article thumbnail

Red Flag Rules in Healthcare: What Compliance Officers Need to Know

Compliancy Group

For example, some medical identity thieves take insurance information and make fraudulent claims to Medicare or Medicaid for services or goods. Identity theft can also result in the entry of false data into electronic medical records (EMRs) or the creation of fictitious EMRs in victims names.

article thumbnail

Your Guide on How to Be a Good Compliance Officer

Compliancy Group

Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the compliance officer. What Does a Compliance Officer Do?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Making Health Information Management Software Work for You

Compliancy Group

However, compliance officers and other decision-makers relying on this software must constantly identify and mitigate threats to PHI security and confidentiality. Fortunately, compliance officers can remain vigilant with compliance support services and comprehensive software.

article thumbnail

2024 OIG General Compliance Program Guidance

Compliancy Group

This rule removes incentives for providers to interfere with the open exchange of electronic medical records (EMRs) and makes it easier to investigate individuals allegedly involved in information blocking. Compliance officers have access to more information about their responsibilities and roles.

article thumbnail

Important Resources to Ensure Medicare Compliance

Compliancy Group

As a compliance officer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. Office of Inspector General (OIG) guidelines.

article thumbnail

Tips for Building an Effective Healthcare Compliance Program

Compliancy Group

According to OIG, healthcare organizations should do the following to meet compliance standards. Designating a Compliance Officer Designating a Compliance Officer ensures that your organization follows policies, procedures, and the code of conduct. This is because healthcare compliance is exceptionally nuanced.

article thumbnail

Webinar Recap: Elevate Your Referring and Ordering Physician Monitoring

Provider Trust

Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.