Remove Compliance Officers Remove Electronic Medical Records Remove Fraud
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Red Flag Rules in Healthcare: What Compliance Officers Need to Know

Compliancy Group

Maintaining healthcare compliance includes being vigilant for warning signs of potential waste, abuse, and fraud due to identity theft. Healthcare red flag rules help your organization protect your patients, staff, and financial security from potential medical identity theft.

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Your Guide on How to Be a Good Compliance Officer

Compliancy Group

Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the compliance officer. What Does a Compliance Officer Do?

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2024 OIG General Compliance Program Guidance

Compliancy Group

In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. Compliance officers have access to more information about their responsibilities and roles.

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Important Resources to Ensure Medicare Compliance

Compliancy Group

As a compliance officer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. Over 65 million people in the U.S.

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Part 3: Audit Documentation to Avoid Potential Appeal Consequences

AIHC

Due to the huge volume of claims payers receive to process, deny and pay, they have implemented various methods to track providers to detect potential waste, fraud and/or abuse. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records. They can, sometimes!

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Webinar Recap: Elevate Your Referring and Ordering Physician Monitoring

Provider Trust

To eliminate fraud in your health ecosystem, you must stay compliant with federal and state requirements for referring and ordering physicians. Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. Recent OIG Enforcement Actions.