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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. This mistake resulted in millions of dollars in lost revenue for hospitals.

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Factors to consider when outsourcing Behavioral Health medical billing

Medisys Compliance

If you’ve ever questioned about outsourcing your medical billing, this article will go through all the benefits it offers you in terms of operations, and all the reasons to outsource medical billing. Now, let’s consider the factors to consider when outsourcing Behavioral Health medical billing: 1.

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Outsourcing Can Solve Your Staffing Challenges

Medisys Compliance

According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Billing companies provide you flexibility of adjusting your workload.

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Navigating CMS UPIC Audits: A Guide for Healthcare Organizations

Compliancy Group

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. The Centers for Medicare and Medicaid Services (CMS) created UPIC audits to identify and stop fraud and abuse in Medicare and Medicaid.

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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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You Play a Vital Role in Protecting the Integrity of the U.S. Healthcare System

AIHC

health care system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. First, remember that anyone can commit health care fraud.

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

HIPAA Journal

Logan Health, formerly Kalispell Regional Medical Center, is a 622-bed health system based in Kalispell, MT, which operates six hospitals and more than 68 provider clinics in the state. Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 million to cover claims from individuals affected by the breach.