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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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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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How to Conduct Effective Compliance Audits 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations. What are you aiming to achieve with the audit?

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Meeting Florida Training Requirements for Healthcare Compliance

MedTrainer

The list below includes Florida compliance training requirements for most clinical roles: Combating Medicare Parts C and D Fraud, Waste, and Abuse (CMS, required if provider participates) Corporate Compliance – Conflict of Interest in Healthcare Corporate Compliance – Identifying Misconduct and Effective Discipline Corporate Compliance (..)

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Meeting Wisconsin Training Required for Healthcare Compliance

MedTrainer

Requirements vary by care setting (industry), employee role, a risk assessment, and more.

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Meeting Tennessee Training Requirements for Healthcare Compliance

MedTrainer

Requirements vary by care setting (industry), employee role, a risk assessment, and more.

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

Compliancy Group

Enhancing Trust & Reputation Compliance demonstrates an organization’s commitment to ethical practices, transparency, and accountability, thereby building trust among customers, investors, and stakeholders.