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How To Prepare for an OIG Inspection

MedTrainer

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Risk Assessment.

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3 Privacy Mistakes to Avoid During a Public Health Emergency

Healthcare IT Today

The following is a guest article by Mark LaRow, CEO at Verato. While the federal government has relaxed some patient privacy rules in response to the coronavirus pandemic, there are still avoidable mistakes healthcare professionals make when it comes to protecting patient data.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Transparency is a primary pillar of CMS in order to encourage and promote safe and ethical patient care. Breaking the law can inevitably result in not only fines, but hefty legal burdens (time and money), and even jail time.

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URAC CEO talks virtual care access, tele-mental health, post-COVID regs

Healthcare IT News - Telehealth

Ain Shams University Virtual Hospital (ASUVH) in Cairo, Egypt, employs a model of care where they reach patients throughout the continent by connecting with local clinics. Further, telehealth providers can help reduce the chance for fraud, waste and abuse by implementing risk-management policies and mechanisms.

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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

The Department of Health and Human Services once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public Health Service Act will draw to a close. Healthcare IT News is a HIMSS publication.

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HHS Issues HIPAA Guidance on Remote Communication Technologies for Audio-Only Telehealth

Health Care Law Brief

This guidance is a direct response to a December 2021 Executive Order that tasked HHS with developing HIPAA guidance for telehealth services, with the stated goals of improving “patient experience and convenience” as the COVID-19 public health emergency subsides. The new HIPAA guidance affects covered entities in four key ways.

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