The Importance of Compliance Officer Training in Healthcare
Compliancy Group
FEBRUARY 22, 2024
Modernize Your Compliance Using automated compliance software compliance is a breeze.
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Physician Coding and Billing Enforcement: What to Watch For
YouCompli
MAY 11, 2022
In March of 2022, a New Jersey rheumatologist was convicted by a federal jury for defrauding Medicare and other health insurance programs. The doctor will be sentenced in July for multiple counts of healthcare fraud. He faces up to 20 years in prison for healthcare fraud and wire fraud conspiracy. Conclusion.
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Federal and State Healthcare Compliance Requirements
MedTrainer
OCTOBER 4, 2023
These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.
The Essential Components of an Effective Healthcare Compliance Program
Healthcare Blog
NOVEMBER 9, 2023
The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers. It assists in identifying and addressing any concerns early on, lowering the likelihood of fraud, waste, and abuse.
Answers to the Most Common Compliance FAQs
MedTrainer
AUGUST 31, 2023
It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law in the United States that protects patients’ health information, and ensures its confidentiality and availability.
Which Compliance Framework Governs the Healthcare Industry?
MedTrainer
NOVEMBER 15, 2023
The OIG also enforces standards for healthcare providers and suppliers to prevent fraud and imposes penalties for non-compliance. Medicaid: a joint state and federal program that provides health coverage to some people with limited income, including families and children, pregnant women, the elderly, and people with disabilities.
What Is Medical Auditing?
MedTrainer
AUGUST 2, 2023
Examples of External Audits Commercial Payer Audits These audits are conducted by private insurance companies or commercial payers. They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. The post What Is Medical Auditing?
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