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Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report

Provider Trust

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). Book a Demo This year’s report also shows greater participation from managed care organizations (MCOs) as a key trend.

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A Licensed Professional’s Profile is a Complex Mosaic of Data

Verisys

A professional career can take a provider across state lines, and through an evolution of various license types. In order to see the full picture of an individual, the comprehensive whole of each state licensing board across all license types must be searched. Take the process back another step.

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Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance

Verisys

This includes licensed and unlicensed staff members, as well as partners, investors, contingent workers, agents, and contractors you do business with. The safety of your patients depends on making sound hiring decisions and ensuring that the licenses of your staff are current.

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Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance

Verisys

This includes licensed and unlicensed staff members, as well as partners, investors, contingent workers, agents, and contractors you do business with. Not only does thorough screening and rigorous continuous monitoring help ensure quality employees, but it also provides 360-degree transparency.

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Federal and State Healthcare Compliance Requirements

MedTrainer

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.

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Answers to the Most Common Compliance FAQs

MedTrainer

It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. Non-compliance can lead to severe consequences, such as legal penalties, fines, exclusion from government programs, loss of licenses, and even criminal charges for individuals knowingly involved in violations.

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Sanctions and penalties for hiring excluded individuals in healthcare 

YouCompli

These exclusions are generally related to criminal activity like fraud or healthcare-related misconduct. Felony convictions for other healthcare-related fraud, theft, or other financial misconduct. Read more about  the rollout and accountability of requirements  or  schedule a demo.   . Patient abuse or neglect.

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