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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Regulatory compliance in healthcare ensures quality care for patients. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. In this blog, we’ll outline the fundamentals and importance of regulatory compliance in healthcare in the U.S.

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Handling an OIG Audit with Confidence: Focus Areas for 2024

Compliancy Group

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. and cybersecurity threats.

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The OIG Work Plan Decoded

Compliancy Group

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. A well-designed healthcare compliance platform enables you to stay on track with our various compliance regulations.

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2023 CMS Audit Protocols: What You Need to Know

Innovaare Compliance

Your audit response plan should include: A process for identifying and responding to audit findings A process for tracking audit progress A process for communicating with CMS Inovaare knows the world of Medicare, Medicaid and Commercial health plans from over 125 years of combined hands-on Regulatory Compliance department oversight.

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DME Scheme of Greed Knows No Bounds

Florida Health Care Law Firm

He has also had assets forfeited since these assets were acquired with money from his ill-gotten fraud scheme. There needs to be contact between the patient and the practitioner before an order is populated and signed. In total, Mr. Truglia and his co-conspirators collected approximately $18.5 genetic testing).

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OIG Issues Special Fraud Alert Regarding Telemedicine Arrangements

Health Care Law Brief

On July 20, 2022, the Office of Inspector General for the Department of Health and Human Services (“ OIG ”) issued a special fraud alert (“ Alert ”) advising “practitioners to exercise caution when entering into arrangements with purported telemedicine companies.” OIG Flags Seven Characteristics of Telehealth Fraud.

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Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.