Compliancy Group

FEBRUARY 28, 2024

CMS Compliance Requirements CMS compliance requirements are extensive, covering a wide range of topics: Billing and coding – healthcare providers must accurately code and bill for services rendered to ensure proper reimbursement and prevent fraud and abuse. Compliance audits aren’t a “one size fits all” process.

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MedTrainer

JANUARY 12, 2024

Department of Health and Human Services focuses on preventing fraud, abuse, and waste in federal healthcare programs. Food and Drug Administration (FDA): The FDA regulates compliance in pharmaceuticals, medical devices, and biotechnology products. Office of Inspector General (OIG): This independent agency within the U.S.

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Compliance Fraud Medicaid Medicaid 52

Compliancy Group

FEBRUARY 22, 2024

Designed not only to inform compliance officers, they also guide and empower them to develop, implement, and oversee compliance strategies.

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Compliance Officers Compliance Fraud Regulations Compliance 52

MedTrainer

FEBRUARY 1, 2024

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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Compliance Fraud Regulatory Compliance Regulations Compliance 52

Healthcare Law Blog

NOVEMBER 9, 2023

Thereafter, OIG said it planned to update existing industry-specific compliance program guidance (ICPG), which would include tailoring each to address fraud and abuse risk areas specific to a particular industry and describing the compliance measures that industry could take to reduce these risks [2].

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Compliance Compliance Officers Fraud Medicare 52

American Medical Compliance

FEBRUARY 9, 2024

Healthcare organizations must comply with many regulations, including the Health Insurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and various state-specific regulations.

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Compliance Officers Compliance Patient Advocacy Regulatory Compliance 102

MedTrainer

JANUARY 12, 2024

Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

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Compliance HIPAA Telemedicine ACA 52