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

Verisys

Backed by FACIS ® ( Fraud Abuse Control Information System ), the most comprehensive data platform in the healthcare industry, the accuracy of Verisys’ screening, verification, and monitoring services exceeds the standard set by the Office of Inspector General (OIG). Verisys was created over 30 years ago to address this very issue.

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

Verisys

That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud. Verisys performs verification and due diligence on all possible matches identified through the screening process to determine true and correct matches. Verisys was created over 30 years ago to address this very issue.

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What is a HIPAA Violation?

HIPAA Journal

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What is considered a HIPAA violation?

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7 Key Value-Adding LOI Terms

Healthcare Law Blog

A well-crafted letter of intent (“LOI”) adds value for the negotiating principals by helping to ensure the parties are in agreement on key deal terms before they spend significant time and money on diligence and definitive documents. Schedule certain defined terms. Define purchase price adjustments.

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Top Security Certifications Required for Data Protection

HIT Consultant

PCI DSS – The Payment Card Industry Data Security Standard (PCI DSS) is a set of security requirements that helps organizations protect their payment systems from data breaches, fraud, and theft of cardholder data. Organizations must require their cloud vendors to be third-party audited.

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Understanding Compliance for Healthcare Vendors

Provider Trust

For healthcare organizations, vendor services require a more thorough and specific due diligence in order to assess risk and to document compliance with any or all of the following regulations and laws listed below: . In addition, if the vendor is located offshore, additional safeguards must be documented.

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Part 1: Basics of Artificial Intelligence (AI) and Healthcare Compliance

AIHC

However, it remains to be seen whether expert coders, auditors and clinical documentation improvement professionals could be replaced. Also, general coding, documentation and billing oversight for compliance to payer guidelines should be maintained by workforce experts. AI technology would empower these professionals.