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New Safe Harbor and General Compliance Program Guidance Provides Opportunity for Buyers to Mitigate Litigation and Fraud Risk

Health Law RX

By maintaining a robust compliance program, healthcare companies are better able to identify potential red flags early and to prevent violations of fraud and abuse laws. The GCPG provides voluntary, non-binding guidance to assist all individuals and entities in the healthcare industry to develop and maintain a successful compliance program.

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What Is Provider Credentialing?

MedTrainer

Legal and Regulatory Compliance Healthcare facilities and insurance companies are legally obligated to credential providers before allowing them to practice or join their networks. Selecting a credentialing provider takes a fair amount of due diligence; however, it’s time and energy that pay for themselves in short order.

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DOJ Further Revises Corporate Criminal Enforcement Policies: Focusing on Individual Accountability, Corporate Responsibility, and Additional Demands on Chief Compliance Officers

Health Law Advisor

Thus, she emphasized that “if a cooperating company discovers hot documents or evidence [during a government investigation], its first reaction should be to notify the prosecutors.”. Additionally, DOJ now will “require cooperating companies to come forward with important evidence” to prosecutors “more quickly.”

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The Devil may be in the Details of the Part II No Surprises Act IFR

Health Care Law Brief

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. 2] See 86 Fed.

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AI Cybersecurity in Healthcare: Key Risks and Security Measures

HIT Consultant

Third-Party Vendor Assessment: Due diligence is required to thoroughly vet third-party vendors and their cybersecurity practices. About Britton Burton Britton Burton is the Senior Director of TPRM Strategy with its sister company, CORL Technologies , tech-enabled managed services for vendor risk management and compliance.