YouCompli

MAY 11, 2022

The doctor will be sentenced in July for multiple counts of healthcare fraud. A Florida physician, serving as a medical director for a sober living facility, was found guilty of healthcare fraud. He faces up to 20 years in prison for healthcare fraud and wire fraud conspiracy. Billing for unnecessary urine drug testing.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

Compliancy Group

NOVEMBER 8, 2023

These policies should cover areas such as privacy protection, code of conduct for employees, anti-fraud measures, and reporting mechanisms for violations. Schedule a Demo See the software that makes compliance management a breeze! Schedule Now × Get a Demo!

Compliance 52

Compliance Compliance Officers Fraud Governance 52

Compliancy Group

FEBRUARY 22, 2024

Modernize Your Compliance Using automated compliance software compliance is a breeze.

Compliance Officers 52

Compliance Officers Compliance Fraud Regulations Compliance 52

Compliancy Group

SEPTEMBER 28, 2023

Additionally, compliance ensures that proper protocols are followed when it comes to billing procedures and financial practices, reducing the risk of fraud or misconduct. Schedule a Demo See the software that makes compliance management a breeze! Schedule Now × Get a Demo! Find Out More! Please Wait.

Regulatory Compliance 52

Regulatory Compliance Compliance Fraud Governance 52

Compliancy Group

JUNE 21, 2024

The purpose of an OIG audit is to prevent fraud and abuse or to detect it. Fraud and abuse reduction is only the start of the benefits that derive from having the right compliance program in place. What is the Focus of an OIG Audit for Chiropractors? These evaluations assess the effectiveness of departmental programs.

Compliance 52

Compliance Compliance Officers Medicare Medicare 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. Read more about  the rollout and accountability of requirements  or  schedule a demo.   . Patient abuse or neglect.

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

Verisys

SEPTEMBER 28, 2023

Verisys introduced the Fraud Abuse Control Information System (FACIS) to meet this growing need in 1993. So, don’t delay; schedule a demo of FACIS today! The healthcare industry has rapidly evolved, and with that, the need for a reliable and comprehensive provider sanction and exclusion database became increasingly apparent.

Compliance 52

Compliance Licensing Fraud 52

YouCompli

JANUARY 4, 2022

Request a demo of the YouCompli solution. While we don’t know when the public health emergency will end, it’s critical to have a plan in place to operate without the flexibilities that came with it. We provide a complete solution to help healthcare compliance organizations manage regulatory change. Find out more about YouCompli. .

Compliance 40

Compliance Compliance Officers HIPAA Fraud 40

Verisys

JULY 27, 2023

Backed by FACIS ® ( Fraud Abuse Control Information System ), the most comprehensive data platform in the healthcare industry, the accuracy of Verisys’ screening, verification, and monitoring services exceeds the standard set by the Office of Inspector General (OIG). Verisys was created over 30 years ago to address this very issue.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Verisys

JULY 5, 2023

That is, until there is a fine, civil monetary penalty, or public lawsuit caused by patient negligence or fraud. Contact us for a demo of FACIS®, and discuss a staged rollout of screening, verifying, and monitoring for your entire workforce. Verisys was created over 30 years ago to address this very issue.

Compliance 52

Compliance Due Diligence Licensing Fraud 52

Compliancy Group

JULY 18, 2024

The OIG’s purpose is to fight incidents of fraud, waste, and abuse , and any company that acts as an intermediary between patients and practitioners faces a variety of challenges, from maintaining confidentiality and integrity to having high levels of risk awareness.

Medical Billing 52

Medical Billing Compliance Fraud Compliance Officers 52

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

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 reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. Millions in dollars in fraud are happening this way,” Callahan said.

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

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. Get a Demo The post Navigating the Regulatory Landscape and Decoding HHS Guidance on Health Regulations appeared first on Compliancy Group.

Compliance 52

Compliance Fraud Governance 52

MedTrainer

JULY 21, 2022

However, unauthorized access is causing more than just identity fraud. For more information on our healthcare compliance tools and resources for compliance officers , reach out to MedTrainer today to schedule a demo. 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

Compliancy Group

OCTOBER 9, 2024

Additionally, regular audits help businesses avoid legal penalties, help prevent fraud and abuse, and enhance the safety of patient data. To learn how to enhance your compliance efforts, start by scheduling a demo today.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Verisys

DECEMBER 8, 2022

FACIS® stands for Fraud Abuse Control Information System and began its data acquisition/aggregation process in 1992. Contact us for a demo of FACIS®, and discuss a staged rollout of screening, verifying and monitoring your entire workforce. Close the Gap by Aggregating Jurisdictional and Federal Data Sets.

Licensing 52

Licensing Medicaid Medicaid Fraud 52

Compliancy Group

JUNE 19, 2024

Overall, a medical audit plays a pivotal role in quality assurance, patient safety, and fraud prevention and reduction. Start with a demo today. Say goodbye to spreadsheets and hello to automated software See How It Works VIEW DEMO The post The Importance of Medical Audits In Healthcare appeared first on Compliancy Group.

Compliance 40

Compliance Hospitals Fraud Governance 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. It reduced the rate of whistleblower and other fraud complaints, and for Unger at least, abuse cases increased. Request a demo of the YouCompli solution.

Compliance Officers 40

Compliance Officers Elder Abuse Compliance COVID-19 40

Compliancy Group

JANUARY 17, 2024

Department of Health and Human Services (HHS), is tasked with combating fraud, waste, and abuse in health programs, ensuring efficiency, and promoting the integrity of HHS programs, including Medicare and Medicaid. Contact us to learn more about our solutions or to request a demo. OIG in healthcare , functioning as an arm of the U.S.

US Department of Health and Human Services 52

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

Compliancy Group

OCTOBER 26, 2023

This includes areas such as: Billing Practices Documentation Requirements Data Security Protocols Anti-Fraud Measures 2. Get a Demo The post Community Health Center Compliance Programs: Ensuring the Well-Being of Communities appeared first on Compliancy Group.

Compliance 52

Compliance Informed Consent Fraud HIPAA 52

MedTrainer

AUGUST 31, 2023

It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. Contact us today to schedule a free demo. Compliance is crucial in healthcare to safeguard patients’ well-being, maintain trust in the industry, and avoid legal and financial repercussions.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Healthcare Blog

NOVEMBER 9, 2023

It assists in identifying and addressing any concerns early on, lowering the likelihood of fraud, waste, and abuse. A well-implemented compliance program enhances patient care by emphasizing ethical procedures, confidentiality, and data protection.

Compliance 52

Compliance Compliance Officers ACA Patient Satisfaction 52

MedTrainer

AUGUST 30, 2023

These include laws related to insurance, healthcare privacy (HIPAA), billing practices, and fraud and abuse prevention. Schedule a free demo today and learn how! MCOs must adhere to federal (Medicare) and state (Medicaid) laws and regulations governing the healthcare industry. Quality of Care Standards. appeared first on MedTrainer.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

MedTrainer

SEPTEMBER 1, 2023

The main goal of a healthcare compliance company is to reduce and prevent fraud, waste, and abuse. Schedule a free demo of MedTrainer today and explore opportunities to make it part of everyday operations, for a culture of compliance that gives you continuous peace of mind. Don’t let compliance fall by the wayside.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

MedTrainer

AUGUST 2, 2023

They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. Schedule a free demo of MedTrainer today ! Ready to demonstrate your commitment to compliance? The post What Is Medical Auditing? appeared first on Medtrainer.

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. Schedule a free demo today to see for yourself how easy Medtrainer makes credentialing — and how easy it is to reap the benefits.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

MedTrainer

NOVEMBER 15, 2023

The OIG also enforces standards for healthcare providers and suppliers to prevent fraud and imposes penalties for non-compliance. Schedule a demo today. It conducts audits, investigations, and evaluations to ensure efficiency and integrity in HHS programs, including Medicare and Medicaid. appeared first on MedTrainer.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Verisys

JULY 13, 2023

Maintaining a tightly controlled, highly compliant call deck for pharmaceutical reps prevents sampling fraud and protects the company’s employees. Contact us for a demo of FACIS®, and discuss a staged rollout of screening, verifying, and monitoring for your entire workforce. Set up an appointment today to learn more.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52

Hall Render

JUNE 3, 2022

Cincinnati Children’s Hospital to vacate, demo aging Oak Building in Avondale. Justice Department says sweeping lab test fraud in Texas involved dozens of doctors and front companies. Rural Development helps area hospital expand services. Bon Secours Mercy Health spinout Accrete Health makes first acquisition.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40