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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

Fraud 52
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HITECH Compliance

AIHC

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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HITECH Compliance

AIHC

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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What is a Healthcare Compliance Officer?

Verisys

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Healthcare entities must comply with an increasingly complex and changing set of laws and regulations. Reimbursement. Healthcare administration.

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Health Provider News – November 4, 2022

Hall Render

CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. Cullman Regional to build north Alabama’s 1st freestanding emergency department. USDA funds 11 rural Alabama health care projects with $7.3 CMS bumps ASC payments to 3.8 prescription drugs.

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Health Provider News

Hall Render

Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B after home health provider reneges on Option deal Will the doctor see you now? Maybe not amid the changing healthcare landscape in the US. Here’s why.

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The Cobra Effect & Enforcing Compliance Standards

AIHC

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?