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Medical Compliance Plans Limit Healthcare Liability

MedTrainer

Here’s how these plans help limit liability: Prevent Fraud and Abuse: Compliance plans include measures to prevent fraud and abuse within the healthcare organization. Reduce Medical Malpractice Risk: Ensuring patient safety is a fundamental component of compliance plans.

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How To Prepare for an OIG Inspection

MedTrainer

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. This ensures that medical facilities are not engaging in malpractice and following program rules and regulations.

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Credentialing in Healthcare: Essential Processes and Best Practices

Physician Credentialing Company

By validating staff competence, it reduces the likelihood of malpractice claims and legal issues. This process reduces the risk of fraud and ensures accuracy. It also involves checking for any disciplinary actions or malpractice history. Healthcare facilities benefit financially from credentialing as well.

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Crucial Need for NPDB Credentialing

MedTrainer

This confidential clearinghouse primarily aims to safeguard public interest and healthcare quality while reducing fraud and abuse. Organizations must register for an account, submit the required documentation, and receive authorization before searching the National Practitioner Data Bank.

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7 Red Flags to Watch for During Healthcare Credentialing

Verisys

Here are seven red flags to look out for and the reasons why: Incomplete or inconsistent application: Missing or conflicting data regarding education, training, work history, licensure, or malpractice history might indicate false information or attempts to conceal relevant details.

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Unraveling the Maze: Tackling Out-of-State Medicaid Claims and Credentialing Challenges

Healthcare IT Today

The goal of this requirement is to eliminate fraud and abuse. For instance, Arizona demands a 10-year history of any sanctions on a provider’s license, while others ask about past malpractice suits. While this may seem straightforward, the implementation is far from simple.

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New York Law Firm Pays $200,000 to State AG to Resolve HIPAA Violations

HIPAA Journal

Heidell, Pittoni, Murphy & Bach LLP (HPMB) is a New York City-based medical malpractice law firm. The investigation confirmed that files were exfiltrated in the attack, including legal documents, patient lists, and medical records.

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