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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

This approach enhances both performance and compliance while minimizing human error. According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied claims or repayment demands due to system complexity.

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Healthcare Cybersecurity – 2025 Health IT Predictions

Healthcare IT Today

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions !

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Healthcare Decisions at an Organizational Level – 2025 Health IT Predictions

Healthcare IT Today

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions !

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The Role of AI in Healthcare Compliance

Verisys

Technologies continue to transform the healthcare industrythe da Vinci Surgical Robot performs precise movements that enable minimally invasive surgeries, the CyberKnife delivers targeted radiotherapy, and smart devices provide practitioners with instantaneous updates to patient health. What Is AI in Healthcare Compliance?

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Michigan Registered Nurse Pleads Guilty in COVID-19 Vaccination Record Card Fraud

Med-Net Compliance

A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Issue: Legitimate vaccination cards are being stolen from healthcare facilities and then used in a fraudulent manner. Participating in the fraud can result in the person(s) being prosecuted.

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Oklahoma Hospital Pays over $1.1 Million to Settle False Claims Act Allegations

Healthcare Compliance Blog

An acute care hospital in Oklahoma has paid over $1.1 Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.? Throughout the investigation, the hospital cooperated with the above entities.

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Your Hospital Compliance Work Plan: New Issues for 2024

Compliancy Group

A comprehensive hospital compliance work plan is pivotal for achieving these objectives. Hospital compliance officers, c-suite executives, and other decision-makers must constantly stay abreast of the latest developments in healthcare compliance. What Are Hospital Compliance Work Plans?