Compliancy Group
FEBRUARY 12, 2024
Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.
MedTrainer
JUNE 28, 2023
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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Kaiser Health News
APRIL 16, 2024
In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.
MedTrainer
JANUARY 31, 2024
It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. These laws require healthcare providers to establish internal controls and compliance programs to prevent fraud and abuse in the healthcare system. Who started the first healthcare compliance program?
C&M Health Law
NOVEMBER 25, 2020
Earlier this month, OIG issued a Special Fraud Alert on Speaker Programs warning drug and device companies and health care providers that it has significant concerns about payments for “speaker programs.” Therefore, all providers should evaluate their speaker programs to mitigate risks that are raised under the AKS.
Bill of Health
FEBRUARY 10, 2023
Failing to anticipate litigation that challenges our efforts, such as with the ACA or the upcoming attempt to “codify Roe v. Or an extension of the doctrine of public fraud? They tried to scuttle the federally run insurance exchanges and almost got the entire ACA thrown out. Maybe some form of public nuisance litigation?
Compliancy Group
MARCH 19, 2024
It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations.
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