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Effective Corporate Compliance in a Healthcare Facility

MedTrainer

The cost of litigation, settlements, and judgments also falls under this category. Financial Risks: They encompass losses from billing errors, fraud, and abuse claims, or failed investments related to healthcare provisions. Ongoing education about potential risks and proper responses can prevent costly errors and violations.

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

AIHC

Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. To combat fraud and abuse, all levels within a medical practice, hospital or health care organization must know how to protect the organization from engaging in abusive practices and violations of civil or criminal laws.

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Part 3: Audit Documentation to Avoid Potential Appeal Consequences

AIHC

Written by: AIHC Blogger This article provides educational information related to mitigating the risk of an unwarranted payer investigation. 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.

Fraud 52
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OIG Issues Highly Anticipated General Compliance Program Guidance

Hall Render

Beginning in 2024, OIG plans to publish industry segment-specific CPGs (“ICPGs”) for a variety of providers, suppliers, and other participants in health care industry subsectors or ancillary industry sectors relating to the federal health care programs. Below we provide some of the compliance guidance memorialized in the GCPG: 1.

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Webinar Recap: How Comprehensive Vendor Monitoring Mitigates Risk

Provider Trust

Despite such mandates, OIG investigations over the past five years have found that vendors are accountable for much of the healthcare ecosystem’s fraud, waste, and abuse. Healthcare vendors encompass a broad spectrum of entities and individuals who provide goods or services to healthcare organizations in exchange for payment.

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A Quest for Leadership

AIHC

I do a lot of training of compliance officers and realize the time that is being spent could be improved. Remote Worker is the category I am in. While I spend time doing onsite inspections, you still go home to your “home office” and are faced with not being around other advisors. This process has been a constant journey.

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Maintaining Compliance With Long-Term Care Training

MedTrainer

Long-term care facilities are among the most regulated in healthcare, making compliance challenging and training critical. Keeping staff up-to-date with best practices through long term care training can help them provide comprehensive and continuous care for individuals who require assistance with daily living.