Provider Trust

APRIL 30, 2024

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.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

Compliancy Group

JULY 18, 2023

With its focus on preventing fraud, waste, and abuse (FWA) within the healthcare system, OIG healthcare compliance sets standards that every healthcare provider should be aware of. Schedule a Demo See the software that makes getting compliant a breeze! Schedule Now × Schedule a Demo Find Out More! Please Wait.

Compliance 52

Compliance Fraud Governance Medicaid 52

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. A Florida physician, serving as a medical director for a sober living facility, was found guilty of healthcare fraud.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

YouCompli

DECEMBER 7, 2022

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.

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

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.

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

NOVEMBER 15, 2023

It conducts audits, investigations, and evaluations to ensure efficiency and integrity in HHS programs, including Medicare and Medicaid. The OIG also enforces standards for healthcare providers and suppliers to prevent fraud and imposes penalties for non-compliance. Schedule a demo today. appeared first on MedTrainer.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

MedTrainer

AUGUST 30, 2023

Medicare Advantage (Part C). Medicare Advantage plans are managed care plans offered by private insurance companies as an alternative to traditional Medicare (Parts A and B). MCOs must adhere to federal (Medicare) and state (Medicaid) laws and regulations governing the healthcare industry. Quality of Care Standards.

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Compliance Regulatory Compliance Medicaid Medicaid 52