Remove Fraud Remove HIPAA Remove Medicaid Remove Regulations Compliance
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CMS Behavioral Health Billing Guidelines: Simplified for Outpatient Providers

Medisys Compliance

The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth. Providers must use HIPAA-compliant telehealth platforms and ensure informed consent is documented in the patients record.

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What’s Your Approach to CMS Compliance Requirements?

Compliancy Group

Many industries have compliance rules and regulations to meet and follow, but few would argue that healthcare is one of the most stringent. Privacy and security – Compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient privacy and data security is crucial.

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Why Do Healthcare Facilities Use Corporate Compliance Programs?

MedTrainer

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?

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The History of Healthcare Compliance

MedTrainer

The protection of patient data, adherence to privacy regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the United States, and the prevention of cyber threats have become paramount concerns. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

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The OIG Work Plan Decoded

Compliancy Group

Department of Health and Human Services (HHS), is tasked with combating fraud, waste, and abuse in health programs, ensuring efficiency, and promoting the integrity of HHS programs, including Medicare and Medicaid. HIPAA violations alone are incredibly costly to health providers.