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Healthcare Regulatory Compliance: Ensuring Quality & Safety

Compliancy Group

As the healthcare landscape continues to evolve, regulatory compliance has become a critical aspect of ensuring patient privacy, safety, and overall quality of care. Additionally, compliance ensures that proper protocols are followed when it comes to billing procedures and financial practices, reducing the risk of fraud or misconduct.

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Building an OIG Compliance Program for Physicians

Compliancy Group

A compliance violation could result in something as serious as being placed on the OIG exclusion list. Being placed on this list means that an individual or entity has committed fraud or harmed a patient(s). Prioritizing an OIG compliance program for physicians is one of the primary ways to prevent this type of issue.

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The OIG Work Plan Decoded

Compliancy Group

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. A well-designed healthcare compliance platform enables you to stay on track with our various compliance regulations.

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What Is a Managed Care Organization (MCO)?

MedTrainer

Some key compliance elements for managed care organizations include: Legal and Regulatory Compliance. These include laws related to insurance, healthcare privacy (HIPAA), billing practices, and fraud and abuse prevention. Schedule a free demo today and learn how! Quality of Care Standards.

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What Is Provider Credentialing?

MedTrainer

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.

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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.