Remove Demo Remove HIPAA Remove Medicare Remove Regulatory Compliance
article thumbnail

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. HIPAA violations alone are incredibly costly to health providers.

article thumbnail

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

article thumbnail

What Is Provider Credentialing?

MedTrainer

Legal and Regulatory Compliance Healthcare facilities and insurance companies are legally obligated to credential providers before allowing them to practice or join their networks. Ubiquitous accessibility — combined with cloud security that’s HIPAA compliant — sets the stage for faster credentialing.