Healthcare Compliance Blog

APRIL 12, 2022

On 18 different occasions from the first quarter of 2016 through the fourth quarter of 2019, she withheld payroll taxes from her employees’ paychecks. Violations of payroll management can be considered fraud and can result in fines and imprisonment. The withheld taxes totaled over $900,000.

Medical Billing 59

Medical Billing Fraud Governance Medicare 59

AIHC

MAY 30, 2024

AI-Powered Challenges Historically, rule-based algorithms for coding and claim adjustments (also known as coding-related edits) were created to streamline the claims adjudication and payment procedure for providers sending medical bills to payers. Opportunity: One or more edits caused the entire claim to be rejected 1.2

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

Hall Render

AUGUST 19, 2022

Health Affairs report shows Alaskans spent more out-of-pocket dollars on health care than residents in any other state in 2019. Stockton Doctor and Medical Practice Agree to Pay Nearly $2 Million to Resolve Allegations of Health Care Fraud. New Colorado Mountain Medical program helps employees grow into health care industry.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40