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What Is Medical Billing Compliance?

Compliancy Group

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

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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.

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Top Compliance Issues In 2023: What You Can Do

Medisys Compliance

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

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Tips to Keep Your Practice HIPAA Compliant

Medisys Compliance

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. Another goal was to prevent healthcare fraud.

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Logan Health Facing Class Action Lawsuit Over Data Breach

HIPAA Journal

Hackers gained access to a single file server housing files that contained patients’ protected health information such as names, contact information, insurance claim information, date(s) of service, medical bill account number, and health insurance informa­tion.

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Employee Compliance Training for Healthcare

MedTrainer

There are three key fundamentals of team member compliance training: It Helps Reduce Risk It Ensures Patient Safety It Fosters a Culture of Compliance Employee Compliance Training Topics Compliance training covers a wide range of topics, including patient privacy, medical billing and coding, workplace safety, and infection control, among others.

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Logan Health Proposes $4.3 Million Settlement to Resolve Class Action Data Breach Lawsuit

HIPAA Journal

Logan Health Medical Center – was filed against Logan Health in the Montana Eighth Judicial District Court shortly after notification letters were mailed. Logan Health chose to settle the lawsuit to avoid further legal costs and the uncertainty of trial. The post Logan Health Proposes $4.3