Remove Compliance Remove Demo Remove Fraud Remove Regulatory Compliance
article thumbnail

Healthcare Regulatory Compliance: Ensuring Quality & Safety

Compliancy Group

As the healthcare landscape continues to evolve, regulatory compliance has become a critical aspect of ensuring patient privacy, safety, and overall quality of care. Additionally, compliance ensures that proper protocols are followed when it comes to billing procedures and financial practices, reducing the risk of fraud or misconduct.

article thumbnail

The OIG Work Plan Decoded

Compliancy Group

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

article thumbnail

What Is a Managed Care Organization (MCO)?

MedTrainer

Let’s explore what it means for an MCO to coordinate care for members, and the compliance implications that come with this healthcare services model. Understanding how each type of MCO works provides a baseline for understanding the necessary compliance considerations that accompany them. What’s Needed for MCO Compliance?

article thumbnail

What Is Provider Credentialing?

MedTrainer

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust.