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The Essential Components of an Effective Healthcare Compliance Program

Healthcare Blog

An effective healthcare compliance program is a crucial aspect of any healthcare organization. Patient safety and consistent quality care will maintain priority. Healthcare organizations should clearly define their expectations and the consequences for non-compliance. These documents should serve as a roadmap for employees.

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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

based attorney in the health law practice of Baker, Donelson, Bearman, Caldwell & Berkowitz about what providers should be doing to ensure compliance when the PHE finally sunsets. What do you see as the primary compliance issues providers will have to contend with? We spoke recently with Allison M. Cohen, a Washington, D.C.-based

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

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What is GRC in Healthcare?

Verisys

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. Can I minimize risk of non-compliance with laws & regulations in healthcare?

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What is Revenue Cycle Management with RemitOne

Med Com Blog

Fraud detection: AI can be used to detect and prevent fraudulent activity in the revenue cycle, such as billing for services that were not provided or upcoding of services. This can improve patient satisfaction and increase the likelihood of payment. This can improve efficiency and reduce the risk of errors.

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Editorial: Benefits of HIPAA for Healthcare Professionals

HIPAA Journal

HIPAA was signed into law in 1996 by President Clinton and introduced standards in healthcare to improve efficiency, eliminate waste, combat fraud, and ensure that Americans could retain health insurance coverage when they are between jobs. The first article in the series covered the benefits of HIPAA for healthcare organizations.

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Introduction to Telebehavioral Health

AIHC

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. The transition to telehealth is an adjustment for patients as well as health care providers.