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Building an OIG Compliance Program for Physicians

Compliancy Group

Data privacy is only part of Office of the Inspector General (OIG) compliance. Since the start of the data privacy rule in 2003 alone, there have been at least 350,000 Health Insurance Portability and Accountability Act complaints with 1,188 compliance reviews. This exclusion also requires a minimum wait of at least five years.

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The Rise of Healthcare Governance, Risk, and Compliance

MedTrainer

Healthcare organizations of all sizes and types are increasingly adopting governance, risk, and compliance (GRC) frameworks to address the industry’s complex regulatory landscape and evolving challenges. Implementing GRC for healthcare has substantial benefits for healthcare leaders. What Is Healthcare GRC?

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HHS-OIG Excludes Theranos Founder and CEO from Federal Health Programs for 90 Years

HIPAA Journal

The Theranos Scandal Theranos was a blood testing startup founded by Elizabeth Holmes in 2003. Holmes, along with former company president Ramesh Balwani, were charged with criminal fraud for making false claims about the company’s technology and misleading investors.

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What is a HIPAA Violation?

HIPAA Journal

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To? Other Types of HIPAA Law Violation.

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HIPAA Compliance Guide: All Your Questions Answered

Total HIPAA

This post aims to answer all of your HIPAA compliance questions. If you’re just learning about HIPAA compliance, or beginning the process of becoming HIPAA compliant, this article will guide you through the initial steps you must take to adhere to the law. What is HIPAA Compliance? The Privacy Rule (2003).

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The Supreme Court Clarifies the Government’s FCA Dismissal Power and Invites Constitutional Challenge to the FCA’s Qui Tam Provision

Health Law RX

The First Circuit placed an onus on the relator to avoid dismissal by showing that the Government’s motion was “transgress[ing] constitutional limitations” or “perpetrating a fraud on the court” ( Borzilleri v. Circuit found the Government’s dismissal authority to be “unfettered” ( Swift v. 3d 250, 252 (D.C. Bayer Healthcare Pharms.,

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Part 2: Understanding How Payers Deny Claims

AIHC

trillion government-wide from fiscal years 2003 through 2019. The Medicare Fee-for-Service Compliance programs prevent, reduce, and measure improper payments in FFS Medicare through medical review. These are reimbursements that should not have been made or that were made in incorrect amounts. According to the U.S.