article thumbnail

What Is Medical Billing Compliance?

Compliancy Group

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

article thumbnail

A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

The NIH crafted one for patients enrolled in clinical trials, the American Hospital Association served one up in 1973, and many individual health providers like the University of Pennsylvania Hospital ( aka Penn Medicine) have developed patient bills of rights for consumers entering their hospital systems.

ACA 113
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

Fraud 52
article thumbnail

Orthopedic Billing Compliance Checklist – A Guide for Healthcare Providers

Medisys Compliance

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

article thumbnail

Key Factors in Choosing Oncology Billing Company

Medisys Compliance

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

article thumbnail

Weekly Roundup – November 19, 2022

Healthcare IT Today

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Read more… Reducing Confusion Eases Medical Billing Stress. Read more… Regulators Need to Pay More Attention to Long-Term Care.

ACA 86
article thumbnail

Melanie Fontes-Rainer Appointed Director of the HHS’ Office for Civil Rights

HIPAA Journal

Fontes Rainer will lead the department’s enforcement of federal civil rights and HIPAA compliance and will direct the department’s policy and strategic initiatives. In that role, she led the implementation of the No Surprises Act, which has helped to improve the transparency of medical billing and save consumers money.

ACA 85