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Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
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For example, some medical identity thieves take insurance information and make fraudulent claims to Medicare or Medicaid for services or goods. Identity theft can also result in the entry of false data into electronicmedicalrecords (EMRs) or the creation of fictitious EMRs in victims names.
depend on Medicare to get the healthcare they need. Remaining in good standing with Medicare has several advantages. Compliance Program A comprehensive way to avoid Medicare exclusion is to develop an organization-wide compliance program, one of the Centers for Medicare and Medicaid Services (CMS) requirements.
Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief ComplianceOfficer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.
In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. Complianceofficers have access to more information about their responsibilities and roles.
Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronicmedicalrecord) system and clone or make documentation errors. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records.
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