healthcare Organizations: Challenges and Responsibilities

American Medical Compliance

Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority.

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What is a Certified Fraud Examiner (CFE)?

MedTrainer

In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?

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Who Started the First Healthcare Compliance Program?

MedTrainer

Who started the first healthcare compliance program? It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. However, it wasn’t until the mid-20th century that healthcare compliance regulations and programs began. What is Healthcare Compliance?

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The Essential Components of an Effective Healthcare Compliance Program

Healthcare Blog

Such a program assures compliance with applicable laws, regulations, and industry standards, reducing the risk of legal and financial ramifications. A strong compliance program assists organizations in navigating this complicated landscape while avoiding potential breaches and penalties.

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Answers to the Most Common Compliance FAQs

MedTrainer

Compliance is crucial in healthcare to safeguard patients’ well-being, maintain trust in the industry, and avoid legal and financial repercussions. It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. What Is HIPAA and How Does It Impact Healthcare Compliance?

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The History of Healthcare Compliance

MedTrainer

Compliance in healthcare began to encompass billing, fraud, and abuse prevention. Compliance efforts shifted toward protecting patient information. Compliance efforts expanded to encompass EHR security. Compliance evolved to include performance reporting and quality metrics.

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The Importance of Internal Healthcare Compliance Audits

MedTrainer

Affordable Care Act (ACA): Ensures access to affordable healthcare and prevents fraud and abuse. Medicare Access and CHIP Reauthorization Act (MACRA): Promotes value-based care and rewards healthcare providers for quality and performance.