Compliancy Group

JULY 18, 2024

It’s becoming more well-known that billing is one of the most common compliance risk areas outlined by the Office of the Inspector General (OIG). The occurrence of these issues is consistent, and over time, they can result in thousands of dollars lost in compliance penalties. With the U.S.

Medical Billing 52

Medical Billing Compliance Fraud Compliance Officers 52

Compliancy Group

OCTOBER 9, 2024

The primary place where healthcare organizations go wrong with their compliance efforts is that their compliance programs are reactive versus proactive. Workforce compliance in healthcare involves a comprehensive approach to establishing certain protocols and guidelines and helps maintain a continuously safe working environment.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

OCTOBER 4, 2023

To ensure organizations meet these standards, federal healthcare compliance requirements have been put in place. These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. What Are Federal Healthcare Compliance Requirements?

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

AUGUST 31, 2023

Yet, navigating the intricacies of healthcare compliance can be daunting. It’s why we’ve compiled a series of the most common healthcare compliance FAQs and their answers. Any healthcare professional curious about compliance practices will find these answers helpful, insightful, and empowering. What Is Healthcare Compliance?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Compliancy Group

OCTOBER 26, 2023

Maintaining compliance with regulations and ethical standards is crucial for Community Health Centers. To ensure that community health centers operate efficiently and ethically, they must establish robust compliance programs. Rated #1 on G2 “Compliancy Group makes a highly complex process easy to understand.”

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

MedTrainer

SEPTEMBER 1, 2023

Compliance is top-of-mind for any responsible healthcare organization. When their compliance efforts begin to show gaps, they turn to a healthcare compliance company to help get them back on track. When their compliance efforts begin to show gaps, they turn to a healthcare compliance company to help get them back on track.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

Verisys

SEPTEMBER 28, 2023

Verisys introduced the Fraud Abuse Control Information System (FACIS) to meet this growing need in 1993. Here are four reasons why compliance experts at major healthcare organizations choose FACIS. #1 So, don’t delay; schedule a demo of FACIS today!

Compliance 52

Compliance Licensing Fraud 52

Verisys

JULY 27, 2023

Achieving Transparency: How to Close A Critical Gap in Healthcare Compliance Continuous Data Monitoring is Key to Patient Safety Employing quality providers results in better patient outcomes. That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Verisys

JULY 5, 2023

Achieving Transparency: How to Close a Critical Gap in Healthcare Compliance Continuous Data Monitoring is Key to Patient Safety Employing quality providers results in better patient outcomes. That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Healthcare Blog

NOVEMBER 9, 2023

An effective healthcare compliance program is a crucial aspect of any healthcare organization. Healthcare organizations should clearly define their expectations and the consequences for non-compliance. Healthcare organizations should clearly define their expectations and the consequences for non-compliance.

Compliance 52

Compliance Compliance Officers ACA Patient Satisfaction 52

Compliancy Group

JULY 18, 2023

With its focus on preventing fraud, waste, and abuse (FWA) within the healthcare system, OIG healthcare compliance sets standards that every healthcare provider should be aware of. Schedule a Demo See the software that makes getting compliant a breeze! Schedule Now × Schedule a Demo Find Out More! Please Wait.

Fraud 52

Fraud Compliance Governance Medicaid 52

YouCompli

JANUARY 4, 2022

Ross addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. . They provide great insight for Compliance practitioners. YouCompli sponsored MHA’s 2021 Healthcare Legal Compliance Forum in 2021. Request a demo of the YouCompli solution.

Compliance 40

Compliance Compliance Officers HIPAA Fraud 40

Compliancy Group

JUNE 3, 2024

Not only will a well-structured incident tracking and reporting system help your organization remain in compliance with Occupational Safety and Health Administration (OSHA) regulations , but it will also help you reach resolutions more quickly. The way to enhance your success with compliance changes is the way you host your policies.

Compliance 59

Compliance Compliance Officers HIPAA Fraud 59

YouCompli

MAY 11, 2022

It reflects remarks CJ made at HCCA’s 2022 Compliance Institute. For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). The doctor will be sentenced in July for multiple counts of healthcare fraud.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

Compliancy Group

NOVEMBER 17, 2023

The False Claims Act Unveiled The False Claims Act (FCA) is a linchpin in the government’s efforts to combat fraud against federal programs, including healthcare programs. The HHS guidance underscores the importance of implementing robust compliance programs to detect and prevent such practices.

Compliance 52

Compliance Fraud Governance 52

Compliancy Group

JANUARY 17, 2024

The OIG Work Plan, sometimes referred to as “the Work Plan” or “the Plan,” is an essential tool in securing and maintaining healthcare regulatory compliance for patient safety, privacy, and quality care. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.

US Department of Health and Human Services 52

US Department of Health and Human Services Regulatory Compliance Compliance Regulations Compliance 52

YouCompli

DECEMBER 7, 2022

These exclusions are generally related to criminal activity like fraud or healthcare-related misconduct. Felony convictions for other healthcare-related fraud, theft, or other financial misconduct. Compliance with these rules sounds like a straightforward process. Patient abuse or neglect.

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

YouCompli

JANUARY 4, 2022

The Massachusetts Health and Hospital Association recently convened its Healthcare Legal Compliance Forum to update members on key areas of regulatory change, compliance and enforcement in this late COVID era. It reduced the rate of whistleblower and other fraud complaints, and for Unger at least, abuse cases increased.

Compliance Officers 40

Compliance Officers Elder Abuse Compliance COVID-19 40

YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Provider workload and compliance.

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

MedTrainer

AUGUST 30, 2023

Let’s explore what it means for an MCO to coordinate care for members, and the compliance implications that come with this healthcare services model. Understanding how each type of MCO works provides a baseline for understanding the necessary compliance considerations that accompany them. What’s Needed for MCO Compliance?

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

Compliancy Group

JUNE 19, 2024

The primary objective of internal audits in healthcare is to assess the effectiveness of internal controls, ensure compliance with established policies, and identify areas for improvement. They are primarily used as a benchmark for quality and compliance. They are also meant to ensure compliance with financial regulations.

Compliance 40

Compliance Hospitals Fraud Governance 40

MedTrainer

JULY 21, 2022

However, unauthorized access is causing more than just identity fraud. We have HIPAA compliance programs, a secure cloud-based storage system, planning tools so you’ll know how to respond to a breach, and much more. Since 2020, approximately 113 million people have been impacted by healthcare data breaches.

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA COVID-19 Compliance Officers 52

MedTrainer

AUGUST 2, 2023

Auditing helps healthcare organizations maintain accurate and appropriate documentation, optimize revenue, minimize compliance risks, and improve overall operational efficiency. The Importance of Medical Auditing From a compliance standpoint, medical auditing serves several important purposes within healthcare organizations.

Compliance 52

Compliance ACA Medicaid Medicaid 52

MedTrainer

AUGUST 2, 2023

Listen to a candid discussion on lessons learned from the 2023 federal investigation that uncovered fraudulent medical practice nationwide in this on-demand webinar: Moving Forward From the Nursing Fraud Scheme. However, it’s important to remember how critical this process is for mitigating risk, improving compliance, and earning trust.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

MedTrainer

NOVEMBER 15, 2023

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.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Verisys

JULY 13, 2023

How to Tackle Pharma’s 3 Biggest Compliance Risks Head-On with Verisys How often have you started at a new organization and heard these phrases? “ Some companies make decisions based on compliance standards and optics, while others may be more lax. Clinical trial compliance can offer unique challenges for pharmaceutical companies.

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Compliance Due Diligence Pharmaceutical Industry Fraud 52