Healthcare Law Blog

NOVEMBER 9, 2023

Of particular significance is the guidance pertaining to the role of a Compliance Officer. 4] This ensures the independence of the Compliance Officer to identify and advise on how to mitigate risks. 4] This ensures the independence of the Compliance Officer to identify and advise on how to mitigate risks.

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Compliance Compliance Officers Fraud Medicare 52

AIHC

MAY 31, 2022

health care system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. Your organization should have a designated Compliance Officer.

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Fraud Compliance Officers Compliance Medicare 52

MedTrainer

MARCH 8, 2024

There are three key fundamentals of team member compliance training: It Helps Reduce Risk It Ensures Patient Safety It Fosters a Culture of Compliance Employee Compliance Training Topics Compliance training covers a wide range of topics, including patient privacy, medical billing and coding, workplace safety, and infection control, among others.

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Compliance Fraud Governance HIPAA 52

Compliancy Group

FEBRUARY 7, 2024

Since UPIC audits aim to detect and prevent fraud, waste, and abuse within Medicare and Medicaid, any entity involved in billing or providing services under these programs needs to be aware of the potential for audits and take proactive steps to ensure compliance with program requirements.

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Fraud Compliance Medicare Medicare 52

YouCompli

NOVEMBER 9, 2022

One of the common mistakes made when reporting critical care codes involves an inappropriate assumption that professional services provided to patients in critical care units of a hospital, for example, automatically qualify for reporting critical care codes. Lack of Medical Necessity.

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Compliance Medicare Medicare Hospitals 52

MedTrainer

JULY 21, 2022

The surge of patients because of the Covid-19 pandemic resulted in an abundance of electronic patient data, making hospitals a juicy target for malicious hackers. Hackers stole medical billing records from a whopping one million New York patients—that’s about an eighth of the city’s total population. Why Are Hospitals Targeted?

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA COVID-19 Compliance 52