Health Care Performance

JULY 20, 2022

Compliance lesson: Enforcement agencies are actively using data analytics to identify, investigate and prosecute providers with unusual billing activity – and so should you. Mole billing fraud scheme totals $4.1 Compliance Lesson: Examples like this fall into the category of “truth is stranger than fiction.”

Fraud 52

Fraud Compliance Medicaid Medicaid 52

MedTrainer

NOVEMBER 14, 2023

While there are many advantages of a effective corporate compliance in a healthcare facility, one particularly noteworthy result stands out: the significant reduction in risk-related costs. What Is a Corporate Compliance Program in Healthcare? The cost of litigation, settlements, and judgments also falls under this category.

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Compliance Compliance Officers Fraud Malpractice 52

MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. One effective tool to achieve this is through internal healthcare compliance audits. What Is an Internal Healthcare Compliance Audit?

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Compliance Governance ACA HIPAA 52

Hall Render

NOVEMBER 10, 2023

On November 6, 2023, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders.

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Compliance Compliance Officers Fraud Governance 40

MedTrainer

MARCH 8, 2024

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.

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Compliance Nursing Homes HIPAA Nurses 52

AIHC

MAY 31, 2022

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.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. To get paid, people would provide a severed rat tail and get a little cash.

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