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8 Step Healthcare Compliance Audit Checklist

Compliancy Group

Financial Analysis Financial aspects play a significant role in healthcare audits, identifying potential fraud or irregularities. By evaluating: Financial Statements Invoices Reimbursement Claims Accounting Processes This can help detect discrepancies or non-compliance issues related to billing or revenue recognition.

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What is FACIS and Why is it the Gold Standard

Verisys

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Excluded from one means excluded from all, and the fines for non-compliance will likely be in the hundreds of thousands. License Verification & Monitoring. Credentialing.

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What is GRC in Healthcare?

Verisys

Mitigating Provider Risk: Verisys’ solutions, such as FACIS® (Fraud Abuse Control Information System) , provide in-depth screening and continuous monitoring of healthcare professionals against the largest dataset of disciplinary actions and exclusions. Verisys significantly contributes to reinforcing healthcare compliance.

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Key Legal Issues Facing Telehealth Platforms, as Compliance Concerns Bubble for Platforms Launched During the Public Health Emergency

Health Care Law Brief

For example, New York continues to maintain a professional licensing waiver that enables certain providers, licensed out of state, to render care within the state, for the duration of the declared state of emergency. Provider Licenses. What types of providers will render care via telehealth?

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6 Critical Checkpoints Pharmaceutical Companies Need to Stay Compliant 

Verisys

Monitoring the status and expiration of each healthcare license. Preventing fraud by verifying the credentials of scientists, speakers, sales representatives, and research and clinical trial participants. This helps avoid legal and financial penalties associated with non-compliance.

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What Is Provider Credentialing?

MedTrainer

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities.

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2022 Telemental Health Regulations Unlock Access and Evolve Compliance Practices

HIT Consultant

As within many areas of health care, however, expansion and innovation contributed to a higher risk of fraud and resulted in an increase in enforcement activity. Telemental health providers were not immune to this activity in 2022, and providers should prioritize regulatory compliance as the industry looks ahead to 2023. “As