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The Office of Inspector General (OIG) Monitors and enforces compliance with regulations that prevent fraud, waste, and abuse in healthcare programs. Loss of Licenses or Certifications Depending on their specialties and staff, healthcare organizations must maintain specific licenses and certifications to operate legally.
Advances in telehealth have allowed both populations to receive more convenient, high-quality care, thus leading to better healthoutcomes. Further, telehealth providers can help reduce the chance for fraud, waste and abuse by implementing risk-management policies and mechanisms.
. – Prescription hearing aids will require a consumer to have a prescription for a hearing aid from a physician, audiologist or a licensed hearing instrument specialist. – Fraud. Health plans should be on the alert for potential pitfalls arising from the new regulations. 4 And compliance decrease over time. .
Considering the impact social risk factors and unmet social needs can have on health, CMS asserts these changes will help better identify the risk factors that may inhibit enrollees from accessing care and achieving optimal healthoutcomes, enabling MA SNPs to take these risk factors into account in enrollee care plans.
Sanjeev Agrawal, President & COO at LeanTaaS In 2024, the potential of generative AI could create new purpose – helping clinicians function at the top of their license. This includes identifying trends and anomalies in billing, reducing errors, and preventing fraud. What does this look like in practice?
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in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursing home staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to dismiss antitrust lawsuit Healthcare company to pay $15.2
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to expand into Kent County Michigan health system selected as new owner of Warren hospitals Michigan hospitals plan merger Novant & Ascension offload ASCs Ontonagon Twp. on new ideas at gleaming new Helix tower Rutgers U gets $47.5M 1 children’s hospital in North Carolina Poll: Two out of three N.C.
on EHR upgrade New SSM Health children’s developmental center opening today Illinois Capitol bills would give more money to community health centers Illinois physician selected for year-long NASA Mars simulation HSHS St.
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