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 Issues Highly Anticipated General Compliance Program Guidance

Hall Render

On November 6, 2023, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders.

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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.

Fraud 52
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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.

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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. If in doubt, check it out.

Fraud 52
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Nursing Home Health System Agrees to Pay $1.75 Million to Settle False Claims Act Allegations

Med-Net Compliance

The company is a not-for-profit corporation located in Florida that oversees healthcare facilities on its campus, including a nursing home and an assisted living facility. Before submitting claims to any government agency, review to ensure documentation and categories of billing codes are accurate. .

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The Cobra Effect & Enforcing Compliance Standards

AIHC

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. This plan, whatever it was set up the perverse incentives by not looking at critical elements to ensure compliance.