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Navigating CMS UPIC Audits: A Guide for Healthcare Organizations

Compliancy Group

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. The Centers for Medicare and Medicaid Services (CMS) created UPIC audits to identify and stop fraud and abuse in Medicare and Medicaid.

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How to Conduct Effective Compliance AuditsĀ 

American Medical Compliance

A powerful way to ensure this is through regular compliance audits. Audits serve as a critical defense against fraud and inefficiency while fostering trust in your practice. This is to confirm that staff are properly trained in compliance protocols. What are you aiming to achieve with the audit?

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Healthcare Compliance Laws: Ensuring Quality & Safety in the Medical Field

Compliancy Group

Healthcare compliance laws play a vital role in safeguarding patientsā€™ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Letā€™s delve into the importance of healthcare compliance laws and regulations, their impact on providers and organizations, and the guidelines governing their implementation.

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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.

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What is GRC in Healthcare?

Verisys

Mitigating Provider Risk: Verisysā€™ solutions, such as FACISĀ® (Fraud Abuse Control Information System) , provide in-depth screening and continuous monitoring of healthcare professionals against the largest dataset of disciplinary actions and exclusions. How does Verisys help with healthcare compliance?