Compliance Officers Fraud Licensing 
AIHC
FEBRUARY 17, 2025
When Audit Managers Knowingly Skew Audit Results Written by Carl J Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCTCM/PCS, OHCC and CPT/03 USAR FA (Ret) Fraud cannot be eliminated. No system is completely fraud-proof, as any system can be bypassed or manipulated. on fraud detection and prevention in healthcare.
MedTrainer
MAY 3, 2024
Healthcare fraud, waste, and abuse is a costly problem for both public and private payers. The National Health Care Anti-Fraud Association estimates financial losses due to healthcare fraud could be as much as $300 billion annually. Keep in mind that these are just examples of provider fraud!
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Verisys
FEBRUARY 23, 2022
As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. HCO Qualifications. Reimbursement.
Verisys
MARCH 6, 2025
Enhancing Data Accuracy and Reporting Maintaining detailed records is essential for regulatory compliance, but even minor documentation errors can result in missing provider details or negatively impact patient care.
Provider Trust
MARCH 13, 2023
State licensing boards nationwide have annulled the licenses of dozens of nurses who obtained fake degrees and used them to gain or secure employment. In Delaware, 26 nursing licenses were revoked when the nurses’ credentials were tied to the scheme.
Verisys
APRIL 3, 2025
Licensure actions Disciplinary actions from state medical boards, like suspensions or revoked licenses. Criminal convictions related to healthcare Felonies or misdemeanors involving fraud, patient abuse, or drug-related offenses. Other adverse actions Things like voluntarily giving up a license while under investigation.
AIHC
FEBRUARY 24, 2025
Part 2: When Criminal Behavior Infiltrates Your Audit Program Written by Carl J Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCTCM/PCS, OHCC and CPT/03 USAR FA (Ret) We Recommend Reading Part 1 Fraud Indicators and Red Flags When Audit Managers Knowingly Skew Audit Results as this article is Part 2, the rest of the story.
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