Remove category corporate-compliance
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Effective Corporate Compliance in a Healthcare Facility

MedTrainer

While there are many advantages of a effective corporate compliance in a healthcare facility, one particularly noteworthy result stands out: the significant reduction in risk-related costs. What Is a Corporate Compliance Program in Healthcare? Generally, it ensures adherence to laws, regulations, and ethical standards.

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OIG Posts False Claims Act Settlements for FY 2022 Q1–Q4 on the Risk Spectrum

Med-Net Compliance

The OIG applies published criteria to assess future risk and places each party to an FCA settlement into one of five categories on a risk spectrum. The OIG uses its exclusion authority differently for parties in each category and bases its assessment on the information it has reviewed in the context of the resolved FCA case.

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The Corporate Transparency Act: A Reporting Guide for Medical Groups and MSOs

Healthcare Law Blog

Congress passed the Corporate Transparency Act (the “CTA”) in 2021 with the aim of enhancing transparency in entity structures and ownership as well as combating terrorism, money laundering, and other forms of corporate misconduct. The CTA’s application to common corporate structures in the healthcare industry (e.g.,

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Part 3: Audit Documentation to Avoid Potential Appeal Consequences

AIHC

Diagnosis codes are an important compliance aspect of reporting medical necessity on the claim. If your organization has a Compliance Officer and/or Certified Healthcare Auditor, you may want to bring concerning situations to his/her attention. Never file an appeal when you believe documentation may be evidence of fraud or abuse.

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

What the HHS-OIG says about vendor compliance. If the answer is yes, then the best mechanism for limiting CMP liability is to screen all persons that perform under that contract or that are in that job category. 515,400) World Class Technology Corporation ($43,200) HyperBranch Medical Technology, Inc. Case Study: Joseph C.

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You Play a Vital Role in Protecting the Integrity of the U.S. Healthcare System

AIHC

Implementing a successful compliance program not only assists in protecting your organization but individuals within the organization. Your organization should have a designated Compliance Officer. One of the most important aspects of a compliance program is training and education at all levels of the organization.

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Complexities of Covered Entities and Business Associates 

YouCompli

This article considers the government’s increasing interest in patient rights in relationship to covered entities or business associates and what proactive compliance officers can do to fulfill those obligations through effective monitoring. The compliance program effectiveness for both parties will be scrutinized.