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.
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.
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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?
Kaiser Health News
OCTOBER 13, 2022
Meanwhile, open enrollment for Medicare begins Oct. 15, when beneficiaries can join or change private Medicare Advantage plans or stand-alone prescription drug plans. Democrats were aware of this problem even as they passed the ACA. The Obama administration had decided that only Congress could fix the glitch.
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?
Compliancy Group
MARCH 19, 2024
It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. Also, all insurance and Medicare or Medicaid claims must only include charges for services and treatments ordered and deemed necessary. Regulatory compliance in healthcare ensures quality care for patients. name, phone number).
MedTrainer
JANUARY 12, 2024
Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance in healthcare began to encompass billing, fraud, and abuse prevention. Compliance efforts expanded to encompass EHR security.
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