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The OIG Work Plan Decoded

Compliancy Group

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. A well-designed healthcare compliance platform enables you to stay on track with our various compliance regulations.

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What Is a Managed Care Organization (MCO)?

MedTrainer

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). Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. Quality of Care Standards.

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Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

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What Is Provider Credentialing?

MedTrainer

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. Schedule a free demo today to see for yourself how easy Medtrainer makes credentialing — and how easy it is to reap the benefits.