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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. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?
This list includes individuals convicted of healthcare fraud, patient abuse, or other serious violations. Would you want a provider whos been disbarred due to patient abuse or malpractice providing your care? Download Now Exclusion Checks vs. Exclusion Monitoring Same concept, different strategy, different outcomes.
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.
Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Download Now What are Provider Privileges? Maintaining compliance helps protect against fraud, waste, and abuse.
The most common “download and start” version used by so many people is not HIPAA compliant. This does not include the potential cost of damage to the practice’s reputation if those ransomed records containing PHI were sold for use in payment fraud or identity theft. The video-calling application Zoom is a prime example.
The policy issuer for malpractice insurance verifies insurance coverage. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data.
The policy issuer for malpractice insurance verifies insurance coverage. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. The Primary Source Organizations. Some organizations compile and publish data monthly. Unpublished Data.
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