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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. Handling sensitive data like Social Security numbers, insurance coverage or enrollment information, names, or credit card numbers always puts an organization at risk for identity theft.

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Comply with Privacy Rights to Avoid Unconsented Intimate Exams

AIHC

This article addresses how these privacy rights extend beyond rules designated under HIPAA and States passing rules banning unauthorized pelvic exams. About the Author Gabriella Neff , RHIA, CHA, CHC, CHRC, CHPC is a Research Compliance Officer for H. OCR recently issued an FAQ focusing on this right. [6]

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How to Conduct Effective Compliance Audits 

American Medical Compliance

Why Compliance Audits Matter in Healthcare A compliance audit is a critical process that reviews an organization’s adherence to internal policies and external regulations. 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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What Does a Compliance Officer Do in Healthcare?

MedTrainer

This critical responsibility rests on the shoulders of the healthcare compliance officer. Read on if you’ve ever wondered about the unsung heroes as we answer the question: What does a compliance officer do in healthcare? What Is the Primary Role of a Compliance Officer in Healthcare?

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What is a Healthcare Compliance Officer?

Verisys

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. HCO Qualifications. Reimbursement.

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Differences Between Healthcare Compliance Officer and HR

MedTrainer

There is one way to describe the relationship between HR professionals and compliance officers: It’s complicated. As you see these roles work together, you might wonder about the difference between a compliance officer and human resources in healthcare.

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What Every Compliance Officer Should Know About Healthcare Audits

Compliancy Group

For example, internal audits help compliance officers and executives maintain operational efficiency, reduce errors, improve workflows, and enhance the bottom line. An internal audit is an excellent opportunity to detect factors contributing to non-compliance, mitigate risk, and address potential problems.