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Important Resources to Ensure Medicare Compliance

Compliancy Group

As a compliance officer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. An example is knowingly billing for services a doctor hasn’t provided.

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Marketing, Telemarketing, Compliance & Healthcare

AIHC

Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If If it is too good to be true it probably isn't.”

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Missouri Woman Sentenced for Medicare and Medicaid Fraud

Healthcare Compliance Blog

A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. Discussion Points: Review your policy and procedure for preventing and reporting false claims, kickbacks, or other fraud, waste, and abuse violations.

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Captify Health Suffers 3-Year Breach of its Your Patient Advisor Website

HIPAA Journal

Captify Health prepares patients for their colonoscopy procedures by providing the colonoscopy preparation products recommended by doctors through its Your Patient Advisor service. An external investigation into credit card fraud pointed to Captify Health as the source of a data breach.

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HHS Findings from Semiannual Report to Congress

American Medical Compliance

This includes recommending compliance programs or trainings for staff. By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions.

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HHS Findings from Semiannual Report to Congress

American Medical Compliance

This includes recommending compliance programs or trainings for staff. By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions.

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State and Federal enforcement agencies anticipating more complex investigations as COVID-era practices emerge

YouCompli

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Provider workload and compliance.

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