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Regulations Compliance Overpayment Overpayments ACA US Department of Health and Human Services Medicaid Governance Medicare Compliance Fraud More Related Topics >
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Compliance Risks Associated with Outlier Payments 

YouCompli

FEBRUARY 22, 2023

This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). However, there are certain circumstances when Medicare, for example, will reimburse additional amounts beyond the prospective payment rate.

Compliance 52
Compliance US Department of Health and Human Services Overpayments Overpayment 52
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The History of Healthcare Compliance

MedTrainer

JANUARY 12, 2024

Compliance evolved to include performance reporting and quality metrics. MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Compliance 52
Compliance HIPAA Telemedicine ACA 52
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