Compliancy Group
FEBRUARY 28, 2024
CMS Compliance Requirements CMS compliance requirements are extensive, covering a wide range of topics: Billing and coding – healthcare providers must accurately code and bill for services rendered to ensure proper reimbursement and prevent fraud and abuse. Compliance audits aren’t a “one size fits all” process.
MedTrainer
JANUARY 12, 2024
Department of Health and Human Services focuses on preventing fraud, abuse, and waste in federal healthcare programs. Food and Drug Administration (FDA): The FDA regulates compliance in pharmaceuticals, medical devices, and biotechnology products. Penalties and Fines: Non-compliance can result in significant penalties and fines.
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MedTrainer
FEBRUARY 1, 2024
A corporate compliance program in healthcare is a comprehensive set of policies, procedures, and practices that healthcare organizations establish and maintain to ensure that they operate compliant with all applicable laws, regulations, and ethical standards. Why do healthcare facilities use corporate compliance programs?
Compliancy Group
JULY 17, 2023
Healthcare compliance programs are multifaceted frameworks designed to ensure adherence to the following: Legal Requirements Industry Standards Internal Policies These programs involve the development of robust policies and procedures that address key areas such as data privacy, billing and coding accuracy, fraud prevention, and quality assurance.
American Medical Compliance
FEBRUARY 9, 2024
Healthcare organizations must comply with many regulations, including the Health Insurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and various state-specific regulations. Compliance officers maintain detailed records of compliance activities, investigations, and corrective actions.
Healthcare Law Blog
NOVEMBER 9, 2023
Thereafter, OIG said it planned to update existing industry-specific compliance program guidance (ICPG), which would include tailoring each to address fraud and abuse risk areas specific to a particular industry and describing the compliance measures that industry could take to reduce these risks [2].
MedTrainer
JANUARY 12, 2024
Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.
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