Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers. It assists in identifying and addressing any concerns early on, lowering the likelihood of fraud, waste, and abuse.

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MedTrainer

AUGUST 31, 2023

It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law in the United States that protects patients’ health information, and ensures its confidentiality and availability.

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MedTrainer

AUGUST 2, 2023

Examples of External Audits Commercial Payer Audits These audits are conducted by private insurance companies or commercial payers. They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. The post What Is Medical Auditing?

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MedTrainer

NOVEMBER 15, 2023

The OIG also enforces standards for healthcare providers and suppliers to prevent fraud and imposes penalties for non-compliance. Medicaid: a joint state and federal program that provides health coverage to some people with limited income, including families and children, pregnant women, the elderly, and people with disabilities.

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