Innovaare Compliance
MARCH 24, 2024
The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.
Med Com Blog
JANUARY 18, 2023
Fraud detection: AI can be used to detect and prevent fraudulent activity in the revenue cycle, such as billing for services that were not provided or upcoding of services. This can improve patient satisfaction and increase the likelihood of payment. This can improve efficiency and reduce the risk of errors.
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HIPAA Journal
JANUARY 20, 2023
HIPAA was signed into law in 1996 by President Clinton and introduced standards in healthcare to improve efficiency, eliminate waste, combat fraud, and ensure that Americans could retain health insurance coverage when they are between jobs. The first article in the series covered the benefits of HIPAA for healthcare organizations.
Healthcare Blog
NOVEMBER 9, 2023
Healthcare organizations can improve their reputation and trustworthiness by creating a compliance culture among patients, regulators, and the community. A strong compliance program communicates a commitment to excellent patient care, resulting in greater patient satisfaction and loyalty.
Verisys
FEBRUARY 14, 2024
It emphasizes conducting activities transparently, ethically, and in a manner that secures the trust of patients, staff, and stakeholders alike. This holistic approach to governance ensures that decisions are informed by a comprehensive understanding of the hospital’s overall performance and its implications for patient care.
Medisys Compliance
FEBRUARY 27, 2023
Challenges of Wound Care Billing Wound care billing can be a complex and challenging process due to several factors including, coding complexity, documentation requirements, reimbursement limitations, billing multiple payers, and risk of fraud & abuse billing.
Healthcare IT News - Telehealth
JUNE 8, 2022
While it is important to carefully consider the most effective methods of providing care and the intended purpose behind various reimbursement, privacy, and fraud and abuse regulations, it is also clear that healthcare delivery has always and continues to evolve, and the regulatory framework needs to do the same.
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