Fraud HIPAA Medicaid Medical Billing 
Compliancy Group
JANUARY 3, 2024
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.
Compliancy Group
FEBRUARY 12, 2024
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.
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Medisys Compliance
JANUARY 30, 2023
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. Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans.
MedTrainer
JANUARY 26, 2024
Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. Significant fines also can be levied by the Office of Inspector General (OIG) for overbilling Medicare and Medicaid.
MedTrainer
NOVEMBER 2, 2023
Their duties span across several areas, from ensuring adherence to laws to navigating the complexities of medical billing protocols. Health Insurance Portability and Accountability Act (HIPAA) HIPAA ensures the privacy of patient health information. What Is the Primary Role of a Compliance Officer in Healthcare?
Medisys Compliance
NOVEMBER 6, 2023
Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.
AIHC
MAY 30, 2024
Advancing RCM Operations Every year, more than five billion medical claims are processed by Payers in the United States for reimbursement, according to the Centers for Medicare & Medicaid Service, CMS.gov. Regulatory Compliance : AI helps ensure billing and coding practices comply with current healthcare regulations.
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