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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial intelligence in coding practices.

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The Role of AI in Healthcare Compliance

Verisys

Technologies continue to transform the healthcare industrythe da Vinci Surgical Robot performs precise movements that enable minimally invasive surgeries, the CyberKnife delivers targeted radiotherapy, and smart devices provide practitioners with instantaneous updates to patient health. What Is AI in Healthcare Compliance?

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Avoiding Costly Credentialing Issues in Healthcare

Verisys

However, the process itself can be complicated and time-consumingand when things go wrong, it can lead to financial setbacks, medical standard compliance issues, and unnecessary stress. Poor communication between departments : Credentialing requires input from many players, including HR, compliance teams, and insurance payers.

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HIPAA settlement: a small pharmacy pays $125,000 for improperly disposed PHI

Natalia Mazina

While this is not a new case, it serves as a good reminder that even a small healthcare provider is subject to potential monetary penalties under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Our other relevant blog posts: “ OCR increases HIPAA audits ,” “ When was the last time you trained your workforce on HIPAA?

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Breach Prevention: 5 Best Practices to Protect Your Data

MRO Compliance

A small breach can be a simple release of information (ROI) process error involving a patient’s protected health information (PHI). Most of those disclosure points occur outside the health information management (HIM) department in areas where individuals are not trained in PHI disclosure management. Social media.

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The Consequences of HIPAA Non-Compliance for Insurance Agents

Total HIPAA

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). In this blog post, we’ll discuss the potential consequences of HIPAA non-compliance for insurance agents. 104-191 Department of Health and Human Services.

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Corporate Compliance Training Software Is a Necessity

MedTrainer

Healthcare compliance is complicated for organizations of any size. However, the complexities grow exponentially for large or enterprise organizations with hundreds or thousands of employees who must complete and pass rigorous compliance training. What Is Corporate Compliance Training?